Liver and Biliary System Flashcards

1
Q

What is the largest gland in the body

A

Liver

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2
Q

Falciform ligament divides liver into two major lobes

A

right lobe
left lobe

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3
Q

two minor lobes evident on visceral surface

A

caudate lobe
quadrate

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4
Q

is collected by ducts and carried to gallbladder for storage or passes into duodenum

A

Bile

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5
Q

two blood supplies

A

hepatic artery
portal vein

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6
Q

supplies oxygenated blood from abdominal aorta

A

hepatic artery

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7
Q

carries blood from digestive system to be filtered by liver

A

portal vein

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8
Q

primary function from imaging standpoint of the liver is :

A

production of bile

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9
Q

the biliary system main function:

A
  1. to drain waste products from the liver into the duodenum
  2. to help in digestion with the controlled release of bile
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10
Q

Biliary system consists of :

A

bile ducts and the gallbladder

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11
Q

two main hepatic ducts in the liver

A

right and left

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12
Q

right and left hepatic ducts join to form:

A

common hepatic duct

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13
Q

common hepatic duct unites with:

A

cystic duct to form common bile duct

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14
Q

route for the biliary stystem:

A

1.right/left hepatic ducts (comes out of liver)
2. common hepatic duct
3. cystic duct: hangs from Gallbladder
4. common bile duct
5. pancreatic duct
6. hepatopancreatic ampulla or ampulla of vater

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15
Q

Thin-walled musculomembranous sac usually found on visceral
surface of right lobe of liver

A

Gallbladder

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16
Q

Gallbladder functions:

A

Functions to store and concentrate bile

17
Q

when does gallbladder evacuate bile

A

when activated by hormone, cholecystokinin

18
Q

neck of gallbladder is consistent with:

A

cystic duct

19
Q

produces/ regulates insulin

20
Q

as a secretion it aids in the emulsification of fats

21
Q

the distal end of the common bile duct is the:

A

spincter of Oddi, which opens into the duodenum

22
Q

unites with the pancreatic duct, which then enters the heatopancreatic ampulla or apulla of vater

A

common bile duct

23
Q
  • Percutaneous transhepatic cholangiography
  • Postoperative (T-tube) cholangiography
  • Endoscopic retrograde cholangiopancreatography
    (ERCP)
A

Biliary Tract Procedures

24
Q

percutaneous

A

through the skin

25
jaundice
liver not functioning properly
26
* Abbreviated PTC * Performed on patients with jaundice when the ductal system has been demonstrated as dilated by computed tomography (CT) or sonography, but the cause is unclear * May also be used to place a drainage catheter to treat obstructive jaundice
Percutaneous Transhepatic Cholangiography
27
* Patient is supine * Right side surgically prepared and draped * Local anesthetic administered * Special “skinny” needle (Chiba) inserted * Water-soluble iodinated contrast injected under fluoroscopy * After ductal system is filled, spot AP projections are made
Percutaneous Transhepatic Cholangiography
28
Also called delayed cholangiography * Performed via a T-shaped tube left in the common hepatic and common bile ducts for postoperative drainage * Also called delayed cholangiography * Performed via a T-shaped tube left in the common hepatic and common bile ducts for postoperative drainage
Postoperative (T-Tube) Cholangiography
29
Patient positioned in RPO position with right upper quadrant centered to IR * Contrast media injected into T-tube under fluoroscopy * Spot and conventional images made as indicated
Postoperative (T-Tube) Cholangiography
30
when the right and the left hepatic duct come out the liver what do they make
the common hepatic duct
31
cystic duct comes from the gallbladder and meets with the common hepatic duct to form what
common bile duct
32
when the common bile meets up with the pancreatic duct it empties where
in the duodenum sphincter of oddi
33
most common study for the gallbladder
ercp ptc t tube cholangiophraphy