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

A

pancreas

20
Q

as a secretion it aids in the emulsification of fats

A

Bile

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
Q

jaundice

A

liver not functioning properly

26
Q
  • 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
A

Percutaneous Transhepatic
Cholangiography

27
Q
  • 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
A

Percutaneous Transhepatic
Cholangiography

28
Q

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

A

Postoperative (T-Tube)
Cholangiography

29
Q

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

A

Postoperative (T-Tube)
Cholangiography

30
Q

when the right and the left hepatic duct come out the liver what do they make

A

the common hepatic duct

31
Q

cystic duct comes from the gallbladder and meets with the common hepatic duct to form what

A

common bile duct

32
Q

when the common bile meets up with the pancreatic duct it empties where

A

in the duodenum sphincter of oddi

33
Q

most common study for the gallbladder

A

ercp
ptc
t tube cholangiophraphy