Liver and Pancreas Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

The liver is the largest internal organ, how much does it weigh

A

Roughly 1.5kg in adults

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where is the liver located?

A

In the right quadrant of the abdomen, just below the diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The liver consists of four lobes, what are these?

A

two major and two small inferior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the parietal peritoneum?

A

Parietal peritoneum is that portion that lines the abdominal and pelvic cavities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the visceral peritoneum?

A

Visceral peritoneum covers the external surfaces of most abdominal organs, including the intestinal tract.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the liver covered by?

A

A thin capsule and mesothelium of the visceral peritoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a mesothelium?

A

A membrane composed of simple squamous cells that form the lining of several body cavities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The liver receives a dual blood supply, explain.

A

It receives a dual blood supply from the hepatic artery which carries oxygen from the heart and hepatic portal vein which carries nutrient rich blood from the GI tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where does venous drainage of blood occur in the liver?

A

via the hepatic vein into the vena cava

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the six main functions of the liver

A
  1. fat metabolism
  2. carbohydrate metabolism
  3. protein metabolism
  4. storage
  5. intermediary metabolism
  6. secretion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

During fat metabolism, the liver is responsible for oxidising triglycerides to produce what?

A

energy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

During fat metabolism, the liver is responsible for synthesising what three substances?

A

lipoproteins, cholesterol and phospholipid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

During carbohydrate metabolism, the liver is responsible for converting carbohydrates and proteins into what?

A

fatty acids and triglyceride

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

During carbohydrate metabolism, what three methods are used by the liver in order to regulate blood glucose concentrations?

A

Glycogenesis, glycogenolysis and gluconeogenesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is glycogenesis?

A

Glycogenesis is the process of glycogen synthesis, in which glucose molecules are added to chains of glycogen for storage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is glycogenolysis?

A

Glycogenolysis is the biochemical breakdown of glycogen to glucose whereas glycogenesis is the opposite, the formation of glycogen from glucose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is glyconeogenesis?

A

Gluconeogenesis (GNG) is a metabolic pathway that results in the generation of glucose from certain non-carbohydrate carbon substrates.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The liver holds the function of protein metabolism, give some examples of plasma proteins it is responsible for synthesising

A

albumin and clotting factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The liver is responsible for the synthesis of non essential

A

amino acids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Under protein metabolism, the liver functions to detoxify what, and give an example

A

Detoxification of metabolic waste products such as the deamination of amino acids and urea production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What does the liver function to store

A

glycogen, vitamins and iron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How is the liver involved in intermediary metabolism?

A

Because it is involved in the detoxification of drugs and toxins such as alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What secretory purpose does the liver hold

A

the synthesis and secretion of bile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the key liver cells called?

A

Hepatocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

How are the hepatocytes arranged in the liver

A

Arranged as thin plates, only one cell thick

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

How would one describe the hepatocytes in terms of shape and nuclei?

A

Large cuboidal or polyhedral cells, round central nuclei, prominent nucleoli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Why is the cytoplasm of hepatocytes eosinophilic?

A

The cytoplasm has numerous mitochondria. Eosin is a pink colour and is an acidic dye - negatively charged that binds to positively charged particles like the mitochondria and many components of the cytoplasm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Hepatocytes are often seen as which types of cells? Uninucleate, binucleate or multinucleate?

A

BINUCLEATE BABES - they are commonly seen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

More than half of the hepatocytes contain twice the normal complement of chromosomes, what are they referred to as?

A

tetraploid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

When looking at a histology slide of a collection of hepatocyes, we may see irregular unstained areas. Why is this?

A

This is because the glyocogen and lipid are removed during processing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

The liver is a very solid organ. The outer surface is covered by a capsule composed of collagenous tissue called

A

the Glisson’s capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

The Glisson’s capsule which is a collagenous tissue covering the outside layer of the liver is surrounded by what cell layer?

A

Mesothelial cell layer from the peritoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What is the basic functional unit of the liver called

A

Hepatic lobules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What do hepatic lobules contain?

A

Portal tracts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What does each portal tract of the hepatic lobule of the liver contain? Which three main structures?

A

The hepatic portal vein, the hepatic artery and a bile ductule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What surrounds each of the portal tracts?

A

Plates of hepatocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

How is the structural integrity of the liver maintained?

A

By a meshwork of reticulin fibres

38
Q

Reticulin fibres contain which type of collagen fibres?

A

Collagen type 3 fibres

39
Q

What specifically do the reticulin fibres which are made of type 3 collagen fibres provide support to?

A

To the hepatocytes and sinusoidal lining cells

40
Q

What are the reticulin fibres stained with?

A

Silver - shows reticulin as a black-stained material.

41
Q

What is a hepatic lobule

A

The structural unit of the liver

42
Q

What type of shape does a hepatic lobule have

A

A hexagonal shape

43
Q

What is a hepatic lobule centred around?

A

A terminal hepatic venule

44
Q

Blood flows from the portal vein and hepatic artery in the portal tract to where?

A

To the central veins

45
Q

Where does blood flow along in the hepatic lobules of the liver

A

Along sinusoids lined with endothelial cells

46
Q

The close association sinusoids have with hepatocytes allows what to occur?

A

Absorption of nutrients and secretion of hepatic products

47
Q

What is the alternative model of the liver called?

A

The hepatic acinus

48
Q

The alternative model for the liver louble referred to as the hepatic acinus is a berry shaped unit of liver parenchyma centered on a

A

portal tract

49
Q

The hepatic acinus lies between two or more

A

terminal hepatic venules

50
Q

In the hepatic acinus model, blood flows from the portal tracts through the _____ to the _____

A

sinusoids and venules

51
Q

The hepatic acinus model is divided into how many zones?

A

Three zones

52
Q

The three different zones of the hepatic acinus model is because each zone has

A

different metabolic functions

53
Q

Describe the location of zone 1

A

It is closest to the portal tract so it receives the most oxygenated blood

54
Q

Describe the location of zone 3

A

Zone 3 is found closest to the central vein

55
Q

Describe the oxygen concentration of zone 3 and which enzymes are therefore present

A

Least oxygen, so high in esterases and low in oxidative enzymes

56
Q

What is an esterase?

A

An esterase is a hydrolase enzyme that splits esters into an acid and an alcohol in a chemical reaction with water called hydrolysis.

57
Q

What type of endothelium does the sinusoid have in the hepatic lobule?

A

Fenestrated

58
Q

Do the sinusoids present in the hepatic lobules have a basement membrane?

A

No homie

59
Q

There are microvilli present in the hepatocytes of the liver for what reason?

A

To increase the surface area for metabolic exchange

60
Q

What is the space of disse?

A

The location in the liver between a hepatocyte and a sinusoid

61
Q

What does the space of disse bathe the hepatocyte surface with?

A

With plasma, microvilli of the hepatocytes extend here to allow exchange

62
Q

Where does the space of disse plasma drain into?

A

Into lymphatics in portal tract

63
Q

What are the three types of cells lining the sinusoids?

A

Endothelial cells
Kupffer cells
Stellate cells

64
Q

Describe the endothelial cells that line the sinusoids

A

Most numerous, flat darkly stained nuclei, thin fenestrations - large pores

65
Q

Describe the kupffer cells

A

Large plum cells with ovoid nuclei

66
Q

What is the function of the kupffer cells

A

Monocyte-phagocyte system and removal of spent erythrocytes

67
Q

What are the main functions of the stellate cells?

A

Fat storage, lipid droplets - vit A. Production of ECM and collagen

68
Q

Bile is produced by all

A

hepatocytes

69
Q

The apical surfaces of hepatocytes form what thin tube like structure into which bile is secreted?

A

Bile canaliculi

70
Q

Bile canaliculi form a network of channels through the

A

hepatocyte plates

71
Q

Bile flow progresses in which direction compared to that of the blood?

A

Opposite direction

72
Q

Bile canaliculi of adjacent hepatocyte plates merge to form which structure

A

canals of Hering

73
Q

What are the canals of Hering lined by?

A

Cuboidal epithelial cells - cholangiocytes

74
Q

What do the canals of hering join together to form?

A

Bile ductules in the portal areas

75
Q

Where do bile ductules drain?

A

Into the bilary tree

76
Q

What does the intrahepatic bile collecting system consist of?

A

Bile canaliculi, bile ductules and bile ducts

77
Q

What do the intrahepatic bile colllecting system merge to form?

A

The left and right hepatic ducts

78
Q

The left and right hepatic ducts join to form the

A

common hepatic duct

79
Q

On leaving the liver, the common hepatic duct is joined by which duct?

A

the cystic duct

80
Q

The cystic duct and hepatic duct drain into the gall bladder forming which structure?

A

The common bile duct

81
Q

What do common bile ducts join to

A

The pancreatic duct

82
Q

The common bile ducts and pancreatic ducts join to form which structure

A

the short ampulla of vater

83
Q

where does the short ampula of vater enter

A

the duodenum

84
Q

How would one describe the structure of the gall bladder?

A

A hollow, pear shaped muscular sac attached to the lower surface of the liver

85
Q

What type of epithelial cell surrounds the gall bladder?

A

Simple columnar epithelium

86
Q

What is the volume capacity of the bile duct in humans?

A

100mL

87
Q

How does the gall bladder end up contracting and releasing the bile into the duodenum?

A

The presence of lipid in the duodenum promotes secretion of cholecystokinin (CCK) by neuroendocrine cells of duodenal mucosa

88
Q

How would you describe the wall of the gall bladder?

A

Mucosa of wall is highly folded and lined with a simple columnar epithelium

89
Q

How many muscle layers does the gall bladder have?

A

Only one

90
Q

What is the serosa present in the gall bladder?

A

A serous membrane (also referred to as a serosa) is one of the thin membranes that cover the walls and organs in the thoracic and abdominopelvic cavities

91
Q

What two structures are absent in the histology of the gall bladder?

A

No muscularis mucosa and submucosa