Liver Day 1 Flashcards

1
Q

How much does Liver weigh?

A

1200 to 1600 g (adult)

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2
Q

What is the transverse diameter of the liver?

A

21 to 22.5 cm

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3
Q

What is the Vertical height of the liver 

A

13-17.5 cm

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4
Q

What is it anterior posterior depth of the liver

A

10-12.5 cm

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5
Q

What is the echogenicity of the kidney spleen and pancreas compared to the liver? 

A

The kidney has the same echogenecity as the liver or little less
The spleen ecotenecity is the same as liver or a little more
The pancreas echogenecity is the same as liver or slightly more

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6
Q

What helps with visualizing the pancreas?

A

The prominent left lobe of the liver 

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7
Q

What is the pancreas relationship with the liver ?

A

The pancreas is inferior to the border of the left lobe

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8
Q

What help visualize the right kidney and gallbladder?

A

The right lobe of the liver

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9
Q

What is a normal anatomy of the liver?

A

Occupies most of the right hypochondrium, the greater part of the epigastrium, and the left hypochondrium

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10
Q

Livers position related to the diagram

A

Inferior

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11
Q

What covers most of the right lobe of the liver?

A

Ribs

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12
Q

What is the left lobe of the liver covered by?

A

Ribcage

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13
Q

Where is the fundus of the stomach located in relationship with the liver?

A

Posterior and lateral to the left lobe of the liver

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14
Q

Where is the rest of the stomach located in relationship to the liver 

A

Inferior to liver

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15
Q

Where is the duodenum located in relationship to the liver?

A

Duodenum is located medial and adjacent to the right lobe of the liver

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16
Q

Where is the body of the pancreas located in relationship to the liver?

A

Inferior to the left lobe of the liver

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17
Q

What is in contact with the posterior border of the liver? 8

A

Aorta, gallbladder, right Kidney, inferior vena cava, portal vein confluence, colon, cystic duct, hepatic artery

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18
Q

What does the falciform ligament do to liver?

A

Suspense liver from the diaphragm and the anterior abdominal wall

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19
Q

What does the reflections of diaphragm do?

A

Suspense liver from the diaphragm

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20
Q

What is bare area?

A

It’s the area of the liver that is not covered by peritoneum

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21
Q

Where do abscesses usually form?

A

In subphrenic area between liver/spleen, and diaphragm or the lesser sac

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22
Q

Where is the right posterior subphrenic space located?

A

In between the right lobe of the liver, the right kidney and the right colic flexure

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23
Q

Where is the lesser sac located in relationship to the liver/stomach?

A

Posterior

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24
Q

Where is the Right subhepatic space located and what does it include?

A

The Right subhepatic space is located inferior to the right lobe of the liver and includes the Morrison pouch

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25
Q

Where is the Morisons pouch located in relationship to the liver ?

A

Posterior to the right lobe and upper pole of the right kidney 

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26
Q

What does the falciform ligament attachment do? Within

A

It divides the liver into right and left lobes

27
Q

What does the gallbladder do in relationship to the liver?

A

It divides the right lobe into the quadrant lobe and caudate lobe

28
Q

What does the IVC do in relationship to the liver

A

Divides the right lobe into the quadrate lobe and the caudate lobe

29
Q

What does the ligamentum teres and ligamentum venosum do in relationship to the liver

A

Divides the right lobe into the quadrate lobe and the caudate lobe

30
Q

What is it called when there is a functional division of the liver?

A

Vasculature

31
Q

What divides the liver into right and left lobes functionally

A

Middle hepatic vein and ascending section of the left portal vein

32
Q

Where is the quadrate lobe located veins

A

Between middle and left hepatic veins

33
Q

Quadrate lobe is part of ….

A

Medial segment of the left lobe

34
Q

What are the eight segments of the liver?

A
  1. Caudate lobe
  2. left lateral superior
  3. left lateral inferior
  4. left medial superior and inferior
  5. right anterior inferior
  6. right posterior inferior
  7. right posterior superior
  8. right anterior superior
35
Q

Where is the right lobe of the liver located?

A

Within the right hypochondrium

36
Q

How larger is the right lobe compared to the left

A

Six times larger

37
Q

What are the inferior and posterior surface of the right lobe of the liver marked by

A

Three Fossae: porta hepatis, gallbladder fossa, and Ivc fossa

38
Q

What vein runs horizontally between the anterior and posterior segment of the right lobe

A

Right hepatic vein

39
Q

Where is the left lobe of the liver located?

A

Within the left hypochondrium, and in the epigastric

40
Q

What is the left lobe divided into and by what?

A

Left lobe of the liver is divided into medial and lateral segments by the left intersegmental fissure 

41
Q

How is the left lobe bounded to porta hepatis

A

Posteriorly

42
Q

How is the left lobe bounded to gallbladder fossa

A

Medially

43
Q

How is the liver bounded to umbilical vein

A

Laterally

44
Q

What are the two fissures of the left lobe

A

Ligamentum teres, ligamentum venosum 

45
Q

Where is the caudate lobe located?

A

Posterior to left lobe

46
Q

What is the posterior border of the caudate lobe

A

Ivc

47
Q

What is the anterior border of the caudate lobe

A

Ligamentum venosum

48
Q

What does the left margins of the caudate lobe form

A

Hepatic boundary of the superior recess of the lesser sac

49
Q

How does the caudate process travel / in between what

A

Extends obliquely and laterally from the caudate lobe and a course is to the right lobe in between portal vein and ivc

50
Q

How does the right hepatic vein course

A

Within the right intrasegmental fissure that divides the right lobe of the liver into the anterior and posterior segments 

51
Q

How does the middle hepatic vein course?

A

Within main lobar fissure to separate anterior segment of the right lobe from the medial segment of the left lobe

52
Q

What does the left intrasegmental fissure do?

A

Separates medial segment of the left lobe from lateral segment. It also divide middle cranial and caudal sections

53
Q

In left intersegmental fissure what forms the bound of cranial third

A

Left hepatic vein

54
Q

In left intersegmental fissure what bounds the middle section

A

Ascending branch of left portal vein

55
Q

In Left intersegmental fissure what bounds caudal section

A

Ligamentum teres

56
Q

What is the echogenicity of the ligaments in the liver and why?

A

Hyperechoic bc of collagen and fat

57
Q

Whats the glissons capasule

A

Thin ct that covers liver

58
Q

Where is the glissons capsule the thickest

A

Around ivc and portal hepatis

59
Q

What does the hepatoduodenal ligament contain

A

Mpv, proper hepatic artery and common duct

60
Q

Whats the main lobular fissure

A

Its the boundary between the right and left lobes of the liver

61
Q

Whats the echogenecity of the main lobular fissure/where is it located

A

Hyperechoic line from portal vein to neck of gallbladder

62
Q

Where does the falciform ligament extend from and to

A

From umbilicus to diaphragm

63
Q

What does the falciform Ligament (vertical) contain

A

Ligamentum teres (vertical)

64
Q

What does the ligamentum venosum seperate

A

Left lobe from caudate lobe (horizontal)