Liver Extrahepatic billiary system,spleen pancreas Flashcards

1
Q

is the liver the largest gland in the body

A

yes

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2
Q

t/f with the exception of lipids every substance absorbed by the alimentry tract is received first by the liver

A

true

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3
Q

where is the site where RBC’s are produced in a fetus

A

liver

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4
Q

in what quadrant is the liver located

A

right upper quadrant

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5
Q

where is a liver biopsy taken

A

right 10th intercostal space mid axillary line

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6
Q

what separates the right and left lobe of the liver

A

falciform ligament

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7
Q

what are the 2 surfaces of the liver

A

diaphragmatic and visceral

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8
Q

what suspends the liver from the diaphragm and anterior abdominal wall

A

falciform ligament

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9
Q

what is in contact with the left lobe of the liver

A

stomach

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10
Q

is the liver a peritonial or retroperitonial organ

A

peritonial

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11
Q

what is significant about the the ligamentum teres hepatis

A

remnanant of the left umbilical vein

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12
Q

the paraumbilical veins run thru what ligaments

A

falciform ligament

ligamentum teres hepatis

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13
Q

what is significant about the ligamentum venosum

A

remnant of ductus venosus

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14
Q

lesser omentum connects what 2 organs

A

stomach and liver

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15
Q

what 2 things make up the lesser omentum

A

hepatogastric and hepatoduodenal

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16
Q

is the left lobe or the right lobe larger

A

right is larger

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17
Q

what 2 “sub-lobes” make up the right lobe of the liver ANATOMICALLY

A

caudate lobe

quadrate lobe

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18
Q

which 3 ligaments do we use to make the anatomical lobe

A

ligamentum terres
falciform ligament
ligamentum venosum

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19
Q

what do we use to divide the liver physiologically

A

the IVC and the gallbladder

20
Q

how many physiological lobes of the liver

A

8

21
Q

where does the cuadate lobe belong to physiologically and anatomically

A

PHYSIO- Left

Anatomically = Right

22
Q

intersegmental hepatic veins serve as guides to interlobal planes fyi

A

dont know what that means but ok

23
Q

where is the fissure for the round ligment

A

between left lobe and quadate lobe

24
Q

the porta hepatis does NOT have

A

HEPATIC VEINS

25
Q

What are the 2 sources of blood supply

A

hepatic artery = 20

portal vein = 80

26
Q

which 2 veins make up the portal vein

A

splenic , superior mesentary

27
Q

how is blood drained from the liver

A

it goes to the IVC thru right hepatic vein, left hepatic vein and middle hepatic vein

28
Q

how is lymph drained from the liver

A

celiac nodes

29
Q

what is the relation between the bile duct and D1

A

The bile duct is BEHIND D1

30
Q

the head of the pancreas is close to what 2 things and how is this related to cancer

A
  1. D2
  2. Bile duct

jaundice and bowel obstruction

31
Q

what can happen if you have a gall stone

A

gall stone can block the illececal junciton

32
Q

what are the 3 parts of the gall bladder

A

fundus, body, neck

33
Q

what valve allows bile to flow in 2 directions

A

valve of heister

34
Q

what part of the gallbladder is most likely to have a gallstone

A

hartman pouch

35
Q

what artery suppllies the gall bladder

A

cystic artery

36
Q

what are the boundaries of the triangle of callot

A
superiorly = liver
Inferioriorly = cystic duct
medially = common hepatic
37
Q

where is the cystic artery found

A

triangle of callot

38
Q

murphys sign is a signal of

A

acute cholecsystisis

39
Q

look at images!!!!

A

cystic duct etc

40
Q

all parts of the pancreas are retoperitonial except

A

the tail

41
Q

what are the 4 parts of the pancreas

A

head(can get cancer, block D2)
neck
body
tail

42
Q

superior mesnteric vessels are infront of the uncinate process

A

dont know wtf this means

43
Q

the tail of the pancreas lies on what ligament

A

splenorenal ligament

44
Q

A TUMOR IN THE HEAD OF THE PANCREAS CAN COMPRESS THE BILE DUCT AND OBSTRUCT D2

A

ON THE MF TEST

45
Q

What is the most frequently injured organ

A

spleen

46
Q

spleen is related to what ribs

A

lies between 9-11

So you are kicked in the left hypocondric region and the 9 10 or 11th ribs is fractured, the spleen may be damaged!!!

47
Q

what are the 2 ligaments of the spleen

A

gastrosplenic ligament = short gastric vesssels renal and colic area

splenorenal ligmament = contain splenic vessels and the tail of the pancreas