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OS 206 1ST EXAM > Liver, Gall Bladder, and Stomach > Flashcards

Liver, Gall Bladder, and Stomach Flashcards

1
Q

Location of liver

A

RUQ, right hypochondriac, epigastric and left hypochondriac

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2
Q

enclosed by tight fibrous capsule of CT

A

Glisson’s capsule

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3
Q

Fxn of liver

A

Glycogen storage

Bile secretion

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4
Q

all nutrients absrobed from the digestive tract are conveyed to the liver via the

A

portal venous system

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5
Q

accumulates between meals and is stored in the gall bladder

A

bile

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6
Q

Extends from the umbilical notch on the inferior surface of the porta hepatis

A

Falciform ligament

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7
Q

Right leaflet of the falciform ligament becomes

A

the coronary ligament

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8
Q

Left leaflet of the falciform ligament becomes

A

Left triangular ligament

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9
Q

The right and left leaflets bear the

A

ligamentum teres or round ligament

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10
Q

Coronary ligament layers and where they are attached

A

Superior layer: superior surface on to the inferior surface of diaphragm
Inferior: psoterior surface of the R. lobe of liver to the R. kidney, R. suprarenal gland and IVC, aka Hepatorenal ligament

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11
Q

Where the upper and lower layers of the coronary ligament fuse

A

R. Triangular ligament

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12
Q

Left lobe of the liver connected to the undersurface of the diaphragm

A

Left Triangular Ligament, joins the lesser omentum

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13
Q

The obliterated umbilical vein

A

Ligamentum teres hepatis or round ligament

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14
Q

Forms the free border of the falciform ligament

A

Ligamentum teres hepatis or round ligament

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15
Q

round ligament becomes continuous with

A

ligamentum venosum, remnant of the fetal ductus venosus

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16
Q

remnant of fetal ductus venosus

A

Ligamentum venosum

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17
Q

shunts blood from the umbilis vein to the IVC

A

ductus venosus/ligamentum venosum

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18
Q

Gastrohelpatic ligament and hepatoduodenal ligament

A

porta hepatis

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19
Q

Fissures of the Liver

A

H - must know them

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20
Q

Porta hepatis contains the ff:

A

Anterior: common hepatic duct
Middle - hepatic artery
Posterior - portal vein

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21
Q

T/F Right and Left lobes do not communicate

A

True, they have their own arterial supply, venous and biliary drainage

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22
Q

Connects the caudate and the right lobe

A

caudate process

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23
Q

The subphrenic space is found in what surfaceof the liver

A

Anterosuperior

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24
Q

Bare are of the liver and the suprarenal impression is found in what surface?

A

Posterosuperior

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25
Q

extension of the subhepatic space, lying between the rifht part of the visceral surface of the liver, the right kidney and the suprarenal gland

A

Hepatorenal Recess/pouch, or Morrison’s Pouch

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26
Q

The groove for IVC passes towards

A

central tendon of the diaphragm

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27
Q

Vascular supply of the liver

A

Hepatic artery - carries O2 rich blood
Hepatid portal vein - carries venous blood
Renal, Phrenic, Lumbar and Intercostal veins

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28
Q

The liver has a double blood supply

A

Hepatic artery - 20-25%

Hepatic portal vein - 70-80%

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29
Q

The Hepatic Artery is a branch of

A

the celiac trunk

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30
Q

Formed by the union o fthe superior mesenteric and splenic veins

A

Hepatic portal vein

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31
Q

Carries virtually all of the nutrients absorbed into and bypass the liver via the lymphatic system

A

Hepatic portal vein

32
Q

3 Main Hepatic Veins

A

Right, Central, Peripheral

33
Q

Venous drainage of the liver

A

Central vein -> Collecting veins -> Hepatic veins -> IVC

34
Q

Areas veins tend to be dilated and tortuous

A

Anal - hemorrhoid
Gastoesophageal - esophageal varices
Paraumbilical - caput medusae (liver cirrhosis or obstruction)

35
Q

What connects intestinal veins with IVC and its retroperitoneal branches

A

Veins of Retzius

36
Q

T/F between 2/4 to 3/4 of the lymph entering the thoracic duct comes from the liver

A

False. 1/4 to 1/2 comes from the liver

37
Q

Subperitoneal fibrous capsule of the liver

A

Glisson’s capsule

38
Q

Most lymph is formed in the

A

perisinusoidal spaces of Disse

39
Q

Lymphatic system of the liver (anterior)

A 
Superficial lymphatics from the anterior aspects of the deep diaphragmatic and visceral surfaces of the liver and deep lymphatic vessesl acompanying the portal triads -> 
Porta hepatis ->
Hepatic LN ->
Celiac LN ->
Chyle cistern ->
Thoracic Duct
40
Q

Lymphatic system of the liver (posterior)

A

towards the bare area of the liver ->
Phrenic LN or
deep lyumpahtics -> posterior mediastinal lymph

41
Q

Posterior surface of the left lobe (lymphatics)

A

esophagial hiatus -> Left gastric LN

42
Q

Anterior central diaphragmatic surface (along falciform ligament)

A

parasternal LN

43
Q

Along round ligament of the liver

A

umbilicus -> lymphatics of the AAW

44
Q

Nerve supply of the liver

A

contains both sympathetic (celiac plexus) and parasympathetic (vagus) via the hepatic plexus

45
Q

Receives filament from the.. (nerves)

A

R and L vagus and R. phrenic nerve

46
Q

Largest derivative of the celiac plexus

A

Hepatic plexus

47
Q

Perihepatic spaces

A

suprahepatic
infrahepatic
subphrenic

48
Q

Peritoneum completely surrounds what part of the gallbladder

A

fundus

49
Q

is the angle formed by the lateral border of the rectus abdominis and the 9th costal cartilage

A

tip of the fundus

50
Q

The infundibulum is attached to the first part of the duodenum by the

A

cholecystoduodenal ligament (avascular, from the right part of the hepatoduodenal lig)

51
Q

the bulging inferior surface of the infundibulum

A

Hartman’s pouch

52
Q

connects the gallbladder to the common hepatid duct

A

Cystic duct

53
Q

helps keep the cystic duct open

A

spiral valve of heister

54
Q

T/F biliary stones can pass directly to the large bowel

A

True

55
Q

Vascular supply of the gallbladder

A

Cystic Artery, the cystohepatic triangle of Calot

56
Q

Lymphatics of the GB

A

Hepatic LN, cystic LN, Celiac LN

57
Q

Nerve supply of gallbladder

A

celiac plexus (sympa and visceral afferent)
Vagus R, L (parasym)
R. Phrenic (sensory)

58
Q

Referred pain: irritation in the liver

A

will manifest as pain the neck, and shoulder region

Shoulder pain also means biliary stones

59
Q

Referred pain: irritation in the gallbladder

A

pain in T7 and T9 and infrascapular area

60
Q

if the phrenic nerve is irritated

A

will cause ipsilateral pain in the shoulder and neck

61
Q

gallbladdewr inflammation

A

cholecystitis

62
Q

epigastric, umbilical and left hypochondriac region

A

stomach

63
Q

The dilated superior part that is related tot he left dome of the diaphragm (part of stomach)

A

Fundus

64
Q

Between the esophagus and the fundus

A

Cardiac notch

65
Q

Stomach reaches which ICS

A

5th ICS

66
Q

The pyloric canal and sphincter lie in what plane?

A

Transpyloric plane

67
Q

Is a marked thickening of the circular layer of smooth muscle

A

Pylorus

68
Q

Opening into the duodenum

A

pyloric orifice

69
Q

Arteries that anastomose in the lesser curavature

A

R and L gastric arteries

70
Q

Arteries that anastomose in the greater curvature

A

R and L gastroepiploic A.

71
Q

Temporary longituinal folds formed when gastric mucosa is contracted

A

Rugae

72
Q

temporarily formed during swallowing between longitudical gastric folds along the lesser curvature

A

gastric canal

73
Q

Arterial supply of the stomach

A

R and L gastric
R and L gastroepiploic
Short and posterior gastric arteries

74
Q

3 primary branches of the celiac artery

A

Left Gastric
Splenic Artery
Common Hepatic A.

75
Q

Venous drainage of the stomach

A 
Portal vein (main)
*prepyloric vein - identifying the pylorus
76
Q

Lymphatics drainage of the stomach

A

See picture

77
Q

Nerve supply of the stomach

A

parasympatheic (ant L and post R vagus)

sympathetic (t6-T9 which passes to the celiac plexus thru the greater splanchnic nerve)

OS 206 1ST EXAM (6 decks)

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