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NYCC Gross Anatomy 3 > Liver, Gallbladder, Pancreas, Spleen > Flashcards

Liver, Gallbladder, Pancreas, Spleen Flashcards

1
Q

what is the largest gland and second largest organ?

A

liver (2.5% body weight)

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2
Q

location of the liver

A

right upper quadrant, deep to ribs 7-11

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3
Q

name the 4 lobes of the liver

A

right
left
caudate
quadrate

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4
Q

what connects the right and caudate lobes of the liver?

A

caudate process

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5
Q

location of caudate process

A

between IVC and porta hepatis

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6
Q

what divides the left and right lobes of the liver?

A

falciform ligament

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7
Q

the round ligament of the liver is a remnant of the ____

A

umbilical v

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8
Q

the round ligament of the liver is also known as the ____

A

ligamentum teres hepatis

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9
Q

coronary ligament of the liver connects the liver to the ____ abdominal wall

A

posterior

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10
Q

the falciform ligament and round ligament of the liver connect the liver to the ____ abdominal wall

A

anterior

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11
Q

the coronary ligament surrounds the _____ of the liver

A

bare area

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12
Q

the ends of the coronary ligament which attach the liver to the posterior abdominal wall are called the ____

A

left and right triangular ligaments

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13
Q

the fissure for ligamentum venosum is a remnant of ____

A

ductus venosus

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14
Q

the portal triad (portal hepatis) is contained within the ____ ligament

A

hepatoduodenal

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15
Q

name the contents of the portal triad

A
  • bile duct (ant & right)
  • proper hepatic a & branches
  • portal v (posterior)
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16
Q

the portal vein is located posterior to the ____

A

neck of pancreas

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17
Q

most of the nutrient-rich blood received by the liver enters via the ____

A

portal vein

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18
Q

what supplies oxygenated blood to the liver?

A

hepatic artery
(right & left)

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19
Q

the ____ drain blood from the liver into the ____

A
  • hepatic vv (right, intermed, left)
  • IVC
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20
Q

25-50% of lymph entering the thoracic duct comes from the ____

A

liver

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21
Q

innervation of the liver

A
  • hepatic plexus (derivative of celiac plexus)
  • PSNS: ant & post vagal trunk
  • SNS: greater splanchnic nn
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22
Q

the hepatic plexus surrounds the ____

A

hepatic a

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23
Q

the ____ communicates to the gallbladder for bile transport

A

cystic duct

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24
Q

function of the gallbladder

A

store & concentrate bile (holds 50ml)

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25
the valve in the neck of the gallbladder is called the ____
spiral fold
26
bile exits the liver via the ____
right & left hepatic ducts
27
blood supply to gallbladder
cystic a
28
the cystic artery is a branch of the ____
right hepatic a
29
blood from the gallbladder travels via the ____ to the ____
cystic v hepatic portal v
30
lymph from the gallbladder drains into the ____
celiac lymph nodes
31
innervation of gallbladder
celiac plexus
32
the bile duct and the pancreatic duct join to form the ____
hepatopancreatic ampulla (of Vater)
33
the pancreas lies transversely across what spinal level?
L1-L2 (level of transpyloric plane)
34
the pancreas lies posterior to the ____
stomach
35
the pancreas lies between the ____ and ____
duodenum (right) spleen (left)
36
exocrine function of the pancreas
produce pancreatic juice
37
endocrine function of the pancreas
produce insulin & glucagon
38
describe the location of the head of the pancreas
- encircled by C-shape of duodenum - right of sup mesenteric vessels
39
describe the location of the uncinate process of the pancreas
- projection inf to head - posterior to SMA
40
describe the location of the neck of the pancreas
ant to sup mesenteric vessels
41
describe the location of the body of the pancreas
passes over aorta and L2
42
describe the location of the tail of the pancreas
ant to left kidney, close to splenic hilum & left colic flexure
43
describe the pathway of the main pancreatic duct
- runs from tail to head - joins bile duct at hepatopancreatic ampulla - opens into duodenum at major duodenal papilla (sphincter of Oddi)
44
what does the hepatopancreatic ampulla contain?
bile & pancreatic juices
45
the accessory pancreatic duct opens at the ____
minor duodenal papilla
46
blood supply of pancreas
- splenic a branches - sup pancreaticoduodenal aa - inf pancreaticoduodenal aa (SMA branch)
47
venous blood from the pancreas drains into the ____
splenic v
48
lymph from the pancreas drains into the ____
sup mesenteric nodes or celiac nodes
49
innervation of pancreas
superior mesenteric plexus and celiac plexus
50
describe the location of the spleen
- upper left quadrant - rests on left colic flexure - left 9-11 ribs
51
what is the largest lymphatic organ in the body?
spleen
52
the spleen is ____peritoneal
intra
53
name 4 functions of the spleen
- lymphocyte proliferation - immune surveillance - RBC removal & destruction & recycling - blood reservoir
54
what surrounds the spleen?
splenic capsule (visceral + diaphragmatic)
55
what exits at the splenic hilum?
splenic a + v
56
the inside of the spleen is composed of _____, containing splenic pulp
trabeculae
57
what connects the stomach to the spleen?
gastrosplenic ligament
58
the gastrosplenic ligament is located in the ____ omentum
greater
59
the gastrosplenic ligament contains what vessels?
short gastric + left gastro-omental
60
the left gastro-omental artery is a branch of the ____
splenic a
61
what connects the spleen to the left kidney
splenorenal ligament (lienorenal)
62
the splenorenal ligament contains the ____ artery
splenic
63
arterial supply of spleen
splenic a (tortuous a runs post to omental bursa/lesser sac along sup border of pancreas)
64
venous drainage of spleen
splenic v
65
what forms the hepatic portal vein?
splenic v joins with superior mesenteric v
66
lymph from the spleen drains into ____ nodes via ____ nodes
celiac lymph nodes pancreaticosplenic lymph nodes
67
innervation of spleen
celiac plexus
68
the lower end of the common bile duct enters the ____
second part of duodenum
69
what is the largest artery of the celiac trunk?
splenic a
70
the inferior mesenteric vein drains into the ____
splenic v

NYCC Gross Anatomy 3 (27 decks)

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