liver microanatomy part 1&2 W4 Flashcards

1
Q

general anatomical summary of the liver

A

large lobulated exocrine and blood processing bland with vessels and ducts entering and leaving at the porta

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2
Q

what is the liver enclosed by

A

thin collagen tissue capsule, mostly covered by mesothelium

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3
Q

what provides gross support to the liver

A

collagen tissue of the branching vascular system

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4
Q

vessels entering the liver? function?

A

portal vein: bringing food-rich blood from the gut

hepatic artery: bringing arterial blood

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5
Q

vessels leaving the liver? function?

A

hepatic veins: taking away processed blood into the vena cava
lymphatics: take away lymph
hepatic ducts: removing bile to the gallbladder and gut

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6
Q

what are parenchymal cells supported by

A

fine reticular fibres

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7
Q

liver blood supply %’s?

A

hepatic artery: 25%
portal vein: 75%

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8
Q

liver lobule features

A

cells arranged in perforated plates one cell wide. in-between are sinusoidal blood channels, lined by epithelial cells
blood vessels mark out hepatic lobules

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9
Q

where is the portal triad and what is it composed of

A

in corners of lobule.
branch of portal vein
branch of hepatic artery (thicker muscular wall)
bile duct

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10
Q

portal tract?

A

collagen area separating lobules

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11
Q

central vein features?

A

very thin wall, lies in centre of lobule, with sinusoids converging towards and opening into it

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12
Q

sublobular/intercalated vein features?

A

thicker wall, lies alone at periphery of lobule

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13
Q

features of hepatic blood flow?

A

from periphery (portal vein, hepatic artery) to central vein, through the sinusoids between cell plates

central veins -> sublobular veins -> collecting veins -> hepatic veins

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14
Q

bile flow?

A

intralobular bile flow is from the lobules centre towards the peripheral bile ducts, and runs, within any one cell plate, between the liver cells in bile canaliculi

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15
Q

what are liver sinusoids?

A

low pressure vascular channels that receive blood from terminal branches of the hepatic artery and portal vein at the periphery of lobules and deliver it into central veins

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16
Q

what are liver sinusoids lined with? what do these hold?

A

fenestrated endothelial cells, hold phagocytic Kupffer cells (large, stellate, pale oval nucleus)

17
Q

features of fenestrated lining cells?

A

not tightly attached, rest on microvilli of underlying hepatic cells without a basal lamina intervening

18
Q

what is found between the fenestrated lining cells and hepatocytes?

A

space of Disse

19
Q

stellate cells?

A

lie outside the endothelial cells. store vitamin A. respond to variety of insults by making collagen and causing cirrhosis (fibrosis)

20
Q

sinusoidal wall provides for what?

A

blood cleansing
haemopoiesis in embryo
bringing plasma into contact with hepatic cell for metabolic functions of storage, transformations, syntheses, regulation of plasma concentrations, detoxifications, bile production, acute phase proteins production

21
Q

main functional cells of the liver?

A

hepatocytes

22
Q

faces of hepatocytes

A

sinusoidal face
lateral faces (neighbouring hepatocytes)

23
Q

where is bile formed?

A

small portion of modified lateral faces form bile canaliculi

24
Q

presence of microvilli on hepatocytes?

A

sinusoidal face - abundant
bile canaliculi - sparse