liver & pancreas Flashcards

1
Q

what is the pancreas?

A
dual purpose gland
endocrine:
islets of Langerhans
hormones:
-insulin, glucagon, somatostatin
exocrine:
-99%
-digestive enzymes
-bicarbonate ions
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2
Q

what digestive enzymes are produced?

A
amylase -digest starch
lipase- digest fat
trypsin, chymotrypsin
-digest protein
nucleases
-digest nucleic acid
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3
Q

what does bicarbonate do?

A

from ducts

neutralises gastic acid from duodenum

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4
Q

what are the anatomical components of the pancreas?

A

head
neck
body
tail

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5
Q

where does the pancreas attach to the duodenum?

A

major duodenal papilla

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6
Q

what are the cells of the islets of langerhan?

A

alpha (15%) - glucagon
beta (80%) - insulin
delta - somatostatin
-slows gut motility

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7
Q

what is cystic fibrosis?

A
exocrine
abnormal, thick secretions
damage to lungs, liver, pancreas
destruction of primarily exocrine pancreas
-reduced digestive function
-malabsorption
-steatorrhea
can affect salivary glands
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8
Q

describe pancreatic cancer

A

head
biliary obstruction
obstructive jaundice
early metastasis

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9
Q

what are the functions of the liver?

A
metabolism
-material absorbed from GIT
-storage of glycogen
-release of glucose
protein synthesis
inactivation hormones,drugs
excretion of waste
produces bile
prod. blood clotting factors
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10
Q

which lobe of the liver is larger?

A

right

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11
Q

describe the biliary system

A

liver cells (hepatocytes) produce bile
bile contains:
-lipid emulsifiers (bile salts)
-waste products including bile pigments (bilirubin)
stored & concentrated in gall bladder

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12
Q

describe the hepatic portal vein

A
drains unpaired abdominal organs
almost all material absorbed from GIT
-enters HPV
-passes through liver
-processed
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13
Q

what are the 2 sources of blood for the liver?

A

hepatic artery
-comes from coeliac trunk
hepatic portal vein

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14
Q

describe the livers blood supply

A

blood from hepatic artery & HPV flows past hepatocytes in large capillaries(sinusoids)
sinusoids drain to hepatic vein
bile flows in opp. direction

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15
Q

what is the portal triad?

A

portal vein
hepatic artery
bile canaliculus

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16
Q

what problems can occur in the liver?

A
hepatomegaly
cirrhosis
viral hepatitis
obstructive jaundice
hepatic carcinoma