Liver, Pancreas and Gall Bladder Flashcards

1
Q

functions of liver

A
oxidise triglycerides to produce energy
synthesise plasma proteins
synthesise cholesterol
carbohydrates + proteins -> fatty acids and triglycerides
regulate blood glucose concentration
synthesise plasma proteins
detoxification of metabolic waste products, drugs and toxins
storage of glycogen, vitamins and iron
synthesis and secretion of bile
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2
Q

liver capsule

A

collagenous connective tissue covered by a layer of mesothelial cells derived from the peritoneum

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3
Q

liver made up of segments called

A

lobules

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4
Q

compnents of the portal triad

A

hepatic portal vein, hepatic artery and bile ductules

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5
Q

main cells of the liver

A

hepatocytes

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6
Q

blood flow channels are called

A

sinusoids

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7
Q

ultrastructure of sinusoids

A

lined by endothelial cells

narrow space between these lining cells and hepatocytes

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8
Q

Space between hepatocytes and lining cells is

A

space of Disse

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9
Q

what projects into the space of disse

A

microvilli of the hepatocytes

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10
Q

epithelium of the sinusoid is

A

fenestrated

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11
Q

parenchyme of the liver is supported by

A

reticular fibres along with some type I collagen

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12
Q

hepatic stellate cells

A

modfied fibroblasts that make connective tissue

store vitamin A

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13
Q

Kupffer cells

A

remove particulate matter drom the blood and help remove worn out red blood cells

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14
Q

what is bile

A

an alkaline solution containing water, ions, phospholipids, bilirubin and bile salts

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15
Q

gall bladder structure

A
  • lined by simple columnar epithelium with a bruch border backed by a lamina propria of loose connective tissue rich in blood and lymphatic vessels
  • a coat of smooth muscle and an outer collagenous layer of adventitia
  • has folded mucosa when empty
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16
Q

Functions of gall bladder

A

Stores bile

modifies stored bile within it

17
Q

how is bile modified by gall bladder

A

Na and Cl ions from bile pumped into spaces between adjavcent epithelial cells which causes water to follow

18
Q

what happens to the water removed from bile

A

carried away by lymphatic vessels

19
Q

where does the gall bladder deliver bile to

A

the duodenum

20
Q

what causes gall bladder to contract

A

nervous control and release of hormones

21
Q

Pancreas is both an

A

Exocrine and endocrine gland

22
Q

Exocrine pancreas

A

Secretes digestive juices containing proteases, lipases, nucleases, amylases

23
Q

How do digestive enzymes enter the duodenum

A

Through the pancreatic duct

24
Q

Endocrine pancreas

A

Consists of small, scattered islands of tissue called Islets of Langerhans which produce insulin and glucagon

25
Q

Microscopic endocrine pancreas

A

Numerous serous acini and ducts

26
Q

Why are the cells of the endocrine pancreas basophilic

A

As the have large amounts of rER

27
Q

What form are the enzymes of the endocrine pancrease produced

A

Inactive proenzymes

28
Q

Where are pancreatic enzyme activated and how

A

In the duodenum and peptidase converts trypsinogen into the active form of trypsin

29
Q

The pancreas has a thin connective tissue

A

Capsule with connective tissue septa that split the pancreas into lobules

30
Q

Basal cells of the pancreas are typically

A

Basophillic

31
Q

Why are the basal cells basophilic

A

They have lots of rER

32
Q

The apical part of the pancreas is usually

A

Eosinophillic due to the presence of zymogen granules

33
Q

Intercalated ducts

A

Extend into the acini

Within the acini they are called centroacinar cells

34
Q

The main pancreatic duct joins the

A

Common bile duct

35
Q

The pancreatic and common bile duct enter into the

A

Ampulla of vater