Liver, Pancreas, Gall Bladder Flashcards

1
Q

Why do gluconeogenesis?

A

To convert amino acids & lipids into glucose

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2
Q

Functions of Liver?

A

Gluconeogenesis, Detoxification, Storage, Production of Plasma Proteins, Production of Bile, Transfer of IgA

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3
Q

What is stored in the liver?

A

Glycogen, Triglycerides, and Vit A

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4
Q

What plasma proteins come from the liver?

A

Fibrinogen, Prothrombin, Albumin, Urea

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5
Q

Liver receives blood from ______.

A

Hepatic Artery and Portal Vein

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6
Q

Blood Leaves the liver through ______

A

Central Vein

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7
Q

What divides the liver into lobes?

A

Fibroconnective tissue capsule (Glisson’s capsule)

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8
Q

Another name for liver cells is…

A

hepatocytes

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9
Q

Cellular structures abundant in hepatocytes include…

A

rER, sER, lysosomes, peroxisomes, mitochondria, glycogen deposits, lipid droplets

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10
Q

Hepatocytes can be found in a ________ arrangement.

A

Hexagonal

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11
Q

What is unique about hepatocyte DNA?

A

Hepatocytes can be binucleate and have several times the normal DNA amount

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12
Q

Classical liver lobules are surrounded by…

A

Portal Canals

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13
Q

Please look at the different types of lobules pictures in the packet.

A

I’ll feel better if you’ve at least looked.

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14
Q

Phagocytic cells in the liver are called….

A

Kupffer Cells

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15
Q

Empty space in between the hepatocytes and the sinusoid epithelium?

A

Space of Disse

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16
Q

Describe a portal lobule.

A

Centered on portal area, defined by three adjacent central veins. Defines flow of bile into the bile duct.

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17
Q

Describe the hepatic acinus of Rappaport.

A

Oval region defined by two adjacent central veins. It defines a metabolic gradient from the periportal area to the drainage zone. (see pg. 2 of notes)

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18
Q

What does the space of disse do?

A

Exchanges material between the bloodstream and hepatocytes. Also storage.

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19
Q

Space of Disse is important in storage of…

A

Fat, Vit A

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20
Q

Bile flows in the _______ direction as blood.

A

Opposite

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21
Q

Name of intercellular spaces between hepatocytes

A

Bile Canaliculi

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22
Q

Describe the flow of bile out of the liver to the cystic duct.

A

Bile Canaliculi–> small bile ductules (canals of Hering) –> bile ducts –> hepatic ducts –> hepatic duct –> merge with cystic on gallbladder neck

23
Q

What are 4 functions of bile?

A
    • Excretion (Cholesterol, phospholipids, bile salts, conjugated bilirubin, and electrolytes.)
    • Absorption of fat/fat soluble vitamins.
    • IgA Transport
  • -Excretion of Drugs/Heavy Metals
24
Q

Describe the recycling of bile acids.

A

Reabsorbed by the ileum, in blood to the portal vein and liver sinusoids, hepatocytes extract from blood and resecrete into the canaliculi

25
What is hepatitis? Common Causes?
Inflammation of the Liver. Viruses or Toxic Materials.
26
What is cirrhosis? Common Causes?
Degeneration and fibrosis of the liver. Poisoning, Alcohol, Bile duct obstruction.
27
What is jaundice? Common causes?
Excess bilirubin in the blood. Obstructed bile passages, liver dysfunction, excess RBC destruction
28
How might congestive heart failure influence the liver.
High venous pressure could cause the liver to engorge with blood.
29
Why should we give a shit about high bilirubin?
Toxic to the brain
30
Chronic liver disease can cause ______ release. This will induce the production of ______.
Proinflammatory cytokines. Collagen.
31
What does a Gall Bladder do?
Store bile and release it in response to cholecystokinin.
32
What epithelia does the gall bladder have?
Simple Columnar (w/microvilli)
33
Key feature of the gall bladder?
Diverticula of the Epithelium (outpocketings of the muscose that make epithelial lined cysts.
34
What are gall stones usually made of?
Cholesterol Crystals (can also be calcium salt of bile)
35
Is the pancreas an exocrine or an endocrine organ?
Both
36
Stain used to distinguish the types of endocrine cells in the pancreas?
Mallory Azan
37
Alpha cells make ________
Glucagon
38
Beta cells make _______
Insulin
39
Delta cells make _______
somatostatin
40
What does somatostatin do?
Inhibits local hormonal release
41
Epsilon cells make ________
Ghrelin
42
What does ghrelin do?
Stimulates Appetite
43
PP cells/F Cells make _______
Pancreatic Polypeptide.
44
What does pancreatic polypeptide do?
Inhibits release of exocrine pancreatic secretions
45
Where in the pancreas are endocrine cells located?
The Acini
46
What are exocrine products of the pancreas?
Amylase, Lipase, Ribonuclease, and deoxyribonuclease, and elastase (in proenzyme form)
47
Intercalated duct cells secrete....
enzyme poor alkaline fluid (bicarbonate) in response to secretin.
48
Route of secretion to pancreatic duct...
Intercalated ducts --> Intralobular ducts --> Interlobular ducts --> Main Pancreatic Duct
49
Symptoms of TI Diabetes
Polydipsia, polyuria, polyphagia
50
Potential molecular causes of TII Diabetes
Impaired insulin release, decreased insulin receptors, faulty post-receptor signalling
51
_______ and _______ insulin resistance is a significant component of insulin resistant diabetes.
Muscle Hepatic
52
What is pancreatitis?
Inflammation of the Pancreas
53
In acute necrotizing pancreatitis, what can happen?
Proenzymes can be activated, causing the pancreas to digest itself.