Liver & Pancreas Histology Flashcards

1
Q

What are the primary tissue types in the liver?

A

hepatocytes, blood vessels and lymphatics, connective tissue, capsule, serous external surface

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2
Q

What are the features of hepatocytes?

A

lots of rough ER, lots of smooth ER, lots of mitochondria, often more than one nucleus

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3
Q

What is the lifespan of a hepatocyte?

A

150 days

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4
Q

What may happen after extensive liver repair?

A

Liver may not regrow the same lobular structure

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5
Q

What is a lobule?

A

A structural unit of the liver

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6
Q

What are the two blood supplies of the liver?

A

arterial supply and hepatic portal system

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7
Q

What is the portal triad?

A

hepatic artery, portal vein and bile duct

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8
Q

How can you distinguish the bile duct from the artery and the vein?

A

The bile duct has columnar epithelium instead of squamous epithelium

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9
Q

What is the central vein?

A

A vein where the sinusoids drain into that carries blood to the hepatic vein and then into the IVC

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10
Q

What are liver sinusoids?

A

Specialised capillaries in the liver that carry both oxygenated and deoxygenated blood together

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11
Q

What are the features of sinusoids?

A

larger than other capillaries, wavy lining to increase surface area, lining is discontinuous, gap between endothelium and hepatocyte (space of Disse), macrophages on inner walls (Kupfer cells)

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12
Q

What is the classic lobule model?

A

Defines the lobule based on the central vein being in he middle and the portal triad around the outside (hexagon)

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13
Q

What is the portal lobule model?

A

Defines the lobule based on the centre being the portal triad and surrounded by central veins (triangle)

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14
Q

What is the acinar lobule model?

A

Defines the lobule based around two central veins with the midpoint receiving the most oxygen (oval) – diagram in Evernote

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15
Q

What is the exocrine function of the liver?

A

producing bile

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16
Q

What are canaliculi?

A

channels between hepatocytes to collect bile

17
Q

In what direction does bile flow?

A

outwards

18
Q

What is the histological structure of the gall bladder?

A

simple columnar epithelium - with nothing else

19
Q

What is the histological structure of the exocrine pancreas?

A

Each cell has a basal part with high density of rough ER so it stains blue and a lumenal part containing inactive digestive enzymes so it stains pink

20
Q

What are pancreatic acini?

A

pancreatic glands in a ball with a central duct

21
Q

What are the islets of Langerhans?

A

clusters of hormone secreting cells in the pancreas

22
Q

How much of total pancreas volume is endocrine pancreas?

A

1-2%

23
Q

What is the function of the endocrine pancreas?

A

Release insulin and glucagon

24
Q

What does the pancreas overall look like on a H&E stain?

A

most areas are dark - these are the exocrine areas with a few pale patches which are the islets of Langehans (endocrine areas)