Liver Structure and Function Flashcards

1
Q

What are the two major and minor lobes on the liver?

A

Right & Left

Caudate & Quadrate

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2
Q

What lobe is situated beside the gallbladder?

A

Quadrate

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3
Q

Where do all vessels enter the liver?

A

The porta on the inferior surface

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4
Q

What two ducts lead into the common bile duct?

A

The common hepatic duct and the cystic duct (Coming from the gallbladder)

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5
Q

What is the opening called that the Sphincter of Oddi is situated at, to enter the duodenum?

A

Major duodenal papilla

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6
Q

What is important about the coronary ligament?

A

It joins the liver to the inferior surface of the diaphragm and the VC attaches to the liver by it

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7
Q

What covers the liver histologically?

A

Connective tissue capsule and visceral peritoenum except for the bare area

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8
Q

Where is the bare area found?

A

Diaphragmatic surface of the liver surrounded by the coronary ligament

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9
Q

What happens to connective tissue capsule at the porta?

A

It branches into a network of septa into the body of the liver

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10
Q

How are septa divided?

A

Into hexagonal lobess with the central vein at the middle and the portal triad being located at each corner of the lobules

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11
Q

What do the central veins drain into?

A

Hepatic veins

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12
Q

What makes up the portal triad?

A

Hepatic artery
Hepatic portal vein
Common bile duct

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13
Q

What radiates out from the central veins and what are they made of?

A

Hepatic cords

Hepatocytes

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14
Q

What is the name for the space between these hepatic cords?

A

Hepatic sinusoids

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15
Q

What lies between cells within each cord?

A

Bile canaliculus (Cleft-like lumen)

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16
Q

What are sinusoids and what do they allow?

A

Open blood channels - Discontinuous capillaries to allow bile to flow into the open channels

17
Q

What carries oxygen depleted blood to the central veins?

18
Q

Where is excess carbohydrate stored in the liver?

A

Hepatocytes

19
Q

What is excess protein converted to if there is too much of it?

20
Q

How are Lead and Cadmium detoxified?

A

They are dumped into the bile so they will eventually be excreted

21
Q

What is the alimentary role of the liver?

A

Production and secretion of bile

22
Q

What are the 6 components of bile?

A
Bile acids
Lecitihin 
Cholesterol
Bile pigments - Bilirubin
Toxic metals
Bicarbonate 
*Bicarbonate is the only one secreted by duct cells; other 5 are by hepatocytes
23
Q

What happens to bile pigments?

A

They are broken down from haemoglobin
Bilirubin is then secreted into bile
Bilirubin is modified by bacteria make it dark in colour - hence dark faeces
Reabsorbed Bilirubin is excreted in urine

24
Q

How are secreted bile salts recycled?

A

Via enterohepatic circulation

25
Where are bile acids synthesised and how is their solubility increased?
In the liver from cholesterol | Conjugated with glycine or taurine
26
What is the structure of the gallbladder and where is it situated?
Saccular | Inferior surface found beside the quadrate lobe
27
What are the three layers in the wall of the gallbladder?
Mucosa - Folded so allows for rugae Muscularis Serosa
28
Where do material from the gallbladder flow?
To cystic duct and then the common bile duct
29
What is the function of the Sphincter of Oddi?
To control release of bile and pancreatic juice at the Major duodenal papilla
30
What does fat in the duodenum causes?
CCK release causing the sphincter of oddi to relax and the gallbladder to contract
31
What does bile in the duodenum cause?
Fat solubilisation
32
What controls gastric emptying?
Pyloric sphincter and increased CCK levels stimulates the decrease of this emptying