Pancreas, Spleen, And Liver Flashcards

1
Q

What are the three enzymes of the pancreas?

A

Amylase, Lipase, and protease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the Uncinate process?

A

Prolongation of the lower portion of the pancreas and left part of the head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is enclosed by the head of the pancreas?

A

The SMA and SMV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where does the tail of the pancreas end?

A

Near the spleen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What makes up the hepatoduodenal duct? What does it drain?

A
  • The main pancreatic duct and the common build duct

- The main pancreatic duct drains the body and tail of pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What drains the head of the pancreas?

A

Accessory pancreatic duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which duodenal papilla is associated with which duct?

A

Accessory - Lesser duodenal papilla

Main - Greater Duodenal Papilla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How do the splenic artery vein run in relationship to the pancreas?

A

Splenic Artery: Superior surface of pancreas

Splenic Vein: Posterior surface of pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the main sources of blood supply to the pancreas?

A

Celiac Trunk: DP, ASPD, PSPD, IP, GP, CP

SMA: AIPD, PIPD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where is the spleen located positionally?

A

Against the diaphragm and between ribs 9-11

Posterior to stomach and anterior to kidneys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What suspends the spleen in the abdominal cavity? What do they contain?

A

Gastrosplenic ligament (Contains short gastric and left gastroepiploic vessels)

Splenorenal ligament (Contains splenic vessels and tail of pancreas)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When present, where is the accessory spleen located?

A

Between the Gastrosplenic ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What dumps into the splenic vein?

A
  • IMV
  • Left Gastroepiploic vein
  • Short Gastric Veins
  • Pancreatic veins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which lobe of the liver is nearest to the gall bladder?

A

Quadrate Lobe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What separates the left and right lobes of the liver?

A

Falciform ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Caudate and quadrate are part of the _________

A

Right lobe of liver

17
Q

How does the Liver divide up functionally?

A
  • Portal vein splits into right/left branch
  • Common hepatic Duct relieves hepatic duct fro right/left halves

***Functional halves DO NOT correspond to lobes

18
Q

Where might you be able to access the liver without going through a peritoneum?

A

Bare Area of liver:

  • Visceral surface of liver
  • Posterior near IVS
  • Posterior RIGHT lobe
19
Q

What happens to the falciform ligament at the visceral surface of the liver?

A

Divides into:
Coronary ligament —>Anterior/posterior
Right/left

20
Q

What is the Ligamentum venosum and it’s significance?

A

Remnant of the ductus venosus in fetus which shunts blood flow of umbilical vein directly to inferior vena cava thus allowing oxygenated blood from placenta to bypass liver

21
Q

What is the nerve supply to the liver?

A

Hepatic plexus via Celiac plexus

22
Q

Where is the gall bladder located positionally?

A
  • Fossa on visceral surface of liver

- Between right costal margin and right linea semilunaris at the transpyloric plan (RUQ L1)

23
Q

Describe the pathway that dumps into the duodenum through the greater duodenal papilla.

A

Common bile duct + Main pancreatic duct (hepatopancreatic ampulla) —> Greater duodenal papilla —> 2nd part of duodenum

24
Q

What controls the exit of bile through the bile duct?

A

The sphincter of Oddi

25
Q

What is the blood supply to the gallbladder?

A

Cystic artery -> Right hepatic -> Common hepatic -> Celiac trunk

26
Q

What is the parasympathetic and sympathetic innervation of gall bladder?

A

Para - Vagus

Symp - Greater splanchnic nerve

27
Q

What are the borders of the hepatocystic triangle of Calot?

A
  • Inferior Border of Liver
  • Common hepatic duct
  • Cystic Duct
28
Q

What are the contents of the hepatocystic triangle of Calot?

A
  • Lymph node of Calot

- Cystic artery

29
Q

Patient comes in with cholecystitis. It is determined that the lymph nodes of Calot must be removed. Where must the surgeon cut?

A

Inferior to the liver between the common hepatic duct and cystic duct?

30
Q

Where can referred pain for the Liver and gallbladder be located?

A
  • Right Shoulder, neck, and back down to about spine of scapula
  • Inferior angle of scapula
  • Lower back on right side
31
Q

Where can referred pain be located be for the gallbladder alone?

A

Right abdominal pain

32
Q

Where can referred pain be located for the stomach?

A
  • Xiphoid process

- Paravertebral space between the scapulas