physiology of the liver Flashcards

1
Q

Who does not have a gallbladder?

A

horse

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2
Q

what does the liver do?

A
  • Accessory digestive organ – produces bile, which helps emulsify fats.
  • Active in carbohydrate metabolism
  • Synthesizes and stores glycogen
  • Releases glucose into the bloodstream by breaking down glycogen
  • Synthesizes glucose
  • Protein metabolism. Produces albumin.
  • Lipid metabolism
  • Metabolism of hormones, drugs, toxins
  • Converts ammonia to urea (which is excreted in the urine)

• Vitamin storage, blood storage, blood cell formation

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3
Q

hepatic structure

A

grossly: lobes
microstructure: lobules around central vein

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4
Q

blood flow through liver

A

from hepatic portal veins and hepatic artery into liver

blood flows through the sinusoids then into the central vein of lobule then to the interlobular > hepatic v > caudal vena cava

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5
Q

does bile flow in the same of opposite direction of blood in the liver?

A

opposite

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6
Q

nerve supply to liver

A

sympathetic- periarterial plexuses

parasympathetic- vagal trunks

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7
Q

hepatic portal system

A
  • Tributaries draining the digestive tract, spleen, and pancreas form the hepatic portal vein > into lobules
  • Blood containing nutrients, toxins, waste products flows into the liver, is processed, and ultimately drains into the caudal vena cava after processing.
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8
Q

what happens if the hepatic portal v is obstructed in a dog?

A

fatal

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9
Q

where does the hepatic artery a branch of?

A

celiac artery off aorta

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10
Q

intrahepatic shunt

A

shunt is within the liver parenchyma (functional part)

causes blood to skin the sinusoids

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11
Q

extrahepatic shunt

A

shunt between portal veins caudal vena cave, skipping the entire liver

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12
Q

microvascular hepatic dysplasia

A

abnormal development of the finer branches of the intrahepatic portal vv

typically in small terriers, hereditary

normal life span but take care with anesthetics or other drugs requiring rapid metabolism

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13
Q

consequences of liver shunt

A

failure of nutrients to by assimilated

ammonia not converted to urea (ammonia toxicity)

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