Portal venous system Flashcards

1
Q

What are the two inter linked venouse systems within the trunk

A

Portal venous system

Caval venous system

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2
Q

What does the venous system drain

A

Gastrointestinal tract
Spleen
Pancreas
Gallbladder

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3
Q

What does the caval venous system drain

A

Kidney

Super renal gland

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4
Q

What two veins joint to form the portal vein

A

splenic vein

Superior mesenteric vein

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5
Q

What are the tributaries of the portal vein

A

Splenic vein
Superior mesenteric vein
Left gastric vein
Paraumbilical veins

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6
Q

What is the most common site for metastasis of colon cancer?

A

The liver

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7
Q

What is the path blood takes in the portal system

A

Organs —>portal vein–>Liver–> Hepatic vein–> inferior vena cava

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8
Q

What is the path blood takes in the caval system

A

Organs—>superior/inferior vena cava

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9
Q

What is the condition characterized by destruction of hepatic cells and is replaced by fibrous tissue and fat

A

Cirrhosis of the liver

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10
Q

What does cirrhosis of the lvier cause

A

Portal hypertension

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11
Q

What can cause cirrhosis of the liver

A

Alcoholism
Hepatitis
Chronic obstruction of bile duct
Congestive heart failure

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12
Q

What is portal hypertension

A

Abnormal elevation of pressure within the portal system,

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13
Q

Where does blood back up into during portal hypertension

A

Backs into caval system, by passes the liver

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14
Q

What will happen to the anastomotic veins of the portal and caval system

A

Veins become varicose and rupture

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15
Q

What are the sites of portal-caval anastamosis

A
Distal esophagus (gut)
Around umbilicus (caput)
Rectum and anal canal (butt)
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16
Q

What is the obstructive sign of the distal esophagus portal-caval anastamosis

A

Esophageal varices

17
Q

What happens in esophageal varices

A

Veins buldge inward narrowing the esophagus

If hemorrhage - Death

18
Q

What is the obstructive sign of the umbilicus Portal-caval anastamosis

A

Caput Medusae

19
Q

What happens in caput medusae

A

Snake like veins radiating from umbilicus are very pronounced

Risk of ruptruing large portal vein

20
Q

What is the obstructive sign of the rectum and anal canal portal-caval anastamosis

A

Hemerrhoids