Powerpoint Flashcards

1
Q

What type of organ is the liver

A

Intraperitoneal

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2
Q

The kidney extends left as far as the ______

A

Mammary line

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3
Q

The liver is mainly in what region

A

Right hypochondriac

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4
Q

What is the normal size of the liver in grams and lbs

A

1200-1600 grams and 3 lbs

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5
Q

The greatest transverse portion of the liver measures

A

20-22.5 cm

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6
Q

Greatest AP measurement of liver

A

10-12.5 cm

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7
Q

Greatest length of liver

A

15-17cm

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8
Q

Areas of liver NOT covered by peritoneum

A
  • line of attachment for falciform ligament
    -gallbladder fossa
    -porta hepatic
    -area surrounding IVC
    -bare area
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9
Q

What makes up 70-80% of the cytoplasm mass of the liver

A

Hepatocytes

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10
Q

What cells are found in the sinsoids and are responsible for recycling red blood cells that are no longer functional

A

Kupffer cells

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11
Q

What dense, fibroelastic connective tissue covers the liver

A

Glisson’s capsule

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12
Q

Which portin of the liver is in direct contact with the diaphragm and forms the bare area

A

Posterior portion

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13
Q

The portal vein and hepatic arteries _______ the liver

A

Enter

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14
Q

Hepatic duct _______ the liver

A

Leaves

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15
Q

Where are the 4 attachments on the liver

A
  • undersurface of diaphragm
  • anterior wall of abdomen
  • lesser curvature of the stomach
    -retroperitoneum
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16
Q

Separates the right and left logs; diaphragm and anterior abdominal wall; contains ligamentum teres

A

Falciform ligament

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17
Q

Posterior liver surface to diaphragm

A

Coronary ligament

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18
Q

Extend from diaphragm to liver

A

Right and left triangular ligament

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19
Q

Surrounds portal triad

A

Hepatoduodenal ligament

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20
Q

Undersurface of liver to lesser curvature of stomach and 1st portion of duodenum

A

Gastrohepatic ligament

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21
Q

What is the name for the ligaments teres?

A

Round ligament

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22
Q

What is the result of the left umbilical vein being obliterated? It ascends from the umbilical in the free margin of the falciform ligament

A

Round ligament

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23
Q

The remnant of the fetal ductus venosus; divides caudate lobe from left lobe; continuation of the ligamentum teres (runs along inferior surface of liver)

A

Ligamentum venosum

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24
Q

The falciform ligament divides liver into ______ & _____ hepatic lobes on ______ & _______ surfaces

A

Right and left
Superior and anterior

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25
Q

What divides the liver into TRUE anatomical right and left lobes

A

The main lobar fissure

26
Q

What runs through the main lobar fissure

A

Middle hepatic vein

27
Q

Creates a plane that connects the gallbladder fossa with the IVC

A

Main lobar fissure

28
Q

What letter does the main lobar fissure divide the lobes of the liver into

A

H

29
Q

Which lobe is 6x larger than the other

A

Right lobe

30
Q

The main lobar fissure separates the ____ & _____ lobes

A

Right & left lobes

31
Q

The right lobe is marked (anteriorly/posteriorly) by these 3 fossae

A

Posteriorly
-porta hepatic
-gallbladder
-IVC

32
Q

The left lobe separates the medial segment, also known as the ________ lobe, by the ligamentum teres

A

Quadrate

33
Q

The left lobe is separated from the ________ lobe by the ligamentum venosum

A

Caudate

34
Q

The caudate lobe is interpos3d between the IVC (anteriorly/posteriorly) and main portal vein (superiorly/inferiorly)

A

Posteriorly
Inferiorly

35
Q

What supplies blood to the caudate lobe

A

Hepatic arteries and portal system

36
Q

What drains the caudate lobe

A

Emissary veins
(Drain directly into IVC)

37
Q

What surface is the quadrate lobe on

A

Visceral surface

38
Q

Lateral borders of the quadrate lobe

A

Between ligamentum teres and gallbladder fossa

39
Q

Posterior border of quadrate lobe

A

Porta hepatis

40
Q

Anterior border of quadrate lobe

A

Anterior/inferior margin of the liver

41
Q

Segmentation division serves to separate the liver into sections according to ____________ & ___________

A

Blood supply & biliary dranage

42
Q

True or false:
Each segment has its own vascular inflow, outflow, and biliary drainage

A

True

43
Q

The hepatic veins are _______ (subdivide liver)

A

Intersegmetal

44
Q

Divides right and left lobes

A

Middle hepatic vein

45
Q

Divides the right lobe into anterior and posterior segments

A

Right hepatic vein

46
Q

Divides right lobes anterior and posterior segments into superior and inferior segments

A

Right portal vein

47
Q

Divides left lobe into medical and lateral segments

A

Left hepatic vein

48
Q

Divides superior and inferior segments of right lobe and the lateral segment of the left lobe into superior and inferior segments

A

Plane of Portal vein

49
Q

Normal liver variant most commonly found in women

A

Reidel’s lobe

(Extends to iliac crest)

50
Q

The liver has a ________ supply of blood

A

Double

51
Q

The double supply of blood to the liver includes

A

Hepatic arterial blood (oxygen rich)
Portal venous blood (nutrient rich/80% oxygenated)

52
Q

The 2 sources that combine in the liver sinusoids and are drained by the 3 hepatic veins directly into IVC

A

Hepatic A and portal V’s

53
Q

Branches off celiac trunk, passes through porta hepatis, passing to the left of the common bile duct, and anterior to portal vein

A

Common hepatic artery

54
Q

CHA bifurcation into

A

Right and left hepatic arteries

55
Q

Arises from the left hepatic artery

A

Middle hepatic artery

56
Q

Portal veins are a portal venous system comprised of veins that drain blood from ________ & ________

A

Bowel and spleen

57
Q

True or false
The portal veins drain directly into the IVC

A

False
Seperate from the IVC

58
Q

Formed at junction of splenic vein and smv

A

Main portal vein

59
Q

What is within the hepatoduodenal ligament

A

The portal veins

60
Q

Portal vein flow should be ________

A

Hepatopetal
(Into/towards liver)