Section 3A Flashcards

0
Q

Each lobe of the liver are composed of functional units called what?

A

Lobules

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

The liver consists of what 4 lobes?

A

Right
Left
Quadrate
Caudate

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

In the lobules, blood flows past hepatocytes via what?

A

Sinusoids

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

What makes up the portal triad?

A
  1. Branch of Portal vein
  2. Branch of Hepatic artery
  3. Bile duct
  4. ……. Lymphatic vessel
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Inside some of the sinusoids are hepatic macrophages called what? What is their function?

A

Kupffer cells

Remove debris such as bacteria and worn-out blood cells

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

Tiny ducts called what run parallel to the sinusoids and drain bile produced by hepatocytes

A

bile canaliculi

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

Within each lobule, hepatocytes are arranged into what?

A

Hepatic cords

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

Describe the arterial and portal blood flow through the liver

A
  1. Liver sinusoids
  2. Central vein
  3. Hepatic vein
  4. Inferior Vena Cava
  5. Right Atrium
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What endothelium lines the sinusoids?

A

Fenestrated epithelium

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

T or F, Fenestrated endothelium of sinusoids has NO underlying basement membrane

A

True

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

Do the fenestrations permit blood plasma to interact with hepatocytes?

A

Yes, the fenestrations do permit blood plasma to wash over the exposed surface of the hepatocytes in the space of disse

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

What is the Space of Disse (perisinusoidal space)

A

The space between the fenestrated epithelium and hepatocytes that allows the blood plasma in sinusoids to wash freely over hepatocytes

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

Which direction is sinusoidal blood flow?

A

Towards the central vein

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

The ease with which substances in plasma move freely into the spaces of disse requires that the liver have what?

A

It must have an extremely high lymph flow to prevent accumulation of interstitial fluid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What occurs if the pressure of portal vein and sinusoids increases?

A

Excessive amounts of fluid begin to transude into the lymph and to leak through the outer surface of the liver capsule directly into the abdominal cavity producing ASCITES!

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

What is Ascites?

A

Condition of pathologic fluid accumulation within the abdominal cavity

16
Q

Why is the liver a prime site for the spread of cancerous cells from elsewhere in the body?

A

Because of its portal blood supply and extensive lymphatic circulation

17
Q

What is the first pass effect of the liver

A

Most drugs absorbed into the GI tract enter the portal circulation and encounter the liver before they are distributed into the general circulation

18
Q

Outline the pathway of the hepatobiliary plumbing

A

R/L hepatic ducts –> Common Hepatic duct –> Common bile duct