SFP: liver and gallbladder Flashcards

1
Q

Describe the basic positioning of the liver

A

Found in the RUQ, contacts the diaphragm, and crosses to the left midclavicular line

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2
Q

What is the gross structure of the liver

A

Two lobes (right and left) separated by the falciform ligament

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3
Q

What are the two surfaces of the liver

A

Convex diaphragmatic and concave visceral

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4
Q

Describe the lesser omentum in relation to the liver

A

Extends from the liver to the lesser curvature of the stomach and first part of duodenum

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5
Q

What two ligaments are associated with the liver and lesser omentum

A

Hepatoduodenal and hepatogastric

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6
Q

What ligament is associated with the superior surface of the liver

A

Superior leaf of coronary ligament

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7
Q

What is the porta hepatis

A

The entrance of the portal vein and hepatic arteries, as well as exit of hepatic ducts

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8
Q

What remnants of fetal veins are found in the porta hepatis

A

Ligamentum venosum and ligamentum teres hepatis

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9
Q

What are the 4 anatomical lobes of the liver

A

Right, left, quadrate, caudate

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10
Q

What is the omental bursa

A

An area posterior the lesser omentum and the stomach

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11
Q

What connects the omental bursa with the greater peritoneal sac

A

The epiploic foramen

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12
Q

What are the margins of the omental bursa

A

Anterior margin is the hepatogastric ligament and hepatoduodenal ligament, and it extends to the hilum of the spleen and its 2 peritoneal ligaments

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13
Q

A physician sticks his finger through the epiploic foramen and into the lesser omentum. What is anterior to the finger?

A

The hepatoduodenal ligament, portal vein, bile duct, and hepatic artery

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14
Q

A physician sticks his finger through the epiploic foramen and into the lesser omentum. What is posterior to the finger?

A

Inferior vena cava

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15
Q

A physician sticks his finger through the epiploic foramen and into the lesser omentum. What is superior to the finger?

A

Caudate lobe of the liver

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16
Q

A physician sticks his finger through the epiploic foramen and into the lesser omentum. What is inferior to the finger?

A

First part of the duodenum

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17
Q

What veins drain the blood from the liver

A

The right, middle, and left hepatic veins that drain to the inferior vena cava

18
Q

What is a portal triad

A

Branch of hepatic artery, bile duct, and portal vein

19
Q

What is the principal plane of the liver

A

The 2 liver halves separated by the middle hepatic vein

20
Q

What is the intersegmental plane of the liver

A

It divides the right lobe of the liver via the right hepatic vein

21
Q

What is the transverse plane of the liver

A

Cuts it horizontally via horizontal portal branches

22
Q

What divides the left lobe of the liver

A

Falciform ligament and ligamentum venosum at the left hepatic vein

23
Q

Describe the basic positioning of the gall bladder

A

It is found at the midclavicular line around the 9th costal cartilage

24
Q

What is the function of the gall bladder

A

Bile storage and concentration by water absorption

25
Where can the gallbladder cause referred pain to
Right upper shoulder and neck
26
Describe the duct system associated with the gall bladder
The gallbladder's contents drain to the cystic duct, which merges with the bile duct. The right and left hepatic ducts will form the common hepatic duct that also merges with the bile duct
27
What does the anterior surface of the gallbladder contact
The visceral surface of the liver; no peritoneum between!
28
What does the fundus of the gallbladder contact
The anterior abdominal wall
29
What does the posterior surface of the gallbladder contact
The 1st and 2nd parts of the duodenum
30
What is posterior and inferior to the body of the gall bladder
The hepatic flexure of the colon
31
What are some issues with gallstones
The inflammation can cause fistula into the duodenum, colon, bile duct, and stomach
32
What is a gallstone ileus
A large gallstone that makes it to the ileum and impacts the ileocecal junction
33
What does the gastroduodenal artery perfuse
The first part of the duodenum with the bile duct and stomach
34
What does the common hepatic artery perfuse
The foregut
35
The proper hepatic artery gives rise to…
The right and left hepatic arteries
36
What do the right and left hepatic arteries perfuse
Their respective lobes of the liver
37
What does the cystic artery branch from
The right hepatic artery
38
What does the cystic artery perfuse
The gallbladder
39
What is the cystic triangle of Callot
Triangle made from the cystic duct on the right, common hepatic duct on the left, and superiorly the liver
40
The cystic triangle of Callot helps us find the…
Cystic artery
41
What is the function of the portal vein
Brings blood from GI organs to the liver for detoxification