Structure and Function Flashcards

1
Q

What are the Biochemical Roles the Liver plays?

A

Metabolism
Digestion
Detoxification
Clearance of Substances
Men Don’t Dare Clean

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2
Q

What does the liver have a Central Role in?

A

Protein Metabolism
Carbohydrate Metabolism
Lipid Metabolism
Synthesizing Bile Acids
Vitamin Absorption
Pirates Carve Lemons So Violently

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3
Q

What secondary Endocrine functions does the Liver perform?

A

Thyroid Hormone
Cortisol
Vitamin D

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4
Q

What does the Dual Blood Supply of the Liver contain?

A

Portal Vein: Nutrient Enriched Blood
Hepatic Artery: Oxygen Enriched Blood

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5
Q

From smallest to largest, list the order of Biliary Drainage

A

Canaliculi
Ductlets
Intrahepatic Bile Ducts
Left & Right Hepatic Ducts
Common Hepatic Duct
Common Bile Duct
Ampulla of Vater

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6
Q

What is the functional unit of the Liver and what does it contain?

A

Acinus
Portal Vein
Hepatic Artery
Bile Duct

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7
Q

What contains Lysosomes that break down Phagocytized Bacteria?

A

Kupffer Cells
Main site for clearance of antigen-antibody complexes from the blood

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8
Q

What is the role of Stellate Cells?

A

Store Vitamin A/Create Nitric Oxide
Transform to Collagen

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9
Q

What is the role of Oval Cells and where do we find them?

A

Found within Periportal Bile Ductules
Regenerate Bile ducts and Hepatocytes

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10
Q

What is Zone 1 of the Acinus responsible for?

A

Providing a base for Hepatic Regeneration
Protect Liver

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11
Q

What are the Biochemical FUNCTIONS of the liver?

A

Excretory
Synthetic
Metabolic

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12
Q

Organic anions of both Endogenous and Exogenous origin are…

A

Extracted from Sinusoidal Blood
Biotransformed
Excreted via Bile or Urine

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13
Q

What are Bilirubin and Bile Acids used for?

A

Measurement of Plasma Concentrations

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14
Q

What is extracted and transformed in the Liver and excreted in Bile and Urine?

A

Bilirubin

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15
Q

What does the Liver Synthesize?

A

Proteins
Glucose
Glycogen
Triglycerides
Fatty Acids
Cholesterol
Bile Acids

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16
Q

What is the most commonly measured Serum Protein?

A

Albumin

17
Q

What is an indicator of synthetic ability due to it’s 24-48 hour half life?

A

Transthyretin

18
Q

What is Decreased in Homozygous deficiency/Cirrhosis and increased by acute inflammation?

A

A1-Antitrypsin

19
Q

What is present at higher concentrations in Hepatocellular Carcinoma (HCC)?

A

A-Fetoprotein

20
Q

The Liver disposes exogenous and endogenous substances such as what?

A

Ammonia

21
Q

What are the major sources of circulating Ammonia?

A

Bacterial Proteases
Ureases
Amine Oxidases acting on GI tract

22
Q

What are the common causes of Hyperammonemia?

A

Advanced Liver Disease
Renal Failure
Reye Syndrome

23
Q

A patient sample of Ammonia is higher than expected. What preanalytical errors should be considered?

A

Contamination (Cigarette Smoke)
The Collection Process (Prolonged Tourniquet use)
Sample Handling (Delayed Analysis)