The Gallbladder and Biliary Tree Flashcards

1
Q

what is the biliary system function

A

system that produces, concentrates, secretes, and transports bile from liver to duodenum

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2
Q

bile is formed by ___ cells and is used for the digestion of ____

A

liver
fat

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3
Q

gallbladder in respect to peritoneum

A

intraperitoneal

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4
Q

GB aligns with ____, lies lat to ___, and medail to ___

A

MLF
IVC
Right kidney

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5
Q

3 parts of GB which part is mobile

A

neck
body
fundus (mobile)

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6
Q

Phrygian cap

A

fold between the fundus and body

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7
Q

hartman’s pouch

A

outpouching in area of GB neck

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8
Q

junctional fold

A

fold between neck and body

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9
Q

intrahepatic ductules (size, function, form, follow)

A

very small
collect bile
get larger as move along biliary tree until they form R/L hepatic ducts
follow course of PV and HA branches

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10
Q

R/L hepatic ducts join and form

A

join at level of liver hilum to form CHD

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11
Q

CHD courses _____ to ___ and ___

A

anterior
RPV
MPV

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12
Q

CHD terminates

A

at the junction of the cystic duct

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13
Q

cystic duct is intra or extrahepatic

A

extrahepatic

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14
Q

cystic duct function

A

drains the gallbladder

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15
Q

Cystic duct contains (function)

A

spiral valves of Heister (structural support)

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16
Q

cystic duct merges with CHD to form

A

common bile duct

17
Q

does bile flow in or out of cystic duct

A

both

18
Q

common bile duct formed by

A

union of CHD and cystic duct

19
Q

CBD joins what/where

A

joins pancreatic duct at head of pancreas

20
Q

junction of pancreatic duct and CBD form ____ (what is it)

A

ampulla of Vater (opening of duodenum where ducts insert)

21
Q

bile flow to duodenum controlled by _____

A

Sphincter of Oddi

22
Q

common bile duct length

A

6-8cm

23
Q

CBD ___ to MPV, ____ to HAP, lies in groove on ____ aspect of pancreatic head

A

anterior
lateral
posterior

24
Q

what makes up portal triad

A

CBD, HAP, MPV

25
Q

portal triad on US

A

bile duct closer to the liver, HAP closer to the aorta, MPV=big