The Liver Flashcards

1
Q

How many lobes does the liver have?

A

2 lobes

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2
Q

What ligament is found between the lobes and what is its roles?

A

Falciform ligament - A peritoneal fold that teaches the liver to the ant ado wall and the diaphragm

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3
Q

Where does the superior mesenteric artery drain from and to?

A

Small intestine, caecum, ascending and tranverse colon to the liver

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4
Q

What is the gall bladders function?

A

Concentrates and stores bile and removes water.

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5
Q

How much bile per day do we produce?

A

1L

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6
Q

What veins feed into the portal vein?

A

splenic vein, sup and lower mesenteric vein.

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7
Q

Why is it called the portal vein?

A

It is a portal system of two capillary beds in series.

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8
Q

Name the to portal systems we have.

A

Hypothalamo-hypophyseal portal system

Hepatic portal system

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9
Q

The second capillary bed in the hepatic portal system is called….. and its function is……

A

Liver sinusoids

absorbs nutrients and removes toxins.

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10
Q

What is seen in the portal triad?

A

Bile duct
hepatic artery
Portal vein

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11
Q

The terminal hepatic venues are found where?

A

In the middle of a liver lobule

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12
Q

What travels in the portal vein?

A
Water
Water soluble vitamins 
Electrolytes 
Carbs
Proteins 
GI hormones
Ammonia and other toxins
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13
Q

Why is ammonia so dangerous?

A

It can cross the blood brain barrier so we need to transaminate it in the liver to glutamate and then it can be converted to urea for excretion.

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14
Q

What toxins do we take in in food?

A
Chemicals 
Bacteria 
Viruses
Proatzoa 
Worms
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15
Q

Where do lipids travel from the gut?

A

Lymphatics as chylomicrons

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16
Q

Where do chylomicrons join systemic circulation?

A

Thoracic duct.

17
Q

Name the fat soluble vitamins

A

ADEK

18
Q

What are the functions of the liver?

A
Metabolism 
Storage - carbs and fats 
Protein made and secreted in to blood
Detoxification 
Bile production
19
Q

Whats stored in the liver?

A
Iron 
Vitamine A
Vitamin B12
Vitamin D
Vitamin K 
Glycogen
20
Q

What does the liver make?

A

Glycogen, albumin, coagulation factors (2,7,9 and 10)

foetal haematopoesis

21
Q

What is catabolised in the liver?

A

Toxins
Hormones
Hameoglobin
Poisons

22
Q

The liver can act as a filter and what specialised immune cell is responsible for this?

A

Kupffer cells which cycle old red cells and ingest pathogens

23
Q

Bile is released by …… secretion.

A

Exocrine

24
Q

What 3 board categories can the livers endocrine functions be split into?

A

Production
Modification
Degradation

25
Q

What endocrine substances does the liver make?

A

Angiotensinogen, thrombopoetin and IGF-1

26
Q

Vitamin D and thyroxine are ….. in the liver

A

Modified

27
Q

What happens to insulin, glucagon, oestrogen and progesterone in the liver?

A

They are broken down

28
Q

What cells make up 80% of the liver?

A

Hepatocytes

29
Q

List specialised features of hepatocytes

A
  • Regenerative ability
  • Numerous mitochondria
  • Numerous peroxisomes
  • Numerous free ribosomes
  • Numerous RER and SER
  • Numerous golgi
  • Glycogen deposits
30
Q

If the bone marrow and spleen fail what can the liver do?

A

take ver haematopoesis and removal of old red cells.

31
Q

What major vessel do the hepatic venues drain to?

A

IVC

32
Q

What flows from mid lobule to the portal triad?

A

Bile in Bile ducts

33
Q

Are the endothelial gaps in sinusoids large or small?

A

large

34
Q

Where do lymphatics arise in the liver and drain to?

A

Periporyal space of Mall and drain to the liver hilum

35
Q

From the liver hilum where does the lymph flow to?

A

Hepatic duct.

36
Q

What are Ito cells?

A

Stellate cells are filled with vitamin A.

Stellate cells loose their vitamin A stores in cirrhosis and differentiate to myofibroblasts.

37
Q

Why do you get portal hypertension in cirrhosis?

A

Collagen fibres in the perisinusoidal space surrounds the central vein.