week 4: Liver Flashcards

(34 cards)

1
Q

Couinaud’s segment 1

A

caudate lobe

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2
Q

Couinaud’s segment 2

A

Left superior lateral

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3
Q

Couinaud’s segment 3

A

Left inferior lateral

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4
Q

Couinaud’s segment 4a

A

left superior medial

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5
Q

Couinaud’s segment 4b

A

left inferior medial

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6
Q

Couinaud’s segment 5

A

right inferior anterior

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7
Q

Couinaud’s segment 6

A

right inferior posterior

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8
Q

Couinaud’s segment 7

A

right superior posterior

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9
Q

Couinaud’s segment 8

A

right superior anterior

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10
Q

segment 5 and 6 are ___ to the transverse plane

A

caudal

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11
Q

segment 7 and 8 are ___ to the transverse plane

A

cephalad

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12
Q

Liver main functions

A

digestion, storage, metabolism, detox, defence,

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13
Q

where are RBC broken down after 120 days

A

spleen

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14
Q

the breakdown product of hemoglobin that is detoxified in the liver

A

bilirubin

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15
Q

bilirubin attaches to ___ in the blood and is transported to the liver

A

albumin

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16
Q

what is most readily affected when hepatocytes are damaged

A

excretion of bilirubin

17
Q

excretory product of the liver

18
Q

principles components of bile

A

bile salts, water, bile pigments (bilirubin)

19
Q

primary function of bile

A
  • emulsify intestine fats

- remove waste products excreted by liver

20
Q

normal size of liver (right lobe)

A

13-17 cm

15.5cm*

21
Q

where is measurement of liver taken

A

mid-clavicular

*from mid-diaphragm to inferior edge

22
Q

increase in albumin causes

A

hemolytic anemia

23
Q

decrease in albumin causes

24
Q

increase in bilirubin causes

A
  • jaundice
  • liver damage
  • obstruction
25
increase in alkaline phosphatase causes
- metastases - obstruction - lesions - jaundice
26
what can indicate hepatitis
increased AST & ALT
27
increase in beta globulin causes
fatty liver
28
decrease in ___ & ___ causes carcinoma
- beta globulin | - LDH
29
2 surfaces of the liver
1. anterior / parietal | 2. posterior / visceral
30
Right Posterior surface is inferior to
diaphragm, upper abdominal wall, right kidney, right adrenal gland
31
what landmarks split up the liver into different sections
1. vasculature 2. fissures 3. ligaments
32
what are the main fissures
1. main lobar 2. left intersegmental - -falciform - -ligamentum teres 3. right intersegmental
33
what liver vessels lie within the fissures
1. LHV 2. MHV 3. RHV
34
fissure that divides the right and left hepatic lobes, contains MHV, echogenic line from RPV to GB neck
main lobar fissure