Week 4 - Liver, Stomach, Pancreas and Spleen Flashcards

1
Q

Where does the liver reside in the abdomen

A

right hypochondrium and epi gastric, extends into the left hypochondirum

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2
Q

What two vessels provide blood supply to the liver

A

Hepatic portal vein and hepatic artery proper

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3
Q

Nutrient rich blood from the GI tract is supplied to the liver through

A

The hepatic portal vein

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4
Q

Two surfaces of the liver

A

Diaphragmatic surface

Visceral surface

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5
Q

Describe the location of the diaphragmatic surface

A

It is the anterosuperior surface
Smooth and convex between the diaphragm
Posterior aspect of this not covered by peritoneum

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6
Q

What is the surface of the liver not covered by the visceral peritoneum called

A

The bare area

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7
Q

Which parts of the visceral surface of the liver aren’t covered by peritoneum

A

Fossa of the gall bladder and the porta hepatis

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8
Q

Describe the falciform ligament

A

Attaches the liver to the anterior abdominal wall

Naturally divides the right and left lobe

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9
Q

What do the free edges of the falciform ligament contains

A

The liagmentum teres

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10
Q

What is the ligamentum teres

A

The remnants of the umbilical vein

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11
Q

What creates a natural divide between the left and right lobe of the liver

A

The falciform ligament

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12
Q

What does the coronary ligament attach

A

The superior surface of the liver to the inferior surface of the diaphragm

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13
Q

What does the coronary ligament demarcate

A

The bare area of the liver

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14
Q

What is the left triangular ligament formed by

A

Unison of the anterior and posterior layers of the coronary ligament

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15
Q

What does the left traiangular ligament attach

A

Left lobe to the diaphrgam

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16
Q

What does the right triangular ligament attach

A

Right lobe of the liver to the diaphragm

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17
Q

What does the lesser omentum connect

A

The lesser curvature of the stomach to the duodenum

18
Q

4 lobes of the liver

A

Left
Right
Caudate
Quadrate

19
Q

Describe the caudate lobe

A

Upper aspect of the visceral surface between inferior vena cava and the ligamentum venosum

20
Q

Describe the quadrate lobe

A

Located on the lower aspect of the visceral surface between the ligamentum teres and the gall bladder

21
Q

What is the deep fissure that separates the lobes

A

Porta hepatis q

22
Q

What does the porta hepatis do

A

Transmits all vessels, nerves and ducts entering the liver

23
Q

What are the cells surrounding the hexagons called

A

Interlobular septum

24
Q

3 vessels that enter the microscopic structure of the liver

A

Portal arteriole
Portal venule
bile duct

25
Q

Portal arteriole is a branch off which artery

A

The hepatic artery proper

26
Q

Portal venule is a branch off which artery

A

The portal vein

27
Q

What run to the centre of the portal triad

A

Sinusoids

28
Q

Cells of the liver are called …

A

Hepatocytes

29
Q

Top of the stomach is the

A

Fundus

30
Q

Region where oesophagus enters stomach is the

A

Cardia

31
Q

What is the body of the stomach called

A

Corpus

32
Q

What is the opening of the stomach to the duodenum called

A

Pyloric sphincter

33
Q

At what level does the oesophagus pierce the diaphragm

A

T10

34
Q

What are the raised channels of the stomach which help to divert food called

A

Rugae

35
Q

Two nerve supplies to the stomach

A

Vagus –> enters either side of the oesophagus

Sympathetic –> Via the coeliac plexus just below the celiac trunk

36
Q

What % of the pancreas is exocrine and what % is endocrine

A

99% exocrine 1% endocrine

37
Q

What is exocrine pancreas responsible for

A

Secretion of digestive enzymes

38
Q

What is endocrine pancreas responsible for

A

Secretion of hormones, insulin and glucagaon

39
Q

Which part of the pancreas lies in the C shape of the duodenum

A

Head

40
Q

What is the region of the small intestine where the ducts enter from the pancreas and liver

A

Major duodenal pappilla