Week 5: Liver, pancreas and endocrine system Flashcards
Describe the circulation in the liver
Portal vein (from the GI tract)
Hepatic artery (from the heart)
Hepatic portal vein (into the heart via the vena cava)
Name the functions of the liver
- Fat metabolism
- Carbohydrate metabolism
- Protein metabolism
- Detoxification
- Storage of glycogen
- Secretion of glycogen
- Removal of old RBC
Which zone receives the most oxygenated blood?
Zone 1
What is the function of the space of DisSe
It bathes the hepatocytes in plasma
Where are Kupffer cells located?
In the sinusoids
Where are hepatic stellate cells located and what are their functions?
Found in the space of Disse
Fat storage (vitamin A)
With what do the bile canaliculi fuse with?
Canals of Hering
What does bile contain?
Water, bile salts, cholesterol, bilirubin, alkaline phosphatases
Draw the biliary tree
Bile canaliculi -> canals of Hering -> bile ductules -> bile ducts -> common hepatic duct -> common bile duct -> ampulla of Vater -> duodenum
Where does the gall bladder join the biliary tree?
The common bile duct
Where does the pancreatic duct join to
The ampulla of vater
What promotes the secretion of CCK
The presence of lipids in the duodenum
What type of cell is the muscular sac of the gall bladder made of?
Simple columnar epithelium
What is the function of the muscular bile sac?
To concentrate bile and store bile
What is the embryological development origin of the pancreas?
The primitive foregut
What is the role of secretin and which cells secrete it?
It is secreted by neuroendocrine cells of the duodenum and it promotes secretion of watery fluid rich in bicarbonate
What is CCK stimulated by and what is its function
Stimulated by fat in the duodenum, it stimulated enzyme rich pancreatic fluid
What does Gastrin do?
Similar effects to CCK, secretion of pancreatic fluid
What is the pancreatic juice composed of?
Contains sodium bicarbonate which neutralized the acidic stomach. It contains:
Amylase
Trypsin, chymotrypsin
Pancreatic lipase
Ribonucleases and deoxyribonuclease
Describe the pathway that the digestive enzymes take from the lumen of the acini
To the intercalated ducts -> interlobular duct ->
What do delta cells secrete?
Somatostatin
What is the Pars intermedia?
part of the anterior lobe and forms the boundary between the posterior and anterior lobes
Why does the posterior stain much lighter?
Because it is made up of unmyelinated neuronal tissue