wk 2 1 why might my patient be jaundiced anatomy

Question 1

what quadrant is liver most likely to be located

Answer 1

RUQ

Question 2

difference between anatomical and functional lobes of liver

Answer 2

anatomical - visible to naked eye (4)

functional - related to vasculature and bile drainage (8)

Question 3

what is the round ligament a remnant of

Answer 3

umbilical vein

Question 4

caudate lobe

Answer 4

tail-like , links around IVC and drains into it

Question 5

porta hepatis

Answer 5

hepatic portal

where vessels enter liver, bile drainage, blood supply ect

Question 6

what is the portal triad

Answer 6

site of entry for oox. blood, bile drainage follows opposite

each 8 functional segments has own blood supply, allows ligation of one not effecting the others

Question 7

difference between IVC and hepatic veins in comparison to other veins

Answer 7

no valves

Question 8

3 structures found in portal triad

Answer 8

hepatic portal vein
hepatic artery proper
bile duct

Question 9

portal triad runs within what structure

Answer 9

hepatoduodenal ligament

Question 10

coeliac trunk splits into 3 branches, what are they

Answer 10

splenic artery
left gastric artery
common hepatic artery

Question 11

coeliac trunk is the first of 3 midline branches of the aorta, where does it leave

Answer 11

T12 vertebral level

Question 12

t/f coeliac trunk supplies hindgut

Answer 12

false

foregut

Question 13

foregut vasculature and hindgut vasculature are joined through anastomosis of what artery

Answer 13

superior pancreaticoduodenal artery

Question 14

where is spleen located

Answer 14

superior border of pancreas

Question 15

is spleen intra/organ within mesentery/ retroperitoneal

Answer 15

intraperitoneal

Question 16

where is spleen located (out of 9 sections)

Answer 16

left hypochondrium

Question 17

spleen is 
posterior to 
anterior to 
inferior to 
medial to

Answer 17

diaphragm
stomach
splenic flexure
left kidney

Question 18

which ribs protect the spleen

Answer 18

9-11

Question 19

function of spleen in haemotological system

Answer 19

produce bilirubin

Question 20

how is the spleen palpated

Answer 20

pressure put just underneath ribs

other hand lifts up spleen

Question 21

what vessel anastamoses on lesser curvature fo stomach

Answer 21

from right and left gastric arteries

Question 22

blood supplies to liver

Answer 22

right and left hepatic arteries
branches of hepatic artery proper
hepatic portal vein takes most

Question 23

deepest point on abdomen when lying flat

Answer 23

hepatorenal recess

deeper than rectovesical/uterine pouch

Question 24

subphrenic recess will drain into

Answer 24

hepatorenal recess

Question 25

2 main veins forming HPV

Answer 25

splenic vein (drains foregut)
superior mesenteric vein (midgut)

Question 26

where does inferior mesenteric vein drain to

Answer 26

from hindgut - splenic vein

Question 27

function of gallbladder

Answer 27

stores and concentrates bile (liver produces bile)

Question 28

how does the gallbladder concentrate bile

Answer 28

removing of water and o2

Question 29

3 parts of gallblladder

Answer 29

fundus
body
neck

Question 30

vasculature of gallbladder

Answer 30

via cystic artery, branch of right hepatic artery

Question 31

what is the triangle of calot

Answer 31

location of vasculature for gallbladder, triangle made from cystic artery common hepatic duct and cystic duct

Question 32

what is the triangle of calot

Answer 32

location of vasculature for gallbladder, triangle made from cystic artery common hepatic duct and cystic duct

Question 33

associated area of pain for gallbladder pain

Answer 33

(foregut organ)

in epigastric regio, visceral afferents enter spinal cord between T6-T9

Question 34

other than epigastric, where else can gallbladder pain be located

Answer 34

hypochondrium with/without referral to right shoulder

Question 35

define jaundice, what causes this

Answer 35

yellowing of sclera

caused by increase in blood levels bilirubin

Question 36

what is bilirubin

Answer 36

break down of red blood cell

Question 37

t/f bilirubin used to form bile

Answer 37

true

Question 38

what is located
inferior
posterior/inferior
inferior
posterior
posterior at mid/left side 
of liver

Answer 38

right hemi-diaphragm 
gallbladder 
hepatic flexure 
right kidney, right adrenal gland, IVC, abdominal aorta
stomach