wk 2 1 why might my patient be jaundiced anatomy COPY Flashcards
what quadrant is liver most likely to be located
RUQ
difference between anatomical and functional lobes of liver
anatomical - visible to naked eye (4)
functional - related to vasculature and bile drainage (8)
what is the round ligament a remnant of
umbilical vein
caudate lobe
tail-like , links around IVC and drains into it
porta hepatis
hepatic portal
where vessels enter liver, bile drainage, blood supply ect
what is the portal triad
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
difference between IVC and hepatic veins in comparison to other veins
no valves
3 structures found in portal triad
hepatic portal vein
hepatic artery proper
bile duct
portal triad runs within what structure
hepatoduodenal ligament
coeliac trunk splits into 3 branches, what are they
splenic artery
left gastric artery
common hepatic artery
coeliac trunk is the first of 3 midline branches of the aorta, where does it leave
T12 vertebral level
t/f coeliac trunk supplies hindgut
false
foregut
foregut vasculature and hindgut vasculature are joined through anastomosis of what artery
superior pancreaticoduodenal artery
where is spleen located
superior border of pancreas
is spleen intra/organ within mesentery/ retroperitoneal
intraperitoneal
where is spleen located (out of 9 sections)
left hypochondrium
spleen is posterior to anterior to inferior to medial to
diaphragm
stomach
splenic flexure
left kidney
which ribs protect the spleen
9-11
function of spleen in haemotological system
produce bilirubin
how is the spleen palpated
pressure put just underneath ribs
other hand lifts up spleen
what vessel anastamoses on lesser curvature fo stomach
from right and left gastric arteries
blood supplies to liver
right and left hepatic arteries
branches of hepatic artery proper
hepatic portal vein takes most
deepest point on abdomen when lying flat
hepatorenal recess
deeper than rectovesical/uterine pouch
subphrenic recess will drain into
hepatorenal recess
2 main veins forming HPV
splenic vein (drains foregut) superior mesenteric vein (midgut)
where does inferior mesenteric vein drain to
from hindgut - splenic vein
function of gallbladder
stores and concentrates bile (liver produces bile)
how does the gallbladder concentrate bile
removing of water and o2
3 parts of gallblladder
fundus
body
neck
vasculature of gallbladder
via cystic artery, branch of right hepatic artery
what is the triangle of calot
location of vasculature for gallbladder, triangle made from cystic artery common hepatic duct and cystic duct
what is the triangle of calot
location of vasculature for gallbladder, triangle made from cystic artery common hepatic duct and cystic duct
associated area of pain for gallbladder pain
(foregut organ)
in epigastric regio, visceral afferents enter spinal cord between T6-T9
other than epigastric, where else can gallbladder pain be located
hypochondrium with/without referral to right shoulder
define jaundice, what causes this
yellowing of sclera
caused by increase in blood levels bilirubin
what is bilirubin
break down of red blood cell
t/f bilirubin used to form bile
true
what is located inferior posterior/inferior inferior posterior posterior at mid/left side of liver
right hemi-diaphragm gallbladder hepatic flexure right kidney, right adrenal gland, IVC, abdominal aorta stomach
