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ABD Module 2: Liver
Sections A, B, C, D, E, F, G, H
58
Health Care
Undergraduate 2
06/25/2012

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Cards

Term
What is the liver derived from?
Definition
The epithelium of the foregut of the gastrointestinal tract.
Term
What produces the hepatocytes of the hepatic diverticulum?
Definition
The foregut endoderm
Term
What produces the serous and fibrous stroma of the liver capsule, falciform ligament, and the Kupffer cells?
Definition
The splanchnic mesenchyme
Term
What kind of cells are responsible for hematopoesis in embryonic life?
Definition
Kupffer cells
Term
While an embryo, what does the hepatic diverticulum divide into?
Definition
a small ventral potion that will become the gallbladder and a larger liver primordium.
Term
When does hematopoiesis begin?
Definition
during the 6th embryonic week
Term
When does hematopoiesis cease?
Definition
at birth
Term
What does the hepatic parenchyma consist of?
Definition
hepatocytes and Kupffer cells organized into lobules.
Term
within the lobules of the liver, how are the hepatocytes arranged?
Definition
radially in cords around a central hepatic venule.
Term
is the liver retroperitoneal, intraperitoneal, or extraperitoneal?
Definition
intraperitoneal
Term
Which parts of the liver are not intraperitoneal?
Definition
gallbladder fossa, porta hepatis, and the bare area (adjacent to the IVC)
Term
Where is the bare area of the liver?
Definition
on the posterior aspect of the right lobe of the liver
Term
What is the bare area of the liver bounded by?
Definition
the coronary ligament, right triangular ligament, and left triangular ligament.
Term
How much does an adult liver weigh?
Definition
1200 grams - 1600 grams
Term
What is the approximate transverse diameter of the normal adult liver?
Definition
20 cm - 36 cm
Term
What is the approximate AP right lobe mid-clavicular measurement of the normal adult liver?
Definition
10.4 cm -21 cm
Term
What is the approximate right lobe craniocaudad mid-clavicular line length of a normal adult liver?
Definition
7 cm - 15.7 cm
Term
When should hepatomegaly be considered?
Definition
when the craniocaudad measurement of the right liver at the mid-clavicular line is greater than 16 cm.
Term
What is the layer of connective tissue surrounding the liver and portal vessels called?
Definition
Glisson's capsule
Term
What region is the Liver located in?
Definition
the right hypochondriac region
Term
How many segments does the traditional anatomic system divide the liver into?
Definition

4

Right lobe, Left lobe, Quadrate lobe, Caudate lobe

Term

the right lobe is approximately how many times larger than the left lobe?

(traditional segments)

Definition
approximately 6 times
Term

what separates the right and left lobes of the liver?

(traditional segments)

Definition
the falciform ligament on the diaphragmatic surface.
Term

What are the three fossae along the posterior and visceral surfaces of the right lobe.

(traditional segments)

Definition
gallbladder, porta hepatis, and the IVC.
Term

The Left lobe of the liver lies where?

(traditional segments)

Definition
left of the falciform ligament and the ascending portion of the proximal left portal vein.
Term

Which lobe of the liver lies on the visceral surface?

(traditional segments)

Definition
Quadrate lobe
Term

The quadrate lobe lies anterior to what?

(traditional segments)

Definition
porta hepatis
Term

what lies between the gallbladder fossa and the falciform ligament fissure for the ligamentum teres.

(traditional segments)

Definition
quadrate lobe
Term

which lobe lies posterior to the right lobe and porta hepatis?

(traditional segments)

Definition
caudate lobe
Term

which lobe lies anterior and medial to the IVC?

(traditional segments)

Definition
caudate lobe
Term

which lobe lies posterior to the ligamentum venosum?

(traditional segments)

Definition
caudate lobe
Term

which lobe lies superior to the main portal vein?

(traditional segments)

Definition
caudate lobe
Term
the functional system divides the liver into how many lobes?
Definition

3

right, left, and caudate

Term
how do major hepatic veins course?
Definition

(between lobes and segments)

interlobar and intersegmental

Term
how do major branches of portal veins course?
Definition

(within segments)

intrasegmental

Term

what are four main fissures or ligaments used as divisional landmarks in the liver?

(functional system)

Definition
main lobar fissure, ligamentum venosum, falciform ligament, ligamentum teres
Term

what are three main fossae used as divisional landmarks in the liver?

(functional system)

Definition
gallbladder, porta hepatis, and IVC
Term

what comprises the bulk of hepatic tissue?

(functional system)

Definition
right lobe
Term
what are the right and left lobes of the liver divided by in the functional system?
Definition
main lobar fissure and the middle hepatic vein.
Term

What divides the right lobe of the liver superiorly from the medial segment of the left lobe?

(functional system)

Definition
middle hepatic vein
Term

What separates the right lobe inferiorly from the left lobe?

(functional system)

Definition
a plane running within the main lobar fissure.
Term

the right lobe is subdivided into what segments?

(functional system)

Definition
anterior and posterior segments
Term

what are the anterior and posterior segments of the right lobe divided by?

(functional system)

Definition
right hepatic vein
Term

The dorsal side of the left lobe is separated from the caudate lobe by what?

(functional system)

Definition
ligamentum venosum
Term

the left lobe is subdivided into what segments?

(functional system)

Definition
medial and lateral segments
Term

The medial and lateral segments of the left lobe are divided sagitally by what?

(functional system)

Definition
left hepatic vein, anteriorly coursing left portal vein, and the ligamentum teres.
Term

which lobe is posterior to the porta hepatis, anterior to the IVC, between the ligamentum venosum and the IVC?

(functional system)

Definition
Caudate lobe
Term

Which margin of the caudate lobe forms the hepatic boundary of the superior recess of the lesser sac?

(functional system)

Definition
left margin
Term

Which margin of the caudate lobe extends in a tongue-like projection(the caudate process)between the IVC and portal vein?

(functional system)

Definition
right margin
Term
B. 2. e. - end of B.
Definition
skipped
Term
What is a Riedel's lobe?
Definition
tongue-like projection of the right lobe that may extend to the iliac crest.
Term
Is Riedel's lobe more common in males or females?
Definition
females
Term
What normal variant of the liver displays a mirror image of the liver located on the left side of the body instead of the right?
Definition
situs inversus
Term
What normal variant of the liver may cause the liver to be symmetric in appearance of lobes or may affect liver location?
Definition
Polysplenia/asplenia complex
Term
What are indentations of the diaphragn that subdivide the hepatic parenchyma?
Definition
Pseudofissures
Term
How much bile is normally formed per 24 hrs?
Definition

800mL-1000mL

(approx. 1 Liter)

Term
D. 2. - end of D.
Definition
skipped
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