Shared Flashcard Set

Details

Chapter 6
The Liver
82
Anatomy
08/21/2011

Additional Anatomy Flashcards

 


 

Cards

Term
The fundus of the stomach lies?
Definition
posterior and lateral to the left lobe of the liver
Term
What scan plane is normally used to see the fundus?
Definition
Transverse
Term
The rest of the stomach lies _________to the liver and is seen in what scan plane?
Definition
Inferior
Sagittal
Term
In comparison to the liver, how does the duodenum lie?
Definition
adjacent to right lobe
medial segment of left lobe
Term
The pancreas lies where is respect to the liver?
Definition
inferior to left lobe
Term
The posterior border of the liver contacts the _________, ________ and ___________.
Definition
right kidney
IVC
Aorta
Term
How does the liver suspended from the diaphragm and anterior abdominal wall?
Definition
Falciform ligament
Term
The liver is covered by what?
Definition
Peritoneum
Term
What is bare area?
Definition
A large part of the liver that rests directly on the diaphragm and has no peritoneum covering it
Term
What is a common site for abscess formation in the abdominal area?
Definition
The subphrenic space between the liver or spleen and the diaphragm.
Term
Name the lobes of the liver?
Definition
Left lobe
Right lobe
Caudate lobe
Term
What is hepatic nomenslature?
Definition
A system used to locate lesion for surgery. This is based on the portal and hepatic venous segments. There are 8 segments
Term
Name fissures in the liver?
Definition
Glisson's capsule
Main lobar fissure
Term
Name ligaments in the liver
Definition
Falciform
Teres
Venosum
Term
Glisson's capsule
Definition
a thin connective tissue layer that covers the liver
Term
Main lobar fissure?
Definition
Between R & L lobe liver
Extends from portal vein to neck of GB
Term
Falciform ligament?
Definition
Extends from the umbilicus to the diaphragm in a parasagittal plane and contains the ligament of teres
Term
Ligament of Teres?
Definition
Is seen as the rounded termination of the falciform ligament
Term
Ligament of Venosum?
Definition
Seperates left lobe and Caudate lobe
Term
Portal venous system contains?
Definition
MPV (main portal vein)
RPV (right portal vein)
LPV (left portal vein)
HV (hepatic vein)
Intahepatic vessels and ducts
Term
How do you distinquish between portal and hepatic veins?
Definition
Trace back to their points of entry to liver.
Hepatic vessels flow into IVC
Portal vein formed by splenic & SMV
Term
Hepatic veins are divided how?
Definition
Right (largest)
Middle
Left
Term
What is bilirubin?
Definition
A pigment released when the RBC are broken down
Term
What are the primary functions of the liver?
Definition
Metabolism
Digestion
Storage
Detoxification
Term
What does the liver metabolize?
Definition
Carbohydrates
Protiens
fats
Term
What is the digestion function of the liver?
Definition
The liver secretes bile, which is important in the digestion of fats
Term
What does the liver store?
Definition
Iron and vitamins
Term
How does the liver detoxify?
Definition
Many drugs and poisons that enter the body
Term
What is an indicator of hepatocellular disorder?
Definition
Increased levels of:
AST
ALT
Alkaline phosphatase
Term
The liver occupies what part of the abdomen?
Definition
R hypochondrium
Epigastrium
L hypochondrium
Term
The liver borders?
Definition
Fundus of stomach
Duodenum
Pancreas
R kidney, IVC and Aorta
Diaphragm
Term
The end of the falciform is also called?
Definition
ligament of teres
Term
What borders the caudate lobe?
Definition
R- IVC
L- Ductus venosus or ligament of venosum
Term
Subphrenis means?
Definition
Below the diaphragm
Term
What is the liver doing when is metabolizes carbohydrates?
Definition
Converts glucose to glycogen & stores it
Term
What is the liver doing when is metabolizes protein?
Definition
Converts amino acids to fatty acids & urea
Removes nutrients from blood
Term
Disease classified as hepatocellular means?
Definition
hepatocytes (liver cells) are the immediate problem.
Treated medically with drugs
Term
Diseases are classified obstructive because?
Definition
When bile excretion is blocked
Treated with surgery
Term
Name proteins that are metabolized in the liver?
Definition
Albumin
Globulins
Fibrinogen
Prothrombin
Term
What lab values can relate to liver due to metabolic functions?
Definition
Bilirubin
Albumin
Glucose
Protime
PPT
Term
LFT stands for?
Definition
Liver Function Test
Term
What is the purpose of LFT?
Definition
Group of lab tests to analyze how liver is performing
Term
What are some combination of serum tests?
Definition
AST
ALT
LDH
Alk phos
Bilirubin
Prothrombine
Albumin
Globulins
Term
Formation of bile is a major function of what organ?
Definition
Liver
Term
Bile is composed of?
Definition
97% water
bile salts
cholesterol
Term
What regulates bile out flow from common bile ducts?
Definition
Sphincter of oddi
Term
Indirect or Direct Bilirubin is Conjugated or unconjugated?
Definition
Direct is Conjugated
Indirect is unconjugated
Term
Hepatocellular disease is direct or indirect bilirubin?
Definition
Indirect bilirubin
Term
Obstructive disease is direct or indirect bilirubin?
Definition
Direct bilirubin
Term
LDH?
Definition
Non specific to liver yet affected by the liver
Can be elevated in liver disease
Term
What are the vascular sytems of the liver?
Definition
Portal
Venous
Biliary
Term
what carries blood from the bowel to the liver?
Definition
Portal veins
Term
What drains blood from the liver into the IVC?
Definition
Hepatic veins
Term
What carries oxygenated blood from from the aorta to the liver?
Definition
Hepatic arteries
Term
What transports bile that is manufactured in the liver to the duodenum?
Definition
Bile ductsw
Term
Another name for hepatic nomenclature is?
Definition
Couinaud's system
Term
What vessels make the segments for the cauinaud's system?
Definition
Hepatic veins
Portal vessels
Term
What vessels make the segments for the cauinaud's system?
Definition
Hepatic veins
Portal vessels
Term
Flow traveling away from the liver?
Definition
Hepatofugal
Term
Flow traveling toward the liver?
Definition
Hepatopetal
Term
what protein is used in coagulation?
Definition
Prothrombin
fibrinogen
Term
Where is billirubin released?
Definition
In the bile that the liver produces
Term
AST was formaryly called?
Definition
SGOT
Term
ALT was formully called?
Definition
SGPT
Term
In hepatocellular disease, Albumin will increase, decrease or stay the same?
Definition
Increase
Term
What is BUN?
Definition
Blood urea nitrogen
it is the measure of urea in blood
Term
What lab tests are used in diagnosing liver disease?
Definition
AST
ALT
LDH
Alk phos
Blilrubin
Prothrobin time
Albumin & globulins
Term
_________ is a liver enzyme tht is part of the blood clotting mechanism?
Definition
Prothrombin Time
Term
When scanning the liver what is the criteria we are scanning?
Definition
Size in longitudinal plane
Attenuation
Texture
presence of hepatic vascular structures, ligaments and fissures
Term
The evaluation of the liver includes the assessment of?
Definition
Size
configuration
homogenecity
countour
Term
Indirect bilirubin is associated with?
Definition
Hepatocellular disease
Term
Direct bilirubin is associated with?
Definition
Obstructve liver disease
Term
Direct bilirubin is associated with?
Definition
Obstructve liver disease
Term
Jaundice is a side effect of an increase of____________?
Definition
Bilirubin
Term
What is an indicator of hepatocellular disorder?
Definition
An increase of enzymes in the blood
Term
What enzyme rises in obstruction?
Definition
Alk phos
Term
What enzyme increases with hepatitis or cirrhosis?
Definition
AST
ALT
Term
What diesase would cause an increase in blood glucose levels?
Definition
Diabetes
Liver disease
Term
What test would spot early detection of jaundice?
Definition
Bilirubin
Term
What structure divides right from left liver?
Definition
Falciform ligament
Term
This is the end of th falciform ligament
Definition
Ligament of teres
Term
Divides left lobe and caudate lobe?
Definition
Ligament of venosum