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Accessory organs of the digestive system
Craft, J., Gordon, C., & Tiziani, A. (2011). Understanding pathophysiology. NSW: Elsevier
31
Nursing
Undergraduate 2
08/08/2014

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Cards

Term
What function do the gallbladder, liver and pancreas have in common?
Definition
The gallbladder, liver and pancreas all secrete substances that is necessary forthe digestion of chyme
Term
How are the necessary substances secreted to the duodenum
Definition
Through ducts, which all connect to the common bile duct,  where the secretions are drained nto the duodenum
Term
how many grams does the liver weigh?
Definition
1200-1600 grams
Term
where is the liver located (which abdominal quadrant and below which structure)
Definition
the liver is located under the right side of the abdomen. Is is located in the RUQ
Term
ligament that separates the left and right lobes of the liver
Definition
falciform ligamanet
Term
Where does the falciform ligament of the liver attach
Definition
to the anterior abdominal wall
Term
Capsule covering the liver
Definition
Glisson capsule
Term
What happens if the liver is diseased or swollen
Definition
the Glisson capsule (which contains blood vessel, lymphatics and nerves) becomes distended and causes pain. The lyphatics may ooze fluid into the peritonal space
Term
The two types of inward blood sources to the liver
Definition
the hepatic artery and the hepatic portal vein
Term
Function of the hepatic portal vein
Definition
Recieves deoxygenated blood (from the inferior and superior mesenteric veins and splenic veins). This blood contains all the substances that has been absorbed from the digestive tract. The nutrients are absorbed from the small intestines and are metabolised for use by body cells. Once metabolised, the liver either releases the nutrients into the blood stream, or stores them for later use
Term
anatomical units of the the liver
Definition
liver lobules
Term
functional unit that forms the liver lobules
Definition
hepatocytes
Term
describe location and function of sinusoids
Definition

sinusoids (leaky capillaries) are located between the hepatocytes plates.

 

Function is to recieve blood from branches of the hepatic artery and hepatic portal vein

Term
function of bile canaliculi
Definition
are small channels which conduct bile produced by the hepatocytes onwards to the bile ducts then to the common bile duct to be drained into the duodenum
Term
Sphinter of oddi
Definition
also called the hepatopancreatic sphinter. Opening between common bile duct and duodenum
Term
lining of the sinusoids and function (2)
Definition

-highly permeable endothelium: enhance transport of nutrients 

 

- phagocytic kupffer cells, which are part of the mononuclear phagocyte system. Remove foregin substances and trap bcteria

 

Term
describe location and function of disse space
Definition
found between the hepatocyte and sinusoids. Function is to drain interstitual fluid into the hepatic lymph system
Term
purpose of bile
Definition
for the intestinal emulsification of fats into small spheres called micelles. This allows fat absorption
Term
what is enterohepatic circulation
Definition

-It is the 'recycling' of bile salts

 

-cycle of hepatic secretion, intestinal absorption and hepatic resecretion of bile. 

Term
haemostatic functions of liver
Definition
liver produces clotting factors necessary for coagulation
Term
Role of vitamin K
Definition
a fat soluble vitamin needed in the production of blood clotting factors.
Term
what is bilirubin
Definition
a by product of the destruction of RBCs. It gives bilirubin a greenish-black color.
Term
Describe process of bilirubin formation
Definition
Aged red cells are taken up into the mononuclear phagocyte system (primarily in the spleen and liver) -> haemoglobin is separated into haem and globin. -> globin is broken down and recycled to form new proteins alon from the iron from haem, bilirubin is a product of haem -> liver metabolises bilirubin into bile salts and secretes waste products to form the pigments of bile
Term
Difference between bile salts and bile pigments
Definition

-bile salts: assist fat digestion

 

-bile pigments: contain waste of bilirubin

Term
describe metabolic detoxification
Definition

liver metabolises both substances produceed in the body and substance that are ingested. 

 

the liver makes toxic substance less toxic.

 

However, the end procucts may be toxic

Term
primary function of the gallbladder
Definition
store and concentrate ble between meals
Term
where is the spleen located
Definition
the body of the spleen is located deep into the abdomen int the LUQ, behind the stomach. The head is tucked into the curve of the duodenum, and it's tail is touching the spleen
Term
Describe the pancreas endocrine fuctions
Definition
secrete hormones directly into bloodstream; mainly insulin and glucagon
Term
Function of the pancreas exocrine system
Definition
consists of the secretions that empty directly into the digestive tract
Term
acini and networks of ducts
Definition
structures of pancreas that secrete enzymes and alkaline fluids for digestion
Term
alpha and beta cell function
Definition

alpha: secrete glucagon to break down glucose stores in liver

 

beta: secrete insulin

 

 

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