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CSA Sem Rev 2
Portal Venous System and Liver
46
Other
Undergraduate 2
12/11/2010

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Cards

Term
What feeds partially deoxygenated blood blood to the liver?
Definition
Portal vein
Term
What two processes take place in the liver to modify the portal venous blood?
Definition
metabolism and detoxification
Term
How can the hepatic veins and portal veins be distinguished sonographically?
Definition
the portal vessels have more echogenic walls than the hepatic veins
Term
What three terms describe the flow of the portal vein?
Definition
hepatopedal, monophasic, low velocity
Term
What are the three lobes of the liver?
Definition
left, right and caudate
Term
How many segments does the Couinaud system divide the liver into?
Definition
9 segments
Term
Each segment of the liver has its own what?
Definition
portal triad
Term
what is the importance of the sections of the liver having their own portal triad?
Definition
surgical resection
Term
What is portal hypertension?
Definition
increased pressure in the portal venous system
Term
What is it called when blood flows away from the liver?
Definition
hepatofugal
Term
What are collateral pathways that form due to PV htn?
Definition
esophageal, splenic and rectal varices
Term
What can happen to the ligamentum teres due to portal htn?
Definition
embryologic recanalization
Term
Because the portal system carries blood from the spleen, pancreas, stomach and mesentery, what pathology to the liver can occur as a result?
Definition
METS to liver
Term
What is the largest abdominal organ in the body?
Definition
liver
Term
What is the normal measurement for the length of the liver?
Definition
15-17 cm in length
Term
What 2 types of cells make up the liver parenchyma?
Definition
hepatocytes and Kupffer cells
Term
What is the function of the hepatocytes?
Definition
produce bile and metabolic processing
Term
What is the function of Kupffer cells?
Definition
macrophages that destroy invading organisms- defense
Term
What is the fibrous lining of the liver called?
Definition
Glisson's capsule
Term
All of the liver is covered by the peritoneum except what part?
Definition
bare area
Term
What attaches the bare area to the diaphragm?
Definition
coronary ligamnets
Term
What attach the most superior/lateral aspects to the diaphragm?
Definition
right and left triangular ligaments
Term
What in utero delivers oxygenated blood from the placenta to the heart and what does it become?
Definition
umbilical vein; ligamentum teres
Term
What is the name of the structure that bypasses the liver in utero?
Definition
ductus venosus-shunts blood from umbilical vein directly to IVC
Term
What does the ductus venosum become?
Definition
ligamentum venosum
Term
Sonographically, what is the importance of the ligamentum teres and the ligamentum venosum?
Definition
landmarks for differentiating lobes of the liver
Term
Which lobe of the liver is divided into anterior and posterior segments?
Definition
right lobe
Term
Which lobe is the largest?
Definition
right lobe
Term
Which lobe is the second largest and divided into medial and lateral segments?
Definition
left lobe
Term
What three structures are located in the left intersegmental fissure?
Definition
left hepatic vein, ligamentum teres, and falciform ligament
Term
Where is the caudate lobe located?
Definition
posteroinferior surface of liver
Term
This landmark divides the right and left lobes. What are 3 names for it?
Definition
main lobar fissure, Rex-Cantlie line, or GB fossa
Term
The ________ separates the caudate lobe from the right lobe.
Definition
IVC
Term
Where is the right hepatic vein located?
Definition
right intersegmental fissure
Term
What is located in the left intersegmental fissure?
Definition
left hepatic vein
Term
What is the hyperechoic line anterior to the caudate lobe?
Definition
ligamentum venosum
Term
The falciform ligament attaches to the ___________ and the _____________ abd wall.
Definition
diaphragm; anterior abdominal wall
Term
What remnant of the umbilical vein is found within the falciform ligament?
Definition
ligamentum teres
Term
What does the middle hepatic vein separate?
Definition
right lobe and the medial left lobe
Term
In sagittal plane, the hepatic artery usually passes _____________ to the common duct.
Definition
posterior
Term
All of the following make up bile EXCEPT: water,cholesterol, bile salts,lecithin,mucin,bilirubin,biliverdin
Definition
All except mucin
Term
What blood proteins are synthesized in the liver?
Definition
albumin, fibrinogen, prothrombin
Term
What blood anticoagulent is synthesized in the liver?
Definition
heparin
Term
What three things does the liver store?
Definition
vitamins, minerals and blood
Term
The main portal vein should measure less than ____________in diameter
Definition
13 mm
Term
All of the following are liver function tests EXCEPT: albumin, bilirubin, alk phos, AST, biliverdin
Definition
biliverdin
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