L11 “gallbladder” Flashcards

1
Q

biliary system consists of

A

liver, gallbladder & bile
ducts

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2
Q

biliary system is involved in

A

production➡️ hepatocytes
storage➡️ gallbladder
transportation of bile➡️ common bile duct

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3
Q

Bile is secreted by

A

Liver or hepatocytes at a constant rate of about 40 ml
per hour

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4
Q

When digestion is not occurring bile is stored and concentrated in

A

gallbladder

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5
Q

When digestion is occurring bile is delivered to

A

the 2 Part of duodenum.

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6
Q

Bile ducts consist of

A

• Bile canaliculi
• Interlobular ducts
• Intrahepatic ducts
• Right and left hepatic ducts
• Common hepatic duct
• Gallbladder & Cystic duct
 • Common bile duct

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7
Q

Cystic duct is a continuation of

A

The neck of gallbladder

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8
Q

Cystic duct united with Common hepatic duct to form

A

Common bile duct

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9
Q

liver cells secrete

A

bile

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10
Q

bile canaliculi carry the bile to

A

interlobular ducts

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11
Q

interlobular ducts join one another to form

A

larger ducts and at the porta hepatis form the right and left hepatic ducts

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12
Q

right hepatic duct drains the

A

right lobe of the liver

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13
Q

left hepatic duct drains the

A

left lobe, the caudate lobe, &
quadrate lobe

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14
Q

the caudate lobe, & quadrate lobe part of RT lobe

A

Anatomically

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15
Q

the caudate lobe, & quadrate lobe part of LT lobe

A

Physiologically “functionally ”

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16
Q

Right and left hepatic duct united to form

A

common hepatic duct

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17
Q

Length of common hepatic duct

A

1.5 inch (4 cm) long
الدبل يكون 3 انش

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18
Q

common hepatic duct is descends within the free margin of

A

the lesser omentum

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19
Q

Origin of cystic duct

A

the gallbladder

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20
Q

Length of The common bile duct

A

about 3 inches (8 cm) long

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21
Q

The common bile duct is descends within the free margin of

A

lesser omentum along with portal vein and hepatic artery

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22
Q

Posterior to portal vein

A

Inferior vena cava

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23
Q

Behind the head of pancreas which of the following structure pass

A

Common bile duct

24
Q

In case of carcinoma of the head of pancreas which of the following structure affected

A

Common bile duct

25
Q

In case of carcinoma of the head of pancreas which of the following diseases occur 

A

Obstructive jaundice

26
Q

The bile duct ends below by

A

piercing the medial wall of the second part of the duodenum

27
Q

What’s the sphincter of Oddi

A

circular muscle , surrounded the hepatopancreatic ampulla

28
Q

pear-shaped sac lying on the
undersurface of the liver

A

Gallbladder

29
Q

capacity of Gallbladder

A

30 to 50 ml, and stores bile if digestion isn’t taking place

30
Q

Location of gallbladder’s fundus

A

tip of the ninth right costal cartilage

31
Q

Neck of gallbladder continues as

A

Cystic duct

32
Q

body of Gallbladder lies in

A

contact with the
visceral surface of the liver

33
Q

fundus of Gallbladder lies in

A

contact with the anterior abdominal wall

34
Q

sphincter of Oddi close in case of

A

No digestion

35
Q

Anteriorly Relations of Gallbladder

A

• Anterior abdominal wall
• Inferior surface of the
liver

36
Q

Posteriorly Relations of Gallbladder

A

• Transverse colon
• First & second parts of the duodenum

37
Q

Function of the Gallbladder

A

• Concentrates bile
• Stores bile
• Excretes cholesterol
• Secretes mucus

38
Q

Blood Supply of gallbladder

A

cystic artery which is branch of the right hepatic artery

39
Q

Gallbladder drainage

A

Into cystic vein

40
Q

cystic vein drains directly into

A

portal vein

41
Q

Mention three tributaries drain directly into portal vein

A
  1. Right gastric vein
  2. Left gastric vein
  3. Cystic vein
42
Q

Lymph Drainage

A

drains into a cystic lymph node

43
Q

Location of the cystic lymph node

A

near the neck of the gallbladder

44
Q

Cystic lymph nodes drain into—— through the hepatic artery

A

Hepatic lymph nodes

45
Q

Hepatic lymph nodes drain into

A

celiac lymph nodes.

46
Q

Sympathatic & visceral nerve supply (pain) from the

A

celiac nerve plexuses

47
Q

Parasympathatic Nerve Supply

A

(vagus nerve) causes contraction of the gall bladder and relaxation of the sphincter at hepatopancreatic ampulla

48
Q

Somatic afferent fibers by

A

right phrenic nerve

49
Q

The gallbladder contracts in response to

A

cholecystokinin (CCK)

50
Q

Length of cystic duct is about

A

1.5 inch (3.8 cm) long

51
Q

What is the hartmann’s pouch

A

Dilated posteromedial wall of neck

52
Q

Clinical importance of hartmann’s pouch

A

Gall stones may lodge in it

53
Q

The mucous membrane of the
cystic duct is raised to form

A

spiral fold

54
Q

What’s the name of the fold of cystic duct

A

spiral fold

55
Q

spiral fold commonly known as

A

spiral valve

56
Q

function of spiral valve

A

keep the lumen constantly
open

57
Q

Murphy’s sign positive in

A

Cholecystitis