Ab viscera II (Liver and Pancreas)

Question 0

what are the 5 fluids in the liver?

Answer 0

arterial blood, portal blood, venous blood, bile, lymph

Question 1

the liver is an _____peritoneal organ

Answer 1

intraperitoneal

Question 2

the liver is bordered by the:

Answer 2

subphrenic space, hepatorenal recess, bare area (posterior)

Question 3

what attaches the liver to the anterior abdominal wall?

Answer 3

the falciform ligament

Question 4

what’s at the bottom of the falciform ligament?

Answer 4

the round ligament of the liver

Question 5

what lobe is between the ligamentum teres and the gallbladder?

Answer 5

quadrate lobe

Question 6

what lobe is between the IVC and the ligamentum venosum?

Answer 6

caudate lobe

Question 7

on a CT scan, the gall bladder appears ____

Answer 7

darker because it is filled with liquid

Question 8

the liver has ____ segments which each has it’s own ____

Answer 8

9, 5 fluid connections

Question 9

the ____ artery splits the liver into two sides

Answer 9

hepatic

Question 10

the ______ encloses the portal triad

Answer 10

hepatoduodenal ligament

Question 11

disease in the liver can lead to _____ hypertension

Answer 11

portal

Question 12

the portal vein is fed by the ______

Answer 12

superior and inferior mesenteric veins and the splenic vein

Question 13

what anastomoses can accommodate blood in portal hypertension?

Answer 13

1. tributaries of the left gastric to the azygos system 2. retroperitoneal area- colic veins with lumbar veins 3. superior rectal veins with the middle and inferior rectal veins 4. umbilicus veins and iliac veins 5. phrenic veins

Question 14

esophageal varices

Answer 14

Dilated submucosal veins due to portal hypertension and shunting of blood from the portal to systemic venous system. If they start bleeding, there is a high risk of mortality

Question 15

caput medusa

Answer 15

Result of portal hypertension - dilation of abdominal veins. Increased pressure causing dilation of collateral veins radiating over abdomen

Question 16

ERCP

Answer 16

Endoscopic Retrograde Cholangio-Pancreotography. Come from the esophagus and inject contrast material in a retrograde fashion

Question 17

a complication of gallstones is:

Answer 17

fistulas forming between other organs

Question 18

the gallbladder gives referred pain to the ____, or if it irritates the diaphragm, the ___

Answer 18

epigastric area, right shoulder

Question 19

the pancreas is primarily a _____ organ, except for the head, which is ____

Answer 19

retroperitoneal, intraperitoneal

Question 20

the superior mesenteric artery and vein travel in back of the ____ of the pancreas, and in front of the ____ of the pancreas

Answer 20

neck, uncinate process

Question 21

the ____ pancreatic duct merges with the common bile duct

Answer 21

main

Question 22

the pancreas gets blood from the _____

Answer 22

superior mesenteric and the celiac trunk

Question 23

pancreatitis is caused by ____

Answer 23

alcoholism and gall stones

Question 24

what are the two ligaments that connect to the spleen?

Answer 24

gastrosplenic ligament, splenorenal ligament

Question 25

the gastrosplenic ligament has the _____ in it

Answer 25

left gastroepiploic and short gastric arteries

Question 26

the splenorenal ligament has the _____ in it

Answer 26

splenic artery

Question 27

if the spleen is penetrated, you should check the ____ for a _____

Answer 27

pleura, pneumothorax