Ch 12 Flashcards

(47 cards)

0
Q

How much does liver weigh

A

3-4 pounds

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1
Q

Liver located in

A

Right upper quadrant above right kidney and below 10th rib

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2
Q

What does the liver do

A

Makes bile that’s stored in the gallbladder

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3
Q

Size/shape of liver

A

Largest solid organ in the body/ triangular shape

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4
Q

Left major liver lobe

A

Smaller of majors, separated by falciform ligament

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5
Q

Minor liver lobes

A

Quadrate lobe is Posterior between gallbladder and falciform ligament. Posterior to that is caudate lobe.

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6
Q

How does bile travel

A

To gallbladder or directly to duodenum by right/left hepatic duct

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7
Q

Two ducts combine to form

A

Common hepatic duct

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8
Q

Common hepatic duct turns into

A

Common bile duct before emptying in duodenum through hepatopancreatic duct

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9
Q

What % of people have separate opening for common bile duct

A

40%

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10
Q

Length/width/location of common bile duct

A

7.5 cm long
Width of drinking straw
Superior portion of duodenum & head of pancreas

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11
Q

What does common bile duct connect w/ and empty in

A

Connects w/ pancreatic duct, empties in descending portion of duodenum

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12
Q

Gallbladder length/width/shape

A

7-10 cm long
3 cm wide
Pear shape

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13
Q

Distal end of gallbladder sac

A

Fundus

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14
Q

Main section of gallbladder sac

A

Body

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15
Q

Narrow proximal end of gallbladder sac

A

Neck

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16
Q

How much bile is in gallbladder

A

30-40 cc

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17
Q

Function of gallbladder

A

Stores bile

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18
Q

Why is bile concentrated

A

Hydrolysis (remove h2o)

19
Q

Fatty acids secretes hormone called

A

Cholecystokinin (cck)

20
Q

Cystic duct length

21
Q

Spiral folds

A

Membranous folds along length of cystic duct. Prevents collapse

22
Q

Gallbladder on asthenic patient

A

Near level of iliac crest, close to midline. 35-40 degree Lao

23
Q

Gallbladder sthenic and hypo sthenic

A

Between xyphoid tip and lower rib, 20-25 degree Lao

24
Hyper sthenic gallbladder located
High and lateral. 15-20 degree Lao
25
Best way to visualize gallbladder
Ultrasound
26
Reasons to have oral cholecystogram
Nausea, heartburn, vomit, right side pain
27
What forms gallstones
Calcium
28
Choledocholithiasis
Stones in the biliary ducts
29
Gallstones discomfort for patient
Pain especially when eating on right side
30
Who is at great risk for gallstones
Pregnant women
31
Exams for finding gallstones
Ultrasound, CT
32
Milk calcium bile
Emulsion of biliary stones in gallbladder
33
How is milk calcium bile demonstrated
Right lateral decub
34
Cholelithiasis
Stones in gallbladder
35
Reasons for non visualization of gallbladder
Removed, need contrast
36
Neoplasms
New growth either benign or malignant
37
Biliary stenosis
Narrowing of biliary ducts
38
Congenital anomalies
Acquired at birth
39
Chole
Relationship to bile
40
Cysto
Sac or bladder
41
Choleangiogram
Examination of biliary ducts
42
Cholecystocholangiogram
Study of both gallbladder and biliary ducts
43
Choleliths
Gallstones
44
Cholelithiasis
Condition of having gallstones
45
Cholecystitis
Inflammation of gallbladder
46
Cholecystectomy
Surgical removal of gallbladder