D3 liver Flashcards
what is the observable consequence of jaundice
skin and whites of eyes are tinged yellow
immediate cause of jaundice (short)
bile pigment bilirubin
what is the bile pigment that causes jaundice called
bilirubin
how is bilirubin formed
formed in the liver from the heme grp from break down of haemoglobin
3 possible causes of jaundice
blocked bile duct
increased rbc production
damage/disease of liver
why is temporary jaundice observed in newborn babes 3
- foetal haemoglobin diff from after birth
- rapid breakdown of haemoglobin
- more bilirubin than can be broken down
what is cirrhosis
when damaged liver tissue is replaced with scar tissue
causes of cirrhosis
excessive alcohol/drug intake
chronic hep B/C, chronic bile duct blockage, cystic fibrosis
symptoms of cirrhosis
weakness, fatigue, jaundice
how is cirrhosis identified and cured
id: liver biopsy – scar tissue obserevd
cure: none!
structure of liver (general)
triangular organ with 4 lobes
how many lobules is in a liver lobe
has around 100k lobules
structure of lobules
- central venule from hepatic vein
- six more venules from hepatic PORTAL vein + six arterioles from hepatic artery
- blood vessels connected via sinusoids
what are sinusoids? 2
- blood-filled channels
- formed from subdivisions of hepatic portal vein
what happens in sinusoids 3
- arterial blood mixes with hepatic portal vein blood
- blood comes in contact with liver cells = proteins enter/leave
- sinusoids merge with venules leaving liver = hepatic vein –> carries blood away to vena cava
structure of sinusoids
tubes like capillaries but with DISCONTINUOUS ENDOTHELIUM
capillary vs sinusoid structure 5
capillary // sinusoid
narrower // wider
very small pores // fenestrated (big ass holes)
continuous basement membrane // discontinuous
cylindrical shape // no definite shape
how sinusoids differ from capillaries
- wider
- no walls separating blood from liver cells
- blood and liver cells in direct contact
- phagocytic cells line sinusoids
where is the bile channel
- between 2 rows of liver cells
- isolated from blood supply
what does the bile channel do
- bile from liver flows thru these
- channels merge into ducts – bile carried to gall bladder
what do hepatocytes do?
perform most liver functions (Esp storage and metabolism)