Jaundice lecture Flashcards

(34 cards)

1
Q

What is Jaundice?

A

yellowing of skin and sclera due to increase build up of bilirubin in the blood levels

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2
Q

What is bilirubin?

A

normal by-product of breakdown of red blood cells

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3
Q

what is the biliary tree?

A

set of tubes connecting the liver to 2nd part of duodenum

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4
Q

What is bile important for?

A

normal absorption of fats from small intestine

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5
Q

Pancreas secretes digestive enzymes. Why?

A

necessary for digestion of food

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6
Q

Where is portal triad found?

A

free edge of lesser omentum

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7
Q

3 important tubes in portal triad?

A

Hepatic artery
Hepatic portal vein
Common bile duct

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8
Q

Celiac trunk - what vertebral level?

A

T12

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9
Q

Celiac supplies which part of the gut?

A

Foregut

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10
Q

Celiac trunk bifurcates into which branches?

A

Splenic artery
Hepatic artery
Left Gastric artery

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11
Q

Celiac trunk is retroperitoneal. True or False

A

True

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12
Q

What is the hematological function of the spleen?

A

Breaks down red blood cells to produce bilirubin

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13
Q

Which ribs protect the spleen?

A

9-11

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14
Q

Which arteries run along lesser curvature of stomach?

A

Right and left gastric arteries

Anastomose together too

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15
Q

Which arteries run along greater curvature of stomach?

A

Right and left gastro-omental arteries

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16
Q

What are the blood supplies to the liver?

A

Hepatic portal vein - main 70%

Hepatic arteries - left and right

17
Q

Liver has dual blood supply. True or False

18
Q

4 lobes of liver

A

Left
Right
Caudate
Quadrate

19
Q

What does central vein do?

A

collects ‘cleaned’ blood and drains into hepatic veins

20
Q

Where is the hepatorenal recess(Morison’s pouch)

A

between back of liver and kidney

21
Q

Where is subphrenic recess?

A

between to of liver liver and diaphragm

22
Q

What is peritonitis?

A

collection of pus in the recesses causing abscess foratiom

23
Q

What does the hepatic portal vein do?

A

drain blood from all parts of the gut to the liver for first pass metabolism (cleaning)

24
Q

What does Splenic vein do?

A

drains blood from foregut to hepatic portal vein

25
Inferior mesenteric vein does?
drains blood from hindgut to splenic vein
26
superior mesenteric does?
drains blood from midgut to hepatic portal vein
27
what does the gall bladder do?
stores and concentrates bile
28
the neck of gall bladder is potential site for gallstone impaction. True or false?
True
29
How does bile flow in and out of gall bladder?
cystic duct
30
gall bladder blood supply is via?
cystic artery
31
how does gall bladder inflammation occur?
irritation or impaction from gall stones
32
where is visceral afferents (gallbladder)
T6 -T9
33
gall bladder referral pain
right shoulder
34
cholecystectomy
gall bladder removal