karaciger, safra ve pankreas

Question 1

karaciger size

Answer 1

Toplam uzunluk: 25-30 cm
Ön-arka (sağ): 14-16 cm
Yükseklik (sağ): 8 cm
Ağırlık: 1000-2500 gr (VA %2)
E: 1400-1800 gr
K: 1200-1400 gr
Ç: VA %5

Question 2

KAracigerin izdusumu

Answer 2

From 4. intercostal aralik to 10. intercoastal aralik (sag)

4-6 submatite
6-10 matite

from intercostal 6. to 8. (sol

Question 3

Karaciger biopsisi hangi seviyeden

Answer 3

sag tarafta linea axilliais mediana’da 8. veya 9. intercostal araliktan yapilir….after zorlu expiration

Question 4

primitif bagirsak borusu

Answer 4

on bagirsak-trunucus coeliacus’dan dal
orta bagirsak-mes sup
son bagirsak-mes inf

Question 5

what kind of turn do organs take before reaching their current postition

Answer 5

270 clockwise

Question 5

karaciger intraperitoneal mi yoksa

Answer 5

Buyuk oranda intraperitoneal ama periton olmayan yerleri de var

Question 6

Karacigerin peritonun embirolojik gelisim

Answer 6

karacigerin ustunu ortecek periton gitti karin on duvarina, umblicus ustunde, mesnterium ventrale dedgimiz yerede 2 yaprak olarak karin on duvare tutundu=lig falciforme hepatis
bir kisimi ustune dogru atlayip daha sonra diaframaya atliyacak

Question 6

Karacigerin peritonsuz alanlar

Answer 6

karaciger buyudukce va saga donus nedeinyle arka-ust bolge peritonsuz kalir

adi=AREA NUDA
nerede=buyuk kismi pars posteiorda, kucuk kismi pars superiorda
sinir=lig. coronarium
shapr+H
*fissura ligametum teres
*fossa vesica biliaris
*porta hepatis ( karacigerin giris kapisi)
*sulcus vena cava inferior

Question 7

pankreas embrioyonojik gelisim

Answer 7

bagirsak duvarindan kaynaklanan bir yapi tomurcuk olusturur(one uzanir)—buradan karaciger ve pankreas ventral
arakda da bir tomurcuk olusur—burdan esas pancreas(dorsal)
on taslak ve arka taslak=eventually combines and becomes one

Question 7

=diverticulum hepaticum

Answer 7

karaciger one dogru peritonu surekledi

Question 8

Pankreas-the peritoneal journey

Answer 8

ilk basta-intraperitoneal
sonra-sekonder intraperitoneal ( sadece onu peritonla kapali)

Question 9

Bobrek-the peritoneal journey

Answer 9

Hep retro
peritoneal

Question 10

Pankreasin onu midenin arkasinda bulunan periton bosluk

Answer 10

Bursa omentalis

Question 11

karacigerin yuzlar

Answer 11

Fascies diaphragmatica-yukardan
Facies visceralis-asagidan baktigimzda,organlarda komsuluk

Question 12

Facies diaphragmaticanin pars superior

Answer 12

Pars superior- diaphrgama araci ile sag-akciger ve pleura ile sol- pericard (impressio cardiaca) komsu

ust yuzun buyuk bolumu peritonla kapli. sadece arka kisimina yakin bolumunde periton bulunmaz( area nudanin onde)—held with gevsek bag dokusu to diaphragm

Question 13

facies viscrealis

Question 14

expansion of karaciger across the quadrants

Answer 14

Regio hypochondria dextra-tumu
regio epigastrica-buyuk bolumu
regio hypochondria sinistra-linea midclavicularis kadar

Question 15

karaciger facies diafragmatica pars anterior

Answer 15

lig. falciforme ile iki loba ayrilir
lig. falciforme oldugu yerde haric peritonla kapili

Question 15

what are mesenterium ventrale and mesenterium dorsale?

Answer 15

Mesenterium ventrale- sindirim borusunun gobegin ustunde kalan kisiminini karin duvarina bagilanan periton plikasi
Mesenterium dorsale-sindirim borusunun tumunu karin araka duvarina asan periton plika

Question 16

karaciger facies diafragmatica pars posterior

Answer 16

*sulcus vena cava inferior
*fissura ligamentui venosi–lig. venosi bulunur(embry. kalinti)
between the two=lobus caudatus
*impressio suprarenalis
*impressio esophagea

Question 17

pars dextra-

Answer 17

kaburgalarla komsu(diafram araciliyla)

Question 18

karacigerin baglari

Answer 18

Lig. falciforme hepatis-onden
Lig. coronarium hepatis
Lig. hepatorenale
Lig. triangulare dextrum-(sag bobrege devam)lig hepatorenaleye devam
Lig. triangulare sinistrum-diaframaya doguru–apendix fibrosa hepatis olacak
Lig. teres hepatis
Lig. venosum

Question 19

karacigerin loblari

Answer 19

Sag/sol anterior-split by lig falciforme heptis
sag sol posterior-split by lig venosum(arantius) and lig.teres hepatis ( retired v. umblicalis)

Question 20

the Couinaud segments of the liver- what is it based on

Answer 20

Safra kanallari ve hepatik damarlarin( a. hepatica, v. porta hepatis)

Question 21

What is found under the periton of karaciger

Answer 21

A capsule wrapping liver---tunica fibrossa( Glisson kapsulu)

Question 21

explain the ince yapi of karaciger

Answer 21

Lobuli hepatis var. Onlarin ortada v.centralis var. Bu damarin etrafinda da isin tarzinda karaciger hucre guplari hucre kolini olustutur. bunlarin arasinda

Question 22

the progressing of biliferler

Answer 22

between karaciger lobcuklar there are safra kapiller. Canaliculus bilifer(bound by karaciger hucre)>>Ductus bilifer>>intralobularis>>Ductus interlobularis bilifer>>ductus hepaticus dexter ve sinister( porta hepaticus ulasir)

Question 22

what wraps the lobcuklar and samarlar of karaciger

Answer 22

Capsula fibrosa perivascularis

Question 23

Safra sistemi

Question 24

Karacigeri kim besler

Answer 24

A. hepatica A. hepatica communis A. hepatica propria>>a.hepatica propria ramus sinsiter ve ramus dexter>>a. interlobularis( derini besler)

Question 25

portal system

Question 25

A. hepatica communis’in diğer dalları

Answer 25

a. gastrica dex. ( a. hepatica proprianin) a. gastroduodenalis a. cystica (safra kanallarına direk arterler)

Question 25

karacigerin dalak ile iliskisi

Answer 25

Dalaktan atilan ya da depoya giden seyler karacigere gelir. Atilanlar v. hepatica ile direkt atilir.

Question 26

What is plexus hepaticus and what are its components

Answer 26

n.vagus(parasempatik)+truncus sympaticus found in the hilius and arteries of liver

Question 27

Portal traid kimler nereye acilir?

Answer 27

ductus bilifer a. hepaticanin dali v.portalis

Question 28

Safra kesesi nerede muayene edilir?

Answer 28

Murphy noktasinda midclavicular hat(sag)-arcus costalis kesistigi yer

Question 29

Safra kesesinin bolumler

Answer 29

*Ductus cysticus( plica spiralis+duz kisin) *collum(caput) *Corpus *fundus

Question 30

the canals from safra kesesi

Answer 30

ductus hepaticus dex and sinistra>> ductus hepaticus communis>> ductus choledocus+ductus pancreaticus>>Papilla duodeni major( at 2./pars descendens of duodeunuma acilir)

Question 30

sphincthers related to bile canals

Answer 30

m. s[hinchter ampulla m.sphincter ductus pancreatici m. sphincter ductus choledochi

Question 31

sfara kesesesinin dali

Answer 31

a. cystica--ramus dexter

Question 31

v.porta hepatica'yi kim olusturur

Answer 31

v. mesentrica sup v.linealis( mesentrica inferioru da alir)

Question 32

pankreasin kanalrar

Answer 32

ductus pancreatic major-arka taslak accseuar kanal-vntral taslak

Question 33

trunucus coeliacus dallari

Answer 33

a.hepaticus communis a.gastrica sinistra a.splenica(lienalis)

Question 34

direkt katilian

Answer 34

v.gastrica sinistra ve dextra v.pancreatico duodeanlis superior

Question 35

karaciger ve dalak lenf nod

Answer 35

yuzeyel ve derin (periton hemen altinda ya da parankimda) porta hepatisdaki nodi hepatici>>nodi coeilliacus>>truncus intesinalis>>ductus thoracicus

Question 36

karaciger innervation

Answer 36

T8-T10=sempatikler n.vagus=parasempatik =gerime bagli agir affernt(only sempatik)

Question 37

safra kesesei innervation

Answer 37

t7-t10 =gerime bagli agir affernt(only sempatik) sag omuz+ sag taraf bel bolgesi(t10 yukdaris/umblical yukarisi)

Question 38

Pankreas bolumleri

Answer 38

caput pancreati collum corpus cauda

Question 38

pancreas fonskyion

Answer 38

Ekzokrin fonksiyon Lipaz, amilaz, tripsinojen... Endokrin fonksiyon İnsülin, glukagon vb.

Question 38

pankreasin komsu

Answer 38

saginda-bobrek,duodenum sol-bobrek ustu araka-IVC, aorta(a.v renalis)

Question 39

incisura pancreatis ne

Answer 39

a. ve v. mesentrica superior gecer

Answer 40

margo ant margo post