Lecture 12

Question 1

Is the spleen suspended or retro?

Answer 1

suspended

Question 2

Spleen forms from the ?

Answer 2

dorsal mesentery

Question 3

What ribs is spleen related to?

Answer 3

Ribs 9-11. Long axis parallel to rib 10

Question 4

What ligaments is spleen suspended on?

Answer 4

Gastrosplenic and splenorenal ligaments

Question 5

What are the four borders of the spleen?

Answer 5

Superior (often notched - notches are where primordia fused)
Inferior
Anterior (sharper)
Posterior (rounder)

Question 6

What are the surfaces of the spleen and impressions?

Answer 6

Diaphragmatic

Visceral - gastric, pancreatic/colic, renal impressions

Question 7

What are arterial supplies and venous drainage of spleen?

Answer 7

Splenic artery and splenic vein

Question 8

Splenic artery is a branch of the ……

Splenic vein is a tributary of the ……

Answer 8

coeliac trunk, portal vein

Question 9

What rib level is liver located?

Answer 9

rib 5 to costal margin

Question 10

Which costal cartilage level is gall bladder found?

Answer 10

9th costal cartilage

Question 11

What are the anatomical lobes of liver?

Answer 11

L, R, caudate, quadrate

Question 12

What are the functional lobes of the liver?

Answer 12

L, R

Question 13

What anatomical lobes form the L functional lobe of the liver?

Answer 13

Left lobe, caudate and quadrate

Question 14

What determines L and R functional lobes of liver?

Answer 14

L supplied by L hepatic artery and R supplied by R hepatic artery
Line drawn up through fossa for gall bladder

Question 15

What is the (dual) blood supply of liver?

Answer 15

oxygen poor blood from portal vein

oxygen rich blood from hepatic artery proper

Question 16

What drains the liver?

Answer 16

hepatic veins

Question 17

Is the liver suspended or retro?

Answer 17

suspended

Question 18

What are ligaments of the liver?

Answer 18

L triangular, coronary, R triangular

Question 19

What do the ligaments of liver connect to?

Answer 19

Superior liver to right dome/central tendon of diaphragm

Question 20

Where is falciform ligament and ligamentum teres located?

Answer 20

Falciform extends from anterior surface of liver to anterior abdominal wall and ligamentum teres is in the lower edge of the falciform ligament

Question 21

Where is ligamentum venosum

Answer 21

In fissure for ligamentum venosum between left and caudate lobes

Question 22

What is ligamentum venosum attached to

Answer 22

lesser omentum

Question 23

Where is fissure for ligamentum teres

Answer 23

between left and quadrate lobes

Question 24

What are the two fissures in the liver?

Answer 24

Fissure for ligementum venosum and fissure for ligamentum teres

Question 25

Where and what is the porta hepatis?

Answer 25

The porta hepatis is a deep fissure separating caudate and quadrate lobes in the inferior surface of the liver. It contains: right and left hepatic ducts right and left branches of hepatic artery portal vein

Question 26

What are ligamentum venosum and teres remnants of?

Answer 26

fetal left umbilical vein

Question 27

Where precisely is the ligamentum teres derived from?

Answer 27

Part of umbilical vein between umbilicus and left branch of portal vein

Question 28

Where precisely is the ligamentum venosum derived from?

Answer 28

Part of umbilical vein between portal vein and IVC

Question 29

Where is bile produced?

Answer 29

hepatocytes in the liver

Question 30

What are the three parts of the gall bladder

Answer 30

fundus, body, neck

Question 31

Where is gall bladder located?

Answer 31

in fossa on posterior surface of right hepatic lobe

Question 32

What is the name of the duct leading from the neck of the gall bladder?

Answer 32

cystic duct

Question 33

What ducts drain from the liver?

Answer 33

L and R hepatic ducts

Question 34

Describe duct pathway from L/R hepatic ducts onwards

Answer 34

L/R hepatic ducts fuse to form common hepatic duct. Joins with cystic duct to form bile duct, which fuses with main pancreatic duct to form hepatopancreatic ampulla