Liver Flashcards
(61 cards)
parts of the hepatic lobule - what is in the center vs angels of hexagon?
center = central v.
angels = portal tracts
function of stellate (ito) cells
store vitamin A
role in hepatic fibrosis
function of oval cells
BM origin
liver regeneration
differentiate into hepatocytes and biliary cells
why are liver sinusoids lined by fenestrated endothelial cells
diffusion
what is the gap between endothelial cells and hepatocytes called
space of disse
pale, enlarged, friable, enhanced lobular pattern
zonal degeneration and necrosis
what zone has
- least O2; susceptible to hypoxia
- greatest enzyme activity
-associated with severe anemia or right sided heart failure
centrilobular
zone 3 (peri acinar)
what zone is associated with zonal degeneration/necrosis in pigs/horses with alflatoxicosis
midzonal
zone 2
what zone is associated with toxin exposure lacking requirement of metabolism by oxidases
periportal
zone 1 (centro acinar)
what necrosis can link centrilobular areas or centrilobular to periportal areas and are confluent areas of necrosis
bridging necrosis
what necrosis covers the entire hepatic lobule with NO regeneration due to all hepatocytes in the lobule being affected
replacement occurs through ductular reaction
massive necrosis
what type of hepatic necrosis is caused by infectious agents
random necrosis
causes of pre-hepatic hyperbilirubinemia
problem with uptake
hemolysis
causes of hepatic hyperbillirubinemia
problem with conjugation
liver injury affecting ability of hepatocytes to metabolize/excrete bile
inherited abnormalities of bile synthesis inhibiting excretion
causes of post-hepatic hyperbillirubinemia
problem with secretion
obstruction of extrahepatic bile ducts - calculi, parasites, neoplasia, adjacent inflam (pancreatitis)
type of injury:
individual cell necrosis results in local proliferation and regeneration of hepatocytes
regeneration
4 types of hepatic injury
regeneration
fibrosis
cirrhosis
portal hypertension
causes of periacinal fibrosis
toxins
chronic passive congestion
causes of periportal fibrosis
chronic inflam
some toxins
causes of multifocal fibrosis
migrating nematodes
type of injury:
diffuse process characterized by fibrosis and conversion of normal liver architecture into structurally abnormal lobes
cirrhosis “end stage liver”
type of injury can lead to ascites due to diffuse fibrosis of the liver from chronic injury
portal hypertension
what are the types of circulatory disorders
- disturbances of outflow
- disturbances of inflow
- incidental
- infarction
passive or venous congestion such as from right side heart failure or endocardiosis is an example of what type of hepatic circulatory disorder?
disturbance of outflow