Liver Flashcards

(83 cards)

1
Q

what does the liver develop from

A

an outgrowth of the gut

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2
Q

What is the function of the liver

A

carbohydrates + proteins –> fatty acids and triglycerides
Oxidise trilcericdes to produce energy
regulate blood gluoce concentration
detofification
bile secretion
syntehsie cholesterol

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3
Q

how does the liver regulate glouce concentration

A

through glyocgensis and glyconeogensis

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4
Q

what is the liver surrounded by

A

dense fibrous connective tissue and covring of mesthelial cells

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5
Q

what is the function of the mesothelium

A

acts as a shield against pathogens

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6
Q

what does the capsule also have c + e f

A

collagen and elastic fibres
blood vessels

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7
Q

what does the glission capsule send out

A

extensions into the hepatic parecnhyma which contributes to the supportive stroma

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8
Q

what is this covering derived from

A

simple squamous derived from the peritoneum

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9
Q

what are the different parts of the liver

A

Gibsons capusule
Parenchyma
Stroma

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10
Q

what does the Connective tissue do to the parenchyma

A

Divides it into lobules

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11
Q

what does the parenchyma consist of

A

ornaisgsed plates of heaptocytes
portal triad
central vein

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12
Q

what is the stroma continuous with

A

fibrous capdule of glission

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13
Q

what does the stroma contain

A

sinusoidal capillaries - vascular channels between paltes of hepatocytes
perisnsioundal spaces - lie between sinusoidal endothelium and hepatocytes

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14
Q

what ia the general structure for the classic hepatic lobule <=>

A

6 sides with a portal triad sourring each side with hepatic sinusoids going into the central vein

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15
Q

what is in the portal triad

A

portal vein
hepatic artery
bile duct

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16
Q

what is the hepatic sinusoids arranged around

A

the central vein

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17
Q

where does most of the blood come from

A

hepatic portal vein
rest is hepatic artery

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18
Q

what is the function of the portal vein

A

nutrient rich blood from the gastrointesitnial tract

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19
Q

what is the function of the hetpatic artery

A

provide oxygenated blood

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20
Q

what do terminal branches of the portal vein empty into

A

thin wall hepatic sinusoiids that are in contract with hepatocytes

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21
Q

what type of capillary is the hepatic sinusoids

A

fenestrated

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22
Q

what is the portal vein thin walls lined with

A

endothelium

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23
Q

why can the hepatic arteriole be identified

A

due to their thick muscular layer around the endothelium

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24
Q

what epithelium is the bile ductule lined with

A

simple cubodial

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25
what is the main cells of the liver
hepatocytes
26
what are they
polyhedral epithelial cells
27
what do they form but what are they actually
cords of liver cells sheets or plates of cells
28
what is a sinusoids
the sheets of hepatocytes have spaed to allow blood flow
29
why is the cytoplasm of the hepatocytes esonphillic
because of their mitchodronia
30
what is there nuclei like
large spherical nuclei with nuclei have more than one nculei
31
what is the surface of each hepatocyte in contract with
wall of the sinusoid (through perisinusoidal space)
32
what is a bile canilcusus definition - projections - junctions - plasma
2 hepatocytes meet first part of the bile duct microvilli projections from the hepatocytes joined by tight junctions plasma is linited
33
what are the three types of lobules
classic hepatic portal hepatic acinus
34
classic hepatic lobule
drains blood from the portal vein + hepatic veins into the central vein or hepatic vein
35
what is the classic lobule useful for
endocrine function producing factors for the uptake of plasma
36
what is portal lobule
drains bile from hepatocytes to the bile ducts
37
what is this useful for
exocrine function
38
what is the shape of the portal lobule
triangular central veins and three classic lobulaes at its angle
39
what is the hepatic anius
supplies oxygenated blood to hepatocytes
40
what does the hepatic acinus look like
irregular ovual from the two portal triadards to the two cloest central veins
41
what are the different zones of the hepatic acinus
Zone I - hepatocytes closeest to the hepatic arteriole gets the most oxygen and nutrients Zone III - closeest to the central vien least oxygen
42
what does being in zone one allow for function
oxidative metbaolsim functions such as proteins syntehsis
43
what are the sinusoids lined with
endothelial cells
44
what is the space of Disse / perisinsoidal space
a small space between the lining of the sinusoid and the hepatocytes
45
what projects into this space
microvilli of the hepatocytes
46
what is the endothelium of the sinuoid like
fenerstrated
47
why is this important
liquid components of blood have free access to the hepatocytes but blood cells DO NOT
48
what can be seen in the hepatocyte cytoplasm
mitchondria with tubular cirstae free ribosomes RER Golgi complexes cluster close to the bile canilicusus SER glycogen and lipid stroage
49
what does the SER contain
detofication enzymes
50
what is in glycogen and lipids
lysomes and peroisomes
51
what is the parenchyma supported by
reticular fibres (type III) Type I
52
where are type I colalgne fibres found
space of Disse
53
what does this meshwork support
hepatocytes and sinusoidal lining cells
54
what does the rectiulin do
The reticulin merges with the sparse collagenous supporting tissue of the portal tract T and central venule V.
55
at the periphery of the liver what is the reticulin continuous with
liver capsule
56
what are the portal tracts accompanied by (2)
liver capsule collagenous connective tissue
57
What are Kupffer cells
stellate marcophages
58
what are the kupffer found between
the sinusoidal endothelial cells on the lumane surface within sinsuoids near the portal areas
59
what is the main function of kupffer cells
break down aged erythrocytes and free heme for reuse remove bacteria and debris that may enter the portal blood adaptive immunity
60
hepatic steallate fate storing cells
contain vitamin A
61
what is their function
stores vitamin a produce ECM local immunity transform myofibroblasts to produce scar tissue in the liver
62
what does the kupffer cell have
lysome and a irregular micovilli
63
what is bile what does it contain
alkaine solution water ions phsopipids bilibruin and bile salts
64
why are bile salts inmportant
emulsification of fats
65
primary bile is produced by what
hepatocytes
66
what is the bile modified by
cholagnicotyeswh
67
where are the cholagniocytes found
lining the biliary tree
68
what is the bile secreted into
canilculi
69
what is the canilui formed bu
fine channels formed by plasma membrane of adjacent hepatocytes
70
what do the bile caniluiof adjacent hepatocytes plate merge to form
canals of herig
71
what do the canal herig drain into
the bile ducutles of the portal tracts
72
what are small bile ducts made of ep
The smallest intrahepatic bile ducts have one layer of small cuboidal cells
73
where are ducts always found
portal tracts and travel to with branches to the portal veins or hepatic arteries
74
what is the direction of the bile
from the centrle of the lobules to the periphery Not from the central vein
75
Intrahepatic biliary system - bc
bile canailcui with small channels formed by tight junctions no membrane limited by plasma but have tight junctions
76
near the peripheral portal areas what does bile canacuili do
empty into the canal of hering
77
then into what
bile ductules
78
what is the bile ductules composed of
cholangiocytes (cubodial epithelium cells)
79
where do the bilte ductules end
in the bile ducts in the portal spaces
80
what happens to the cells as the ducts get larger
more olumnar
81
what happens to their nculei
more basal
82
what is the connective tissue
dense collagen fibre bundles surrounds the ducts
83
what do the bile ducts fusing form
hepatic ducts