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Abdomen & Superficial Structures > Liver > Flashcards

Liver Flashcards

0
Q

Which two ligaments make up the lesser omentum?

A

hepatoduodenal & hepatgastric

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1
Q

Through which ligament does the MPV travel?

A

hepatoduodenal ligament

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2
Q

Which portion of the liver receives both right and left PV branches?

A

caudate lobe

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3
Q

What is the inferior boundary of the caudate lobe?

A

MPV

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4
Q

Coinaud’s liver segment 6

A

right posterior inferior

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5
Q

Which Coinaud’s segment of the liver is posterior and lateral to the right HV?

A

Segment 7

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6
Q

What is the functional unit of the liver?

A

lobule

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7
Q

What are the three vessels found in a portal triad?

A

portal vein, bile duct, hepatic artery

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8
Q

ALT, aka

A

SGPT

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9
Q

SGPT, aka

A

ALT

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10
Q

A patient presents to the department for a liver biopsy. While reviewing the chart, you note an INR of 1.3. What is your next step?

A

bring the lab results to the attention of the radiologist - too high for this procedure, but radiologist overseeing the procedure must make the call

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11
Q

What form of bilirubin is water soluble?

A

conjugated

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12
Q

What pigment is a byproduct of RBC breakdown

A

bilirubin

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13
Q

Is unconjugated bilirubin toxic or non-toxic?

A

toxic

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15
Q

List three functions of the liver

A

detoxifies blood, produces heat from chemical reactions, stores up to 400 mL of blood, produces 1/3-1/2 of the body’s lymph fluid

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16
Q

midclavicular liver measurement from diaphragm to inferior edge

A

< or = 15.5 cm

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17
Q

AP liver measurement midway through the organ

A

8.1 cm + or - 1.9 cm

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18
Q

caudate-Rt lobe ratio

A

< 0.65

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19
Q

Rt lobe-Lt lobe ratio

A

Rt lobe 2-3 times larger than Lt lobe

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20
Q

Reidel’s lobe

A

normal inferior extension of Rt lobe past the lower pole of the RK

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21
Q

What structure is the anatomical division of Rt & Lt lobes of the liver?

A

Falciform ligament

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22
Q

What structures border the quadrate lobe?

A

porta hepatis inferiorly, GB fossa & ligamentum teres laterally

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23
Q

What structures border the caudate lobe?

A

IVC posteriorly, ligamentum venosum anteriorly, main portal vein inferiorly

24
Q

What structure is the functional division of Rt & Lt lobes of the liver?

A

main lobar fissure

25
Q

Which structures course through the main lobar fissure?

A

MHV superiorly, imaginary line btwn GB fossa & IVC

26
Q

What structure is the functional division of Rt anterior and posterior segments in the liver?

A

right intersegmental fissure

27
Q

Which structures course through the right intersegmental fissure?

A

RHV superiorly, RPV inferiorly

28
Q

Which vessel courses within the right posterior liver segment?

A

posterior branch of RPV

29
Q

Which vessel courses within the right anterior liver segment?

A

anterior branch of RPV

30
Q

What structure is the functional division of Lt lateral and medial segments in the liver?

A

left intersegmental fissure

31
Q

Which structures course through the left intersegmental fissure?

A

LHV superiorly, ascending portion of the LPV mid-superiorly, ligamentum teres inferiorly

32
Q

Which vessel courses within the left lateral liver segment?

A

lateral branch of LPV

33
Q

Which vessel courses within the left medial liver segment?

A

medial branch of LPV

34
Q

What three vessels course through the hepatoduodenal ligament?

A

MPV, HA, CBD

35
Q

What is the posterior boundary of the caudate lobe?

A

IVC

36
Q

What is the anterior boundary of the caudate lobe?

A

ligamentum venosum & teres

37
Q

caudate process of caudate lobe

A

right oblique extension btwn IVC & MPV

38
Q

papillary process of caudate lobe

A

inferior extension along ligamentum venosum, above porta hepatis

39
Q

relationship of CBD & HA to MPV

A

anterior

40
Q

Where is Glisson’s capsule thickest?

A

porta hepatis & IVC

41
Q

What accompanies the portal triad for a short distance into the liver?

A

Glisson’s capsule

42
Q

anterior boundary of the epiploic foramen

A

hepatoduodenal ligament

43
Q

What fetal remnant courses through the falciform ligament?

A

umbilical vein

44
Q

Where does the remnant of the umbilical vein course?

A

through the falciform ligament

45
Q

path of falciform ligament

A

from umbilicus, along anterior aspect of the liver to the superior edge, attaching liver to diaphragm

46
Q

round ligament, aka

A

ligamentum teres

47
Q

ligamentum teres, aka

A

round ligament

48
Q

What fetal remnant comprises the ligamentum teres?

A

umbilical vein

49
Q

path of the ligamentum teres

A

along inferior aspect of left lobe of liver

50
Q

What fetal remnant comprises the ligamentum venosum?

A

ductus venosum

51
Q

path of the ligamentum venosum

A

anterior border of caudate

52
Q

components of the coronary ligaments of the liver

A

right and left triangular ligaments

53
Q

location of coronary ligaments

A

border the bare area

54
Q

purpose of coronary ligaments

A

connect the posterosuperior surface of the liver to the diaphragm

55
Q

relationship of the falciform ligament and the coronary ligments

A

continuous along superior aspect of the liver

Abdomen & Superficial Structures (7 decks)

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