Liver and Gallbladder Flashcards

(34 cards)

1
Q

What is the liver and gallbladder associated with

A

Small intestine

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2
Q

Name the 4 functions of the liver in terms of digestive system

A

Production of bile, metabolises lipids which generates ATP, glucose storage for the body and detoxification

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3
Q

What does bile acts as

A

A detergent and fat emulsifier

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4
Q

What does bile assist in

A

Digestion and absorption of fats within the small intestine

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5
Q

What is bile produced by in the liver

A

The hepatocytes of the liver

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6
Q

How is the gallbladder related to the liver in terms of bile

A

Bile is collected by a network of ducts which drains into the gallbladder

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7
Q

Describe the gallbladder in terms of location and appearance

A

Small green sac with smooth muscle in its thin walls that snuggles up against the right lower surface of the liver

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8
Q

What purpose does the gallbladder serve

A

Concentrates and stores bile before released into the small intestine

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9
Q

What is the major stimulation for gallbladder contraction and why must the gallbladder contraction

A

Stimulation is cholecystokinin and the gallbladder must contract so that bile can enter to the small instestine

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10
Q

What is cholecystokinin

A

Instestinal hormone released when acidic fatty chyme enters the duodenum from the stomach

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11
Q

What is bile derived from

A

Cholesterol and cholic salts

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12
Q

High cholesterol can lead to formation of what

A

Gallstones (biliary calculi)

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13
Q

What is the main pigment of bile

A

Bilirubin

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14
Q

Bilirubin is formed from what

A

The waste product of heme formed during the break down of worn out red blood cells

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15
Q

Inflammation of the liver is what

A

Hepatitis

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16
Q

Inflammation of the gallbladder is what

A

Cholecysititis

17
Q

Hepatitis and Cholecysititis can lead to a build up of bilirubin in the blood, this then leads to what

18
Q

What is one of the breakdown products of bilirubin (once it has been metabolised in the small intestine)

A

Urobilinogen which gives poo the brown

19
Q

What does the portal circulatory system do

A

Delivers blood directly from the small intestine to the liver

20
Q

Portal hypertension is most often associated with what

A

Cirrhosis of the liver

21
Q

Describe the liver histology

A

Composed of hexagonal lobules

22
Q

Each lobule has what

A

Central vein with sheets of hepatocytes

23
Q

At each point of the hexagon is a portal triad consisting of what

A

Arteriole, venule and a bile duct

24
Q

Blood from the arteriole and venule passes down capillaries called what

25
What are inside the sinusoids
Star shaped scavenger macrophages, kupffer cels
26
What do kupffer cells do
Remove debris and worn out blood cells from the blood as it flows past
27
The sheets of hepactocytes lining the sinusoids do what
Process blood borne nutrients, stor fat soluble vitamins, detoxify blood of toxins and wastes and produce bile
28
Hepatocytes secrete bile into what
Tiny canals called bile canaliculi
29
Where does bile canaliculi run
Between the hepatocytes towards the bile ducts of the portal triads
30
HVA and HVE are transmitted by what
Food or contaminated water
31
HVB and HVC are carried in what
Infected blood products or body fluids
32
HVD is what
Mutated virus that needs HVB to be infectious
33
Alcohol poisoned hepatocytes regenerate near the what faster that what
Near the portal triads than those near the central vein
34
However what generates faster than hepatocytes and this results in what
Fibrous scar tissue and so the liver becomes filled with yellowish fat and non functioning scar tissue and obstructs vital blood flow to the liver