Liver and Pancreas Flashcards

(34 cards)

1
Q

Pancreas development:

_____ -> _____ -> pancreas

pancreas arises from dorsal and ventral _________

A

endoderm -> foregut

pancreatic buds

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2
Q

where do pancreatic buds appear?

A

caudal part of foregut, appearing on either side of the duodenum

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3
Q

most of the pancreas comes from which bud? Which parts of pancreas?

A

dorsal pancreatic bud

part of head, body, and tail

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4
Q

ventral pancreatic bud develops near

A

bile duct entry into duodenum

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5
Q

in pancreatic development, the duodenum rotates to the right to become c-shaped.
The ventral bud rotates to lie _____ to dorsal bud and they ______

A

posterior

fuse

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6
Q

what does the pancreatic duct come from?

A

fused ducts of the ventral and dorsal buds

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7
Q

ventral pancreatic bud becomes the

A

head of the pancreas

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8
Q

_____ and ______ cells develop before _____ cells in the pancreas

A

glucagon and somatostatin before insulin

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9
Q

when does insulin secretion begin?

A

10 weeks

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10
Q

uncommon anomaly that arises when ventral pancreatic bud fuses with dorsal bud around duodenum, forming a ring

A

annular pancreas

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11
Q

what happens in exocrine pancreas?

A

exocrine secretion of digestive proenzymes

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12
Q

acinus (secretory unit) of exocrine pancreas contains two cell types:

A

acinar cells

centroacinar cells - secrete fluid; beginning of duct system

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13
Q

path of exocrine product from pancreas to duodenum

A

intercalated duct –> intralobar duct –> interlobular duct –> main pancreatic duct –> common bile duct –> papilla of Vater –> duodenum

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14
Q

how can gallstones cause pancreatitis

A

they can get stuck in the papilla of Vater and enzymes can’t get out of pancreas

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15
Q

in the 4th week, the caudal part of the foregut gives rise to the _________ (liver development)

A

hepatic diverticulum

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16
Q

hepatic diverticulum enlarges and divides into (2)

A

primordium of the liver

biliary apparatus

17
Q

hepatic cords (primordial liver) anastamose to give _____

mesenchyme (primordial liver) gives rise to _____

A

sinusoids

Kupffer cells

18
Q

the biliary apparatus develops from the _____ portion of the hepatic diverticulum and gives rise to _____

A

caudal

gallbladder

19
Q

what are Kupffer cells?

A

liver macrophages

20
Q

by week 9, the liver is ____ % of total fetal weight

bile formation begins during week ____

21
Q

In liver development, mesentary is ______ (think layered)

the ________ attaches lesser curvature of stomach to the liver and duodenum

the _______ attaches the liver to the anterior abdominal wall

A

double-layered

lesser omentum

falciform ligament

22
Q

describe afferent blood supply to liver

A

it’s dual

hepatic artery - oxygenated blood

portal vein - deoxygenated, but nutrient-rich, blood from GI and spleen

23
Q

hepatic vein drains from liver to

24
Q

bile flows to and from liver through the

25
how are hepatocytes organized in the liver?
hexagon-shaped lobules and aligned in sheets that are 1-2 cells thick
26
vascular space between hepatic plates contains Kupffer cells
sinusoids
27
plasma-filled cavity between blood vessel endothelial cells and hepatocytes
Space of Disse
28
what are portal areas in the liver for, and what are they composed of?
allow blood flow through liver composed of hepatic arteriole, portal venule, and bile duct
29
vein at the center of a classic hepatic lobule drains blood from sinusoids --> hepatic vein --> IVC
centrilobular vein
30
hepatocytes live for ____ days, meaning the liver can _____
150 days regenerate
31
obstruction of the biliary tract characterized by degeneration of hepatocytes and formation of fibrous tissue
Cirrhosis
32
what does the gallbladder do?
stores, concentrates, and releases bile
33
gallbladder is lined with (tissue)
simple columnar epithelium
34
two types of gallstones (cholethiasis)
cholesterol stones pigment stones