Liver Day 1

Question 1

How much does Liver weigh?

Answer 1

1200 to 1600 g (adult)

Question 2

What is the transverse diameter of the liver?

Answer 2

21 to 22.5 cm

Question 3

What is the Vertical height of the liver 

Answer 3

13-17.5 cm

Question 4

What is it anterior posterior depth of the liver

Answer 4

10-12.5 cm

Question 5

What is the echogenicity of the kidney spleen and pancreas compared to the liver? 

Answer 5

The kidney has the same echogenecity as the liver or little less
The spleen ecotenecity is the same as liver or a little more
The pancreas echogenecity is the same as liver or slightly more

Question 6

What helps with visualizing the pancreas?

Answer 6

The prominent left lobe of the liver 

Question 7

What is the pancreas relationship with the liver ?

Answer 7

The pancreas is inferior to the border of the left lobe

Question 8

What help visualize the right kidney and gallbladder?

Answer 8

The right lobe of the liver

Question 9

What is a normal anatomy of the liver?

Answer 9

Occupies most of the right hypochondrium, the greater part of the epigastrium, and the left hypochondrium

Question 10

Livers position related to the diagram

Answer 10

Inferior

Question 11

What covers most of the right lobe of the liver?

Answer 11

Ribs

Question 12

What is the left lobe of the liver covered by?

Answer 12

Ribcage

Question 13

Where is the fundus of the stomach located in relationship with the liver?

Answer 13

Posterior and lateral to the left lobe of the liver

Question 14

Where is the rest of the stomach located in relationship to the liver 

Answer 14

Inferior to liver

Question 15

Where is the duodenum located in relationship to the liver?

Answer 15

Duodenum is located medial and adjacent to the right lobe of the liver

Question 16

Where is the body of the pancreas located in relationship to the liver?

Answer 16

Inferior to the left lobe of the liver

Question 17

What is in contact with the posterior border of the liver? 8

Answer 17

Aorta, gallbladder, right Kidney, inferior vena cava, portal vein confluence, colon, cystic duct, hepatic artery

Question 18

What does the falciform ligament do to liver?

Answer 18

Suspense liver from the diaphragm and the anterior abdominal wall

Question 19

What does the reflections of diaphragm do?

Answer 19

Suspense liver from the diaphragm

Question 20

What is bare area?

Answer 20

It’s the area of the liver that is not covered by peritoneum

Question 21

Where do abscesses usually form?

Answer 21

In subphrenic area between liver/spleen, and diaphragm or the lesser sac

Question 22

Where is the right posterior subphrenic space located?

Answer 22

In between the right lobe of the liver, the right kidney and the right colic flexure

Question 23

Where is the lesser sac located in relationship to the liver/stomach?

Answer 23

Posterior

Question 24

Where is the Right subhepatic space located and what does it include?

Answer 24

The Right subhepatic space is located inferior to the right lobe of the liver and includes the Morrison pouch

Question 25

Where is the Morisons pouch located in relationship to the liver ?

Answer 25

Posterior to the right lobe and upper pole of the right kidney 

Question 26

What does the falciform ligament attachment do? Within

Answer 26

It divides the liver into right and left lobes

Question 27

What does the gallbladder do in relationship to the liver?

Answer 27

It divides the right lobe into the quadrant lobe and caudate lobe

Question 28

What does the IVC do in relationship to the liver

Answer 28

Divides the right lobe into the quadrate lobe and the caudate lobe

Question 29

What does the ligamentum teres and ligamentum venosum do in relationship to the liver

Answer 29

Divides the right lobe into the quadrate lobe and the caudate lobe

Question 30

What is it called when there is a functional division of the liver?

Answer 30

Vasculature

Question 31

What divides the liver into right and left lobes functionally

Answer 31

Middle hepatic vein and ascending section of the left portal vein

Question 32

Where is the quadrate lobe located veins

Answer 32

Between middle and left hepatic veins

Question 33

Quadrate lobe is part of ….

Answer 33

Medial segment of the left lobe

Question 34

What are the eight segments of the liver?

Answer 34

1. Caudate lobe 2. left lateral superior 3. left lateral inferior 4. left medial superior and inferior 5. right anterior inferior 6. right posterior inferior 7. right posterior superior 8. right anterior superior

Question 35

Where is the right lobe of the liver located?

Answer 35

Within the right hypochondrium

Question 36

How larger is the right lobe compared to the left

Answer 36

Six times larger

Question 37

What are the inferior and posterior surface of the right lobe of the liver marked by

Answer 37

Three Fossae: porta hepatis, gallbladder fossa, and Ivc fossa

Question 38

What vein runs horizontally between the anterior and posterior segment of the right lobe

Answer 38

Right hepatic vein

Question 39

Where is the left lobe of the liver located?

Answer 39

Within the left hypochondrium, and in the epigastric

Question 40

What is the left lobe divided into and by what?

Answer 40

Left lobe of the liver is divided into medial and lateral segments by the left intersegmental fissure 

Question 41

How is the left lobe bounded to porta hepatis

Answer 41

Posteriorly

Question 42

How is the left lobe bounded to gallbladder fossa

Answer 42

Medially

Question 43

How is the liver bounded to umbilical vein

Answer 43

Laterally

Question 44

What are the two fissures of the left lobe

Answer 44

Ligamentum teres, ligamentum venosum 

Question 45

Where is the caudate lobe located?

Answer 45

Posterior to left lobe

Question 46

What is the posterior border of the caudate lobe

Answer 46

Ivc

Question 47

What is the anterior border of the caudate lobe

Answer 47

Ligamentum venosum

Question 48

What does the left margins of the caudate lobe form

Answer 48

Hepatic boundary of the superior recess of the lesser sac

Question 49

How does the caudate process travel / in between what

Answer 49

Extends obliquely and laterally from the caudate lobe and a course is to the right lobe in between portal vein and ivc

Question 50

How does the right hepatic vein course

Answer 50

Within the right intrasegmental fissure that divides the right lobe of the liver into the anterior and posterior segments 

Question 51

How does the middle hepatic vein course?

Answer 51

Within main lobar fissure to separate anterior segment of the right lobe from the medial segment of the left lobe

Question 52

What does the left intrasegmental fissure do?

Answer 52

Separates medial segment of the left lobe from lateral segment. It also divide middle cranial and caudal sections

Question 53

In left intersegmental fissure what forms the bound of cranial third

Answer 53

Left hepatic vein

Question 54

In left intersegmental fissure what bounds the middle section

Answer 54

Ascending branch of left portal vein

Question 55

In Left intersegmental fissure what bounds caudal section

Answer 55

Ligamentum teres

Question 56

What is the echogenicity of the ligaments in the liver and why?

Answer 56

Hyperechoic bc of collagen and fat

Question 57

Whats the glissons capasule

Answer 57

Thin ct that covers liver

Question 58

Where is the glissons capsule the thickest

Answer 58

Around ivc and portal hepatis

Question 59

What does the hepatoduodenal ligament contain

Answer 59

Mpv, proper hepatic artery and common duct

Question 60

Whats the main lobular fissure

Answer 60

Its the boundary between the right and left lobes of the liver

Question 61

Whats the echogenecity of the main lobular fissure/where is it located

Answer 61

Hyperechoic line from portal vein to neck of gallbladder

Question 62

Where does the falciform ligament extend from and to

Answer 62

From umbilicus to diaphragm

Question 63

What does the falciform Ligament (vertical) contain

Answer 63

Ligamentum teres (vertical)

Question 64

What does the ligamentum venosum seperate

Answer 64

Left lobe from caudate lobe (horizontal)