liver,gall bladder, pancreas and spleen! Flashcards
(44 cards)
what is the ligament of treitz an extension of?
the diaphrgram, AKA the suspensory muscle
What does the ligament of treitz do?
suspends the 4th part of the duodenum from the right crus of the diaphragm
What part of the pancrease is NOT retroperitoneal
the tail-lies within the hilus of the spleen
the neck of the pancreas lies at what level
L1-L2
body and tail of the pancreas extend into what?
left hypochondrium.
what are some symptoms of pancreatic disease?
backache, recent onset diabetes
how is the pancreas both a exocrine and endocrine organ?
exocrin- secretes alkaline pancreatic juices wth enzymes into the duodenum. Endocrine- produces insulin, glucagon and somatostain
Cancer of the pancreas is usually in what area
the head, mostly adenocarcinomas of exocrine cells, neuroendorcrine tumors can occur in iselt cells
what are signs of pancreatic cancer?
Upper abdominal pain, jaundice and loss of appetite
What is the common terminus of the bile duct and pancreatic duct?
hepatopancreatic ampulla (ampulla of Vater)
hepatopancreatic ampulla (ampulla of Vater) enters where?
the second part of duodenum posteriorly
what controls bile secretion into the duodenum
Choledochal sphincter
what controls pancreatic secretions into the duodenum
Pancreatic sphincter
The combined opening into the duodenum is controlled by>
sphincter papillae (sphincter if Oddi) surrounds the ampulla of Vater
what artery is most at risk for a cholecystectomy.
right hepatic artery
If a gallstone is passing down the bile duct- where might it get stuck?
in the hepatopancreatic ampulla- where it opens to major duodenial papilla- bile backup! pancreatitis!
whats the purpose of the spiral folds of the cystic duct
valve to keep the duct open
How does bile pass into the gallbladder
by the choledochal sphincter if the bile duct is closed
How does bile pass into the duodenum
gallbladder contracts and the choledochal spincter is open
Other places gallstones may be found?
where cystic duct narrows- in the fundus, or lodged at the gall bladder neck or just proximal to the hepatopancreatic ampulla
what is biliary colic and where is it felt
is an intense spasmodic pain felt in the epigastric region or the right upper quadrant.
how do you remove the gallbladdeR?
Laparoscopic cholecystectomy
what is the new imaging technique to visular the WHOLE biliary tree?
Magnetic Resonance Cholangiopancreatography (MRCP)
ligamentum teres was what fetal structure?
umbilical vein
