Flashcards in Why Might my Patient be Jaundiced? Deck (60)
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1
What are 3 symptoms/ signs of jaundice?
Yellowing of the sclera/ skin
Caused by an increase in the blood levels of bilirubin
2
What is bilirubin
A normal by-product of the break down of red blood cells
3
Where does the breakdown of red blood cells mainly occur?
Spleen
4
What is bilirubin used to form and where?
Bile in the liver
5
What is the bilary tree and what does it do?
It transports bile
It is a set of tubes connecting the liver to the 2nd part of the duodenum
6
What is the role of the gallbladder?
Storage and concentration of bile
7
What is the main function of bile?
Normal absorption of fats from the small intestine
8
What does the pancreas do? and why is this necessary?
It excretes digestive enzymes into the 2nd part of the duodenum.
Necessary for digestion of food
9
Where is the portal triad found?
In the free edge of the lesser omentum
10
What does the portal triad consist of?
Hepatic artery, Heaptic portal vein and the common bile duct
11
What do the 3 tubes supply?
Blood supply to and drainage to the liver
12
What else is found in the portal triad?
Nerves and lymphatics
13
What is the first of the three midline branches of the abdominal aorta called?
The celiac trunk
14
The celiac trunk is retroperitoneal, define this
Situated or occuring behind the peritoneum
15
Where does the celiac trunk arise?
T12
16
What organs do the celiac trunk supply
All of the organs of the foregut
17
The celiac trunk trifurcates into what 3 branches?
Splenic artery, hepatic artery and the left gastric artery
18
Describe the course of the splenic artery
Very tortuous course
19
Where does the splenic artery run?
Along the superior border of the pancreas
20
What type of organ is the spleen?
Intraperitoneal organ within the hypochondrium
21
What is the main function of the spleen?
Break down red blood cells to produce bilirubin
22
What ribs protect the spleen?
Ribs 9-11
23
Where does the blood supply to the stomach come from?
RIght and left gastric arteries and the right and left gastro-omental arteries
24
Where do the gastric arteries run?
Along the lesser curvature
25
Where do the gastro-omental arteries run?
Along the greater curvature
26
What would happen if one of the blood supplies was cut off?
Blood would still be delivered from the other supply
27
Where does the blood supplying the liver come from?
Hepatic Artery
28
How much blood arrives from the hepatic artery?
20-25%
29
What other vessel delivers the rest of the blood to the liver?
Hepatic Portal Vein
30
