Term
The GB is located ___________________ to the liver. |
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Definition
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Term
the hilum or doorway to the liver |
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Definition
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Term
The common bile duct is the proximal or distal portion of the biliary duct? |
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Definition
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Term
The right and left hepatic ducts are considered intrahepatic or extrahepatic? |
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Definition
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Term
The common hepatic duct results from the merging of ___________________ |
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Definition
the right and left hepatic ducts |
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Term
What makes up the portal triad? |
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Definition
bile duct, portal vein, hepatic artery |
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Term
A diameter greater than ________is considered a dilated CBD. |
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Definition
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Term
What is the normal thickness of the GB wall? |
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Definition
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Term
What two ducts join to form the CBD? |
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Definition
cystic duct (from GB) and common hepatic duct |
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Term
What structure regulates bile flow into the duodenum? |
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Definition
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Term
What structure keeps the cystic from overdistending or collapsing? |
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Definition
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Term
What is a fold in the fundus of the GB called? |
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Definition
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Term
What is an outpouching or fold in the neck of the GB called? |
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Definition
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Term
What structures drain venous blood from the liver? |
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Definition
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Term
In the pancreatic head, what is the most anterior vessel within the head (trv view of vessel aka two dots...which one is "on top"? |
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Definition
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Term
Which duct is the posterior "dot" in the pancreas head? |
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Definition
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Term
What structure is medial to the pancreatic head? |
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Definition
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Term
What vessels are posterior to the body of the pancreas? |
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Definition
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Term
What vessel is posterior to the head of the pancreas? |
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Definition
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Term
What part of the pancreas is near the hilum of the spleen? |
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Definition
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Term
The pancreatic tail is located ____________ to the stomach and _____________ to the left kidney |
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Definition
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Term
How does the echogenicity of the pancreas compare to the liver? |
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Definition
more echogenic and less homogenous |
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Term
What are the enzymes secreted by the pancreas? |
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Definition
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Term
What are the hormones secreted by the pancreas? |
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Definition
insulin, glucagon, somatostatin |
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Term
What are the 3 types of cells in the islets of Langerhans? |
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Definition
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Term
Which cell secretes insulin? |
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Definition
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Term
Which cells secrete glucagon? |
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Definition
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Term
Which cells secrete an alpha and beta inhibitor or somatostatin? |
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Definition
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Term
What do lipase, trypsin and amylase digest? |
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Definition
lipase-fat trypsin-protein amylase-carbohydrate |
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Term
Which vessels of the pancreas and biliary tree meet before entering the duodenum? |
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Definition
CBD and Duct of Wirsung (main pancreatic duct) |
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Term
The CBD and main pancreatic duct enter the duodenum through what structure? |
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Definition
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Term
What types of cells secrete bile into the liver? |
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Definition
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Term
Which ear on "Mickey" is the CBD? |
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Definition
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Term
Name the arteries that supply the GB in order starting with the GB |
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Definition
cystic artery, right branch of proper hepatic artery, proper hepatic artery, common hepatic artery, celiac axis, AO |
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Term
The left and right hepatic ducts join at approximately what location? |
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Definition
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Term
Does the GB get larger or smaller after eating? |
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Definition
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Term
Are the GB walls thicker or thinner after the patient has eaten? |
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Definition
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Term
In the cystic duct, what direction does the bile flow? |
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Definition
freely in both directions |
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Term
When proteins and fat are consumed what hormone is secreted in the duodenum/ |
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Definition
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Term
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Definition
contracts the GB and relaxes sphincter of Oddi to allow bile to enter duodenum to aid in digestions of protein and fat |
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Term
What is absorbed to concentrate the bile? |
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Definition
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Term
Bile is composed mostly of ______________. |
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Definition
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Term
What is the accessory duct of the pancreas called? |
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Definition
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Term
Is the entire pancreas retroperitoneal? |
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Definition
no, part of the head is intraperitoneal |
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Term
Though not really segmented, what are the 4 segments of the pancreas? |
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Definition
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Term
What is the posteromedial projection of the pancreas head that lies directly posterior to the SMV? |
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Definition
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Term
What is the largest portion of the pancreas? |
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Definition
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Term
The arterial supply of the pancreas includes the___________________ and _____________________. |
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Definition
pancreaticoduodenal arteries and the branches of the splenic artery |
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Term
What vessel courses along the superior edge of the pancreas? |
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Definition
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Term
What vessel forms the posterior border of the pancreas? |
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Definition
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Term
What is the largest component of pancreatic juice? |
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Definition
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Term
What chemical neutralizes the acid in the duodenum? |
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Definition
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Term
What stimulates the production of sodium bicarbonate? |
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Definition
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Term
partially digested food is called what? |
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Definition
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Term
Echogenicity of the pancreas varies due to its content of what? |
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Definition
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Term
What is a normal variant in which a ring of pancreatic tissue surrounds the duodenum |
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Definition
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Term
The neck of the pancreas lies anterior to what? |
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Definition
portal splenic confluence |
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Term
What cells perform the exocrine function of the pancreas? |
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Definition
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Term
What cells perform the endocrine function of the pancreas? |
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Definition
alpha, beta and delta cells located in the islets of Langerhans |
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Term
What chemical breaks down nucleic acids? |
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Definition
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Term
Venoud drainage of the pancreas is through the tributaries of what two veins? |
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Definition
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Term
How much bile is produced each day? |
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Definition
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Term
What is considered the largest portion of the biliary system? |
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Definition
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Term
Underdevelopment of GB is called? |
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Definition
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Term
GB is attached to liver with a long mesentery which allows torsion |
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Definition
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Definition
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