Term
What are the five fluids of the liver?
(and direction) |
|
Definition
arterial blood (i)
portal blood (i)
venous blood (o)
bile (o)
lymph (o) |
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|
Term
| What are the 2 recesses of the peritoneum cavity? |
|
Definition
subphrenic recess
hepatorenal recess |
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|
Term
| Which ligament divides the liver anatomically? |
|
Definition
|
|
Term
| What are the 4 lobes of the liver? |
|
Definition
| caudate, quadrate, left, and right |
|
|
Term
| What marks the physiologic border of the R/L liver? |
|
Definition
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|
Term
| What 3 structures will you find in the hepatoduedenal ligament? |
|
Definition
| Bile duct, hepatic artery proper, and portal vein |
|
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Term
| Which 3 veins conjoin to make the portal vein? what is significant about these veins? |
|
Definition
splenic vein, superior and inferior mesenteric
No valve (risk of portal HTN) |
|
|
Term
| Name 4 significant portal system anastomoses? |
|
Definition
ESOPHAGEAL VARICES (esophageal tributaries of left gastric to azygous)
INTERNAL HEMORRHOIDS (superior rectal veins)
CAPUT MEDUSA (superficial veins of abd wall)
RETROPERITONEAL ANASTOMOSES |
|
|
Term
| What percentage % of initial gastro-esophageal variceal bleeding episodes are fatal! |
|
Definition
|
|
Term
| Where is the narrowest part of the biliary tract? |
|
Definition
| the hepatopancreatic ampulla |
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|
Term
| If an unusually large gallstone is found in the transverse colon or the small intestine, this is an indication of what? |
|
Definition
| chronic inflammation of gallbladder -> fistula |
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|
Term
Is the pancreas a retro or intra peritoneal organ?
What organ is the pancreas tail anterior to? |
|
Definition
retroperitoneal except for the tail
left kidney |
|
|
Term
| What structure is the pancreas head and neck directly anterior to? |
|
Definition
| Aorta (level of superior mesenteric) and inferior vena cava |
|
|
Term
| T or F: The bile duct travels within a groove along the anterior surface of the head of the pancreas. |
|
Definition
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|
Term
What Sx would pt with a stone in the common bile duct have?
What Sx would pt with a stone compromising the pancreatic duct have? |
|
Definition
jandus and pain
acute pancreatitis |
|
|
Term
What 2 major arteries does the pancreas get blood from?
(pancreas is an exception) |
|
Definition
| celiac trunk and superior mesenteric |
|
|
Term
| The two most common causes of pancreatitis are: |
|
Definition
1. Gall stones 2. Alcoholism
About 10% of patients who develop acute pancreatitis die. |
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|
Term
| What do calcifications in pancreas indicate? |
|
Definition
|
|
Term
| Obstructive jaundice is a common complication of what? |
|
Definition
| pancreatic cancer (esp in the head of the pancreas) |
|
|
Term
| Where does the blood for the spleen come from? |
|
Definition
| celiac trunk -> splenic artery |
|
|
Term
| What are the 2 ligaments of the spleen? and what arteries are within them? |
|
Definition
gastrosplenic ligament contains the left gastroepiploic and short gastric arteries
splenorenal ligament contains the splenic artery |
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|
Term
| Other than bleeding into the peritoneal cavity, what else must a physician be concerned with, with a penetrating injury to the spleen? |
|
Definition
|
|
Term
| How large does the spleen must get before it is palpable? |
|
Definition
at least 3X normal size
When palpable, the notches are clues that the structure is the spleen. |
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|
Term
| Intraperitoneal bleeding from blunt trauma can involve which 2 organs? |
|
Definition
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