Anaotmy Spleen, Pancreas, Liver, Gb

Front 1

posteriorly the spleen is at which ribs

Back 1

ribs 9-11

Front 2

what is posterior to the spleen

Back 2

left part of the diaphragm

Front 3

the splenic a. is the largest branch of the

Back 3

celiac trunk

Front 4

the splenic v. combines with ____ to form the ____

Back 4

splenic v. combines with the SMV (behind the neck of the pancreas) to form the hepatic portal vein

Front 5

the pancreas crosses what levels on the posterior abdominal wall

Back 5

L1-L2

Front 6

what is the uncinate process & what is it posterior to?

Back 6

inferior part of the pancreatic head
posterior to the SMA

Front 7

what vessels are posterior to the pancreatic head?

Back 7

IVC, right renal a. & v., left renal v.

Front 8

what vessels are posterior to the neck of the pancreas

Back 8

SMA & SMV

Front 9

anterior to the neck of the pancreas

Back 9

pylorus of the stomach

Front 10

the liver lies deep to which ribs on the right

Back 10

ribs 7-11

Front 11

the subphrenic recesses are separated into right & left recesses by the

Back 11

falciform ligament

Front 12

the round ligament is an inferior extension of

Back 12

falciform ligament

Front 13

in the supine position, fluid draining from the omental bursa flows into

Back 13

hepatorenal recess

Front 14

which ligaments join at the superior part of the falciform ligament?

Back 14

coronary ligament and left triangular ligament

Front 15

which vessel lies in the groove on the bare area of the liver?

Back 15

IVC

Front 16

the gallbladder sits on which fissure and lobe

Back 16

right sagittal fissure to the right of the quadrate lobe (posterior)

Front 17

what lies in the umbilical (left sagittal) fissure ?

Back 17

ligamentum venosum (ductus venosus) posteriorly and round ligament anteriorly (umbilical v.)

Front 18

what ligament encloses the portal triad?

Back 18

the hepatoduodenal ligament

Front 19

what separates the right & left lobes anteriorly?

Back 19

falciform ligament

Front 20

the porta hepatis separates which 2 lobes? which is anterior & posterior?

Back 20

the quadrate lobe is anterior
the caudate lobe is posterior

Front 21

what separates hepatic segment IV from II & III

Back 21

left hepatic vein

Front 22

what separates hepatic segment IV from V & VIII

Back 22

intermediate hepatic vein

Front 23

what separates hepatic segments V & VIII from VI & VII

Back 23

right hepatic vein

Front 24

which 2 arteries combine to form the common hepatic a.?

Back 24

hepatic artery proper & gastroduodenal a.

Front 25

the left lobe consists of which segments

Back 25

II & III

Front 26

the gallbladder is b/w which hepatic segments

Back 26

IV & V

Front 27

blood supply to the proximal part of the bile duct

Back 27

cystic a.

Front 28

blood supply to the middle part of the bile duct

Back 28

right hepatic a.

Front 29

blood supply to the retroduodenal part of the duct

Back 29

posterior superior pancreaticoduodenal a. & gastroduodenal a.

Front 30

posterior to the gallbladder

Back 30

duodenum

Front 31

blood supply to the gallbladder? what does it branch off of?

Back 31

cystic a. branches off right hepatic a.

Front 32

what vessel is anterior to the IVC & posterior to the neck of the pancreas (L1)

Back 32

hepatic portal vein

Front 33

the hepatic portal vein branches into

Back 33

splenic v. and SMV

Front 34

if the lower edge of the spleen can be palpated below the LCM, it is enlarged about

Back 34

3 x's its normal size

Front 35

the costodiaphgragmatic recess of the pleural cavity to the spleen descends to what level in the midaxillary line

Back 35

10th rib

Front 36

pus from a subphrenic abscess may drain into

Back 36

one of the hepatorenal recesses

Front 37

a subphrenic abscess is often drained by an incision inferior to or through

Back 37

the bed of the 12th rib

Front 38

an anterior subphrenic abscess is often drained through

Back 38

a subcostal incision located inferior and parallel to the RCM

Front 39

most common source of an aberrant right hepatic a.

Back 39

SMA (usually right hepatic a. branches off of hepatic a. proper)

Front 40

the most common source of an aberrant left hepatic artery is the

Back 40

left gastric a. (usually left hepatic a. branches off of hepatic a. proper)

Front 41

right hepatic a. normally runs anterior to ___ and posterior to____

Back 41

right hepatic a. is anterior the hepatic portal vein and posterior to the common hepatic duct

Front 42

most common cause of portal HTN

Back 42

alcoholic cirrhosis

Front 43

how does cirrhosis cause portal HTN?

Back 43

fibrous tissue surrounds the intrahepatic BVs and biliary ducts, making the liver firm, and impeding the circulation of blood through it

Front 44

where is the needle inserted for a liver biopsy?

Back 44

10th intercostal space in the midaxillary line
pt. should hold breath in full expiration to ↓ the costodiaphragmatic recess and to lessen the possibility of damaging the lung and contaminating the pleural cavity

Front 45

what is biliary colic?

Back 45

intense, spasmodic pain caused by a gallstone lodged in the cystic duct

Front 46

what are the borders of the cystohepatic triangle (of Calot) & what passes through it?

Back 46

common hepatic duct, cystic duct, visceral surface of liver
right hepatic a.