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56 Cards in this Set
- Front
- Back
Where is the superior border of the Liver grossly on the thorax?
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From 5th cc in the left MCL to the 6/7th left MAL
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What vertebral level is the superior border of the Liver located at?
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T9
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Where is the inferior border of the Liver?
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From 10th cc to the apex of the thoracic cage.
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If you were biopsing the Liver what cc would you go through in the MAL?
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8th, 9th or 10th cc
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Why should be careful not to go deeper than 3.5" when biopsing the Liver?
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B/c you may puncture the IVC
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What is the normal Liver span during percussion?
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6-12cm
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What does the bare area of the Liver make direct contact w/?
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1. Right kidney and adrenal gland
2. IVC 3. Diaphragm |
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What surrounds the bare area of the Liver?
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1. Coronary Ligament
2. Right & Left triangular ligament |
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Where is the visceral surface of the Liver not covered by peritoneum?
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Except at Gallbladder and Porta hepatis
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What makes up the Right Sagittal Fossa of the Liver?
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1. Gallbladder.
2. IVC |
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What makes up the Left Sagittal Fossa of the Liver?
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1. Ligamentum teres
2. Ligamentum venosum |
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What is Cantlie's Line?
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An imaginary line b/e the gallbladder and the IVC through the Liver that divides it into Right and Left lobes
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What divides the right lobe of the liver into anterior and posterior segments?
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Right hepatic vein
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What divides the Liver into right and left lobes (hemilivers) ? where is this line located?
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Middle hepatic vein, located b/e the IVC and the gallbladder
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What divides the left lobe of the liver into medial and lateral parts?
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left hepatic vein
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What divides the liver into upper and lower segments?
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The portal vein
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What are the mesentaric attachments of the Liver derivatives of?
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The ventral mesogastrium
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What is the inferior border of the falciform ligament?
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Ligamentum teres hepatis
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What does the hepatogastric ligament attach to on the Liver?
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Ligamentum venosum
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What does the ligamentum teres contain? what does it connect to? What is it continuous with?
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Contains the obliterated umbilical vein and connects w/ the left portal vein.
The ligamentum teres is continuous w/ the parietal peritoneum and the coronary ligament |
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What are at the right and left corners of the coronary ligament?
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Triangular ligaments
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What provides the majority of blood supply to the liver? second largest blood supply?
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Portal vein provides the most blood supply but it is nutrient rich and oxygen poor.
The hepatic artery provides the second largest blood supply that is well oxygenated |
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who am I?
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Hepatic artery
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Where is the hepatic artery in relation to the portal vein?
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Anterior to the portal vein.
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Where is bile produced?
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Liver
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Where is bile stored?
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gallbladder
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Where is the gallbladder grossly on the thorax?
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Related to the right border of rectus abdominis w/ 9th cc
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What is the body of the pancreas related to?
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transverse colon and cecum.
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Where do Gallstones commonly get stuck in the Gallbladder?
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Hartman's pouch aka Infundibulum
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What connects the Gallbladder to the common bile duct?
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Cystic duct
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What forms the common hepatic duct?
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The union of right and left hepatic ducts.
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What forms the common bile duct?
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The union of the common hepatic duct and the cystic duct.
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Where is the common bile duct in relation to the other members of the portal triad?
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To the right of hepatic artery and anterior to the portal vein.
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What are the contents of the cystohepatic triangle of Calot?
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1. cystic artery
2. right hepatic artery |
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What part of the pancreas is retroperitoneal/intraperitoneal?
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Everything except the tail is retroperitoneal.
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What quadrant of the abdomen is the pancreas located in?
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epigastrium and left hypochondrium along the transpyloric plane (L1)
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Who am I?
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Pancreas
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what is posterior to the neck of the pancreas?
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Formation of the Portal vein
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What is anterior to the neck of the pancreas?
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Gastroduodenal artery
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What is the tail of the pancreas inside of?
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the spenorenal ligament
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Where does the pancreatic duct of santorini attach to? what does it communicate with?
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Attachs to the minor duodenal papilla, and communicates w/ the main pancreatic duct
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What does the pancreatic duct of Wirsung attach to?
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Major duodenal papilla
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Where is the spleen located grossly on the thorax?
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Deep to the 9th - 11th cc at the MAL
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What does the long axis of the spleen follow along?
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The 10th rib
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What is the diaphragmatic surface of the spleen related to?
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1. Diaphragm
2. Left lung & costodiaphragmatic recess 3. left 9th - 11th ribs |
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What does the splenorenal ligament contain?
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1. splenic vessels
2. tail of the pancreas 3. beginning of short gastric and left gastroomental arteries |
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What does the gastrosplenic ligament contain?
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1. short gastric vessels
2. L. gastroomental vein |
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What ligament supports the spleen like a hammock?
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Phrenicocolic ligament
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What is the arterial supply of the head of the pancreas?
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1. superior pancreaticoduodenal from gastroduodenal
2. inferior pancreaticoduodenal from SMA |
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What is the arterial supply of the body of the pancreas?
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Dorsal pancreatic and great pancreatic arteries from the splenic artery.
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Who are we?
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Left: portal vein
Right: splenic artery |
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Who am I?
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Superior Mesentaric Artery
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Where is the SMA in relation to the pancreas?
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The SMA arises from the Aorta behind the pancreas
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What vessel does the SMA cross over on its way to supply the small bowel?
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left renal vein.
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What is Nutcracker syndrome?
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When there's entrapment of the left renal vein and the duodenum b/e the SMA and the Aorta when there's an abdominal aortic aneurysm
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