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59 Cards in this Set

  • Front
  • Back
What kind of glad is pancreas? What hormones for each kind of gland?
Exocrine = amylase,lipase,protease
Endocrine = insulin and glucagon
Pancreas located where?
Retroperitoneal cavity posterior to stomach between the dudenum on the right and the spleen on the left.
What is the Uncinate Process?
A prolongation of the lower (ventral) portion of the pancreas and the left part of the head
What does the superior head of the pancreas enclose?
The SMA and the SMV
Where does the tail of the pancreas end?
Spleen
What forms the Portal vein
The union of the SMV and Splenic vein behind the head of the pancreas
What drains the Pancreas?
the main pancreatic duct and the accessory pancreatic duct
What does the main pancreatic duct drain and form?
The body and tail, joins the common bile duct to form the hepatopancreatic duct which opens in the greater duodenal papilla in the 2nd portion of the duodenum.
What does the accessory pancreatic duct drain?
Drains the head and opens in the 2nd part of the duodenum via the Lesser duodenal papilla ABOVE the main pancreatic duct
Pancreas lies behind the stomach and in front of?
IVC
Aorta
Left crus of diaphragm
left kidney
Where does the splenic artery and vein run in relation to pancreas?
splenic artery runs on the upper surface of the pancreas

splenic vein runs behind the pancreas
Pancreas Blood Supply?
Dorsal pancreatic splenic
ant sup pancreaticoduodenal hep
post sup pancreaticoduodenal hep
ant inf pancreaticoduodenal sma
post inf pancreaticoduodenal sma
great pancreatic a splenic
inf pancreatic cont of dorsal panc
caudal pancreatic a splenic
Pancreas nerve supply?
Vagus
greater splanchnic
Celiac and superior mesenteric plexuses
what kind of organ is spleen? Vasculature?
soft, easily injured, highly vascular lymphoid organ
Where is spleen located
lies against the diaphragm and between ribs 9-11 on the left.
Long axis is parallel to rib 10
Located in the LUQ and left hypochondriac region posterior to the stomach and ant to the sup pole of the left kidney
Spleen has 4 surfaces, what are they?
Diaphrgmatic, gastric, renal (left kidney), and colic (left)
How is spleen suspended?
By the gastrospenic and splenorenal ligaments
what does the gastrosplenic ligament contain?
contains the short gastric and gastro-omental vessels
what does the splenorenal contain?
Splenic vessels and the tail of the pancreas
Only spot on spleen that is not covered by peritoneum?
Hilum
Whats the deal with the accessory spleen?
in 10% of pop
found near hilum partly embedded in tail of pancreas
resembles a LN approx 1 cm in size
Found between the gastrosplenic lig
blood supply of spleen?
Splenic artery
-pancreatic branches
-short gastric arteries
-left gastroepiploic branch
the inferior pancreatic artery, cont of the dorsal pancreaticartery (spenic) may also
Venous supply of spleen? Where does it run?
Splenic vein, runs behind body of pancreas and joins the SMV behind the head of the pancreas to form portal vein
-receives IMV, left gastric, short gastric, pancreatic veins, left gastro?
Spleen nerve supply?
vagus
celiac plexus
greater splanchnic
Liver is what kind of organ? What makes it that type of specific organ?
Exocrine - bile

Endocrine - clotting factors
Where does liver reside? What covers it?
Occupies the right hypchondrium, a portion off the epigastrium, and a small section of the left hypchondrium
Covered by the diaphragm
Liver surfaces?
Diaphragmatic surface convex/smooth
Visceral surface - related to the right colic flexure, right kidney, stomach, duodenum.
What are the 2 small lobes of the visceral surface of the liver?

Where are they located?
Quadrate - near costal margin

caudate - post, near the diaphragm and closer to hepatic vessels
What is near the quadrate lobe, near the costal margin?
gallbladder
What divides the liver into right and left lobes?
The falciform ligament
What lobe is the gallbladder under?
The right lobe
The quadrate and caudate lobes are part of which lobe?
right lobe
???bad notes bad lufti

Functional halves correspond to lobes
T or F
Functional halves do not correspond to the lobes
Portal vein splits into?
right and left branches
The common hepatic duct receives a hepatic duct from?
both the right and left halves give a duct
The hepatic vein has what kind of tributaries? What do they drain into?
Right and left tributaries.

Drain into the IVC
*Liver is covered by the peritoneum except where?
*
*What is associated with it?
*
The "bare" area which is on the visceral surface on the posterior aspect of the right lobe.

The IVC is associated with it
the falciform ligament connects the liver to what?

*What does this create?
Falciform lig connects the liver to the ant abdominal wall and to the diaphragm.
*Creates subphrenic spaces
What is the free edge of the falciform ligament called?
ligamentum teres
The falciform lig changes names where?
Visceral surface of lungs
The hepatic vein has what kind of tributaries? What do they drain into?
Right and left tributaries.

Drain into the IVC
*Liver is covered by the peritoneum except where?
*
*What is associated with it?
*
The "bare" area which is on the visceral surface on the posterior aspect of the right lobe.

The IVC is associated with it
the falciform ligament connects the liver to what?

*What does this create?
Falciform lig connects the liver to the ant abdominal wall and to the diaphragm.
*Creates subphrenic spaces
What is the free edge of the falciform ligament called?
ligamentum teres
The falciform lig changes names where?
Visceral surface of liver
What are the names of the falciform ligament when it changes?

What/where is each?
Coronary ligaments = ant/post

Triangular ligaments = right/left
Liver blood supply?
Portal veins

Hepatic arteries (celiac trunk)
Nerve Supply?
Hepatic plexus from the celiac plexus
Where is gallbladder located?
in the fossa on the visceral surface of the liver
what forms the cystic duct?
the gallbladder fundus, body, and neck
where is the gallbladder specifically located with regards to margins and quadrants?
between the right costal margin and the right linea semilunaris at the transpyloric plane L!.

RUQ
Bile Duct

*right hepatic duct + left hepatic duct =
common hepatic duct
Bile Duct

common hepatic duct + cystic duct =
common bile duct
Bile Duct

Common bile duct + main pancreatic duct =
Hepatoduodenal amulla
Bile Duct

The common bile duct, the main pancreatic duct both pass through the greater duodenal papilla into what?
the 2nd part of duodenum
parts of the bile duct?????
supraduodenal
retroduodenal
infraduodenal
intraduodenal
ampullary
what is the Sphincter of Oddi?
it guards the ampullary portion of the bile duct
Gallbladder/bile duct

blood supply
Cystic artery (right hepatic artery (from the common hepatic artery))
Gallbladder/bile duct

Nerve supply
Vagus
Greater splanchnic