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56 Cards in this Set

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