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59 Cards in this Set
- Front
- Back
What kind of glad is pancreas? What hormones for each kind of gland?
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Exocrine = amylase,lipase,protease
Endocrine = insulin and glucagon |
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Pancreas located where?
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Retroperitoneal cavity posterior to stomach between the dudenum on the right and the spleen on the left.
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What is the Uncinate Process?
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A prolongation of the lower (ventral) portion of the pancreas and the left part of the head
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What does the superior head of the pancreas enclose?
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The SMA and the SMV
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Where does the tail of the pancreas end?
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Spleen
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What forms the Portal vein
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The union of the SMV and Splenic vein behind the head of the pancreas
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What drains the Pancreas?
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the main pancreatic duct and the accessory pancreatic duct
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What does the main pancreatic duct drain and form?
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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.
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What does the accessory pancreatic duct drain?
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Drains the head and opens in the 2nd part of the duodenum via the Lesser duodenal papilla ABOVE the main pancreatic duct
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Pancreas lies behind the stomach and in front of?
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IVC
Aorta Left crus of diaphragm left kidney |
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Where does the splenic artery and vein run in relation to pancreas?
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splenic artery runs on the upper surface of the pancreas
splenic vein runs behind the pancreas |
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Pancreas Blood Supply?
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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 |
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Pancreas nerve supply?
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Vagus
greater splanchnic Celiac and superior mesenteric plexuses |
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what kind of organ is spleen? Vasculature?
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soft, easily injured, highly vascular lymphoid organ
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Where is spleen located
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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 |
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Spleen has 4 surfaces, what are they?
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Diaphrgmatic, gastric, renal (left kidney), and colic (left)
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How is spleen suspended?
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By the gastrospenic and splenorenal ligaments
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what does the gastrosplenic ligament contain?
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contains the short gastric and gastro-omental vessels
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what does the splenorenal contain?
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Splenic vessels and the tail of the pancreas
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Only spot on spleen that is not covered by peritoneum?
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Hilum
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Whats the deal with the accessory spleen?
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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 |
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blood supply of spleen?
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Splenic artery
-pancreatic branches -short gastric arteries -left gastroepiploic branch the inferior pancreatic artery, cont of the dorsal pancreaticartery (spenic) may also |
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Venous supply of spleen? Where does it run?
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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? |
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Spleen nerve supply?
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vagus
celiac plexus greater splanchnic |
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Liver is what kind of organ? What makes it that type of specific organ?
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Exocrine - bile
Endocrine - clotting factors |
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Where does liver reside? What covers it?
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Occupies the right hypchondrium, a portion off the epigastrium, and a small section of the left hypchondrium
Covered by the diaphragm |
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Liver surfaces?
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Diaphragmatic surface convex/smooth
Visceral surface - related to the right colic flexure, right kidney, stomach, duodenum. |
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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 |
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What is near the quadrate lobe, near the costal margin?
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gallbladder
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What divides the liver into right and left lobes?
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The falciform ligament
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What lobe is the gallbladder under?
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The right lobe
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The quadrate and caudate lobes are part of which lobe?
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right lobe
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???bad notes bad lufti
Functional halves correspond to lobes T or F |
Functional halves do not correspond to the lobes
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Portal vein splits into?
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right and left branches
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The common hepatic duct receives a hepatic duct from?
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both the right and left halves give a duct
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The hepatic vein has what kind of tributaries? What do they drain into?
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Right and left tributaries.
Drain into the IVC |
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*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 |
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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 |
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What is the free edge of the falciform ligament called?
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ligamentum teres
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The falciform lig changes names where?
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Visceral surface of lungs
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The hepatic vein has what kind of tributaries? What do they drain into?
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Right and left tributaries.
Drain into the IVC |
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*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 |
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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 |
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What is the free edge of the falciform ligament called?
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ligamentum teres
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The falciform lig changes names where?
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Visceral surface of liver
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What are the names of the falciform ligament when it changes?
What/where is each? |
Coronary ligaments = ant/post
Triangular ligaments = right/left |
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Liver blood supply?
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Portal veins
Hepatic arteries (celiac trunk) |
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Nerve Supply?
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Hepatic plexus from the celiac plexus
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Where is gallbladder located?
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in the fossa on the visceral surface of the liver
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what forms the cystic duct?
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the gallbladder fundus, body, and neck
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where is the gallbladder specifically located with regards to margins and quadrants?
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between the right costal margin and the right linea semilunaris at the transpyloric plane L!.
RUQ |
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Bile Duct
*right hepatic duct + left hepatic duct = |
common hepatic duct
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Bile Duct
common hepatic duct + cystic duct = |
common bile duct
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Bile Duct
Common bile duct + main pancreatic duct = |
Hepatoduodenal amulla
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Bile Duct
The common bile duct, the main pancreatic duct both pass through the greater duodenal papilla into what? |
the 2nd part of duodenum
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parts of the bile duct?????
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supraduodenal
retroduodenal infraduodenal intraduodenal ampullary |
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what is the Sphincter of Oddi?
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it guards the ampullary portion of the bile duct
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Gallbladder/bile duct
blood supply |
Cystic artery (right hepatic artery (from the common hepatic artery))
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Gallbladder/bile duct
Nerve supply |
Vagus
Greater splanchnic |