Spleen/normal GB review game

fold between the body and fundus of the GB

phrygian cap

tiny valves in the cystic duct that regulate the flow of bile

heister’s valves

folds along the inner border of the GB

rokintansky-aschoff sinuses

fold between the body and neck of the GB

junctional fold

diverticulum of the neck of the GB

hartman’s pouch

is the spleen intra- or retro- peritoneal

intraperitoneal except for the hilum

describe the normal shape of the spleen

convex superior, concave inferior

why should the GB be scanned in 2 different patient positions

relax folds, check for mobility of pathology

what is the normal size of the spleen

8-13 cm length, 4-6m cm width

a mutation to hemoglobin S will result in what disease of the red blood cells

sickle cell disease

repeated infarction of the spleen due to sickle cell disease causes the spleen to become fibrotic and shrink. what term is used for this

autosplenectomy

what are the main functions of the adult spleen

defense against disease, production of lymphocytes, storage of iron, maturation storage and removal of erythrocytes

blood can be seen around the spleen, but the spleen is intact

subcapsular hematoma

spleen has architectural deformities and blood is in peritoneal cavity

splenic rupture

what disease causes splenomegaly and well-defined complex solid nodules, due to a fatty substance being deposited in cells and organs

gaucher’s disease

where do the common bile duct and wirsung’s duct meet and enter the duodenum

ampulla of vater

what portion of the spleen contains malpighian corpuscles and are active in ingesting and digesting harmful pathogens that enter the bloodstream

white pulp

when blunt abdominal trauma causes splenic rupture, cells can implant throughout the peritoneal cavity. what is the term for this

post traumatic splenosis

what portion of the spleen is responsible for phagocytosis and holds a large number of red blood cells

red pulp

how is the common bile duct formed

right/left hepatic ducts make the common hepatic duct, the CHD and cystic duct form to make the CBD

what 3 structures are found at the porta hepatis

portal vein, common bile duct, hepatic artery

how are stomach acid and bile different in reference to the pH scale

bile is alkaline and stomach acid is acidic

surrounds the ampulla of vater and regulates the flow of digestive enzymes into the duodenum

sphincter of oddi

a wedge shaped lesion in the spleen caused by the occlusion of the splenic artery or one of its branches is called

splenic infarction

numerous calcified foci seen within the spleen is known as

granulomatous disease

what are two causes of granulomatous disease

TB and histoplasmosis

what pathology is commonly considered to have a “target” appearance

metastatic disease

what structure connects the portal vein to the GB

main lobar fissure

hemoglobin is converted to ____ bilirubin

unconjugated

at what point does unconjugated bilirubin become conjugated or direct

after transportation to the liver and albumin is removed

give one cause for having an elevated conjugated bilirubin

bile cannot be excreted

give one cause for having an elevated unconjugated bilirubin

rapid RBC destruction

what is an example of a conjugating disorder

gilbert syndrome