Sarah's Notes: Gallbladder, pancreas, spleen ect.

studied byStudied by 2 people
0.0(0)
get a hint
hint

how do bile ducts run?

1 / 128

encourage image

There's no tags or description

Looks like no one added any tags here yet for you.

129 Terms

1

how do bile ducts run?

follow & parallel the portal venous system

New cards
2

bile ducts flow into ____ major ducts

2 right & left

New cards
3

right & left bile ducts join to make ...

common hepatic duct CHD

New cards
4

right & left bile ducts emerge from ___________ at ______________

from liver at porta hepatis

New cards
5

what is the porta hepatis?

central area where -Main Portal Vein (MPV) -Common Hepatic Artery (CHA) -Common Hepatic Duct (CHD) leave the liver

New cards
6

what is the portal triad?

-Main Portal Vein (MPV) -Common Hepatic Artery (CHA) -Common Bile Duct (CBD)

-portal triad is inferior to portahepatis -mickey mouse sign on US

New cards
7

porta hepatis is aka

transverse fissure

New cards
8

posterior to porta hepatis

caudate

New cards
9

anterior to porta hepatis

-medial left lobe -gallbladder

New cards
10

lateral borders of porta hepatis

-right & left lobe

New cards
11

common hepatic duct is _____ in diameter

4 mm

New cards
12

common hepatic duct descends within ...

the edge of lesser omentum

New cards
13

common hepatic duct is joined by _________________ from the ___________ to form ___________

cystic duct; gallbladder; CBD

New cards
14

CBD is _____ in diameter

6 mm

New cards
15

CBD has how many portions?

3

New cards
16

which portion of CBD descends in edge of lesser omentum?

first

New cards
17

second portion CBD lies ______________

posterior to first portion of DUODENUM

New cards
18

third portion CBD lies where?

in a groove on posterior surface of pancreatic head

New cards
19

anterior to MPV is ______

CBD (CBD is posterior to MPV)

New cards
20

distal CBD is by ...

pancreas (lies in groove on posterior surface of pancreatic head)

New cards
21

CBD pierces which portion of duodenum?

second

New cards
22

what joins CBD & both open into duodenum?

CBD + pancreatic duct (aka duct of wirsung) open into duodenum thru AMPULLA OF VATER

New cards
23

ampulla of vater is surrounded by ...

muscle fibers creating the sphincter of oddi

(ampulla of vater is aka sphincter of oddi)

New cards
24

proximal portion of CBD is ______________ to hepatic artery & __________ to portal vein

lateral anterior

New cards
25

CBD runs _____________ to first portion of duodenum as it enters _____________

mostly posterior; pancreas

New cards
26

what is the mickey mouse sign

portal triad

New cards
27

portal triad is made up by

-hepatic artery -portal vein -common bile duct

New cards
28

at porta hepatis: hepatic artery is _____________ to portal vein

anterior & medial***

New cards
29

at porta hepatis: portal vein is ___________

posterior

New cards
30

at porta hepatis: CBD is _______________ to portal vein

lateral & anterior

New cards
31

all 3 parts of porta hepatis travel in ...

the edge of lesser omentum

New cards
32

what structure serves as a collection & storage place for bile?

gallbladder

New cards
33

how does the gallbladder connect to the common hepatic duct?

via the cystic duct

New cards
34

cystic duct is approx ____ long

4 cm

New cards
35

cystic duct shape

somewhat S-shaped

New cards
36

cystic duct descends in ...

the free edge of lesser omentum

New cards
37

what are the valves at the neck of gallbladder extending into cystic duct?

spiral valves of heister

New cards
38

what does the spiral valves of heister do?

prevents overdistension, collapse, & kinking of duct

New cards
39

(variant of cystic duct) ____% insert mid 1/3 of extrahepatic duct

75

New cards
40

(variant of cystic duct) ___% insert n distal 1/3

10%

New cards
41

some type of anatomic variant of cystic duct occurs in ______% of cases

18-23%

New cards
42

what is mirizzi syndrome?

stones in cystic duct, but CBD is normal in caliber

New cards
43

gallbladder shape & location

pear shape located anteriorly & close to visceral surface of liver

New cards
44

parts of gallbladder

-fundus -body -neck

New cards
45

what is the most inferior & lateral part of gallbladder?

fundus

New cards
46

gallbladder body lies where? how is it directed?

lies in contact w/ liver directed upward, posterior, & to left

New cards
47

gallbladder neck is connected to ...

cystic duct

New cards
48

gallbladder neck is oriented ...

posterior & medial toward the porta hepatis

New cards
49

gallbladder size

variable

New cards
50

gallbladder diameter

3-4 cm

New cards
51

gallbladder length

7-10 cm

New cards
52

gallbladder wall thickness

less than 3 mm thick ***** (GB wall measurement is important!)

New cards
53

gallbladder variations

-folds back on itself -hartman's pouch -may lie intrahepatic -may have internal septations (bilobed) -phrygian cap -duplication of GB is very rare

New cards
54

patient prep gallbladder scan

NPO 8-12 hours prior to exam

New cards
55

what makes the gallbladder contract the most?

fatty foods

New cards
56

gallbladder is anterior to

-right kidney -IVC

New cards
57

gallbladder is lateral to

-head of pancreas -duodenum

New cards
58

word for spleen

lein

New cards
59

spleen is part of what system

reticulo-endothelial system (aka RE system)

New cards
60

spleen is intraperitoneal or retroperitoneal?

intraperitoneal

New cards
61

what covers the spleen?

covered w/ visceral peritoneum -protective capsule (aka splenic capsule)

New cards
62

spleen is good window to ...

left hemidiaphragm

New cards
63

spleen is held in place by ...

peritoneal ligaments -gastrosplenic -leinorenal -phrenicoleinal

New cards
64

spleen has a convex or concave outer surface?

convex outer surface

New cards
65

spleen has convex or concave inner surface?

concave inner surface

New cards
66

spleen's inner surface contains ...

hilum: central portion where arteries & veins go in & out

New cards
67

spleen size & shape

variable

New cards
68

spleen length in adults

should be less than 13 cm

New cards
69

spleen length in children

5.7 + 0.31(age in yrs)

New cards
70

what region is the spleen in?

left hypochondrium

New cards
71

spleen axis is along ...

10th rib

New cards
72

spleen lies between _____________ & ______________

stomach & diaphragm

New cards
73

superior to spleen

diaphragm

New cards
74

posterior & lateral to spleen

left lung & ribs

New cards
75

medial to spleen

-stomach -tail of pancreas -left kidney

New cards
76

inferior to spleen

splenic flexure of colon

New cards
77

types of spleen anatomic variations

-lobulations -position -accessorry splenic tissue -splenic absence -atrophy

New cards
78

variations in spleen position is due to

-embryologic development -ligaments that support it

New cards
79

accessory splenic tissue is seen where?

-adjacent to the hilum -gastrolieneal ligament -greater omentum

New cards
80

accessory splenic tissue size?

can vary in size from pea size to plum size

New cards
81

what is asplenia

absence of a spleen -is rare

New cards
82

asplenia can be associated w/

-asplenic syndrome -complex cardiac malformations -bronchopulmonary abnormalities -situs inversus (malrotation) -interrupted IVC w/ azygous continuation

New cards
83

polysplenia

condition where there is more than one spleen -more rare than asplenia

New cards
84

spleen atrophy can occur in ...

-older patients -can be sign of disease

New cards
85

pancreas has _________ & ____________ glands

exocrine and endocrine

New cards
86

endocrine

directly into bloodstream

New cards
87

exocrine

secretions into ducts

New cards
88

pancreas lies where?

anterior to 1st & 2nd lumbar

New cards
89

pancreas is located in what regions?

deep in left hypochondrium & epigastrium

New cards
90

pancreas is behind the ...

lesser omental sac

New cards
91

pancreas lies in what kind of position?

horizontal/oblique

New cards
92

pancreas extends from _____________ to ____________

2nd portion of duodenum to hilum of spleen

New cards
93

is pancreas intraperitoneal or retroperitoneal?

most of pancreas is retroperitoneal

New cards
94

what portion of pancreas is surrounded by peritoneum?

small portion of head

New cards
95

parts of pancreas

-head -neck -body -tail

New cards
96

pancreas head is anterior to

IVC

New cards
97

pancreas head is inferior to

caudate

New cards
98

pancreas head is medial to

second portion of duodenum

New cards
99

pancreas head is posterior to

SMA & SMV

New cards
100

SMV lies anterior to ...

uncinate process of pancreas

New cards

Explore top notes

note Note
studied byStudied by 7997 people
Updated ... ago
4.9 Stars(39)
note Note
studied byStudied by 11 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 15 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 1 person
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 39 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 11 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 11 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 9 people
Updated ... ago
5.0 Stars(1)

Explore top flashcards

flashcards Flashcard53 terms
studied byStudied by 2 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard67 terms
studied byStudied by 6 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard41 terms
studied byStudied by 12 people
Updated ... ago
5.0 Stars(2)
flashcards Flashcard98 terms
studied byStudied by 3 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard84 terms
studied byStudied by 41 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard109 terms
studied byStudied by 9 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard50 terms
studied byStudied by 7 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard262 terms
studied byStudied by 13 people
Updated ... ago
5.0 Stars(1)