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,What percent of blood does the common hepatic artery carry into the liver - ✔✔20%
What percent of blood does the main portal vein carry into the liver - ✔✔80%
What does the gastroduodenal artery supply - ✔✔pancreas and stomach
What does the proper hepatic artery supply - ✔✔liver and GB
What is the RI of the hepatic artery - ✔✔low resistance, .55 - .8
What does the portal venous system drain - ✔✔blood from the digestive tract and delivers it to the liver for filtration
The IMV joins the splenic vein near the - ✔✔tail of the pancreas
What is the portal confluence - ✔✔confluence of SMV and splenic vein posterior to the head of pancreas
What does the MPV drain - ✔✔GI tract and sends blood to liver for filtration
The hepatic veins divide the liver into - ✔✔lobes (intersegmental veins)
What is the normal pressure in the portal vein - ✔✔5-10 mmHg
A normal portal vein will ___________ in diameter by more than 20% with deep inspiration - ✔✔increase
What is the normal diameter of the MPV - ✔✔< 13 mm
What is the normal velocity of the MPV - ✔✔15-20 m/s
The splenic vein courses ______________ to the pancreas where it meets with the ___ - ✔✔posterior where it meets
with the IMV
,After the splenic vein joins the IMV, it then joins the ___ to form the main portal vein ____________ to the neck of the
pancreas - ✔✔SMV to form the MPV posterior to neck of the pancreas
What does the splenic vein drain - ✔✔stomach, spleen, pancreas
Where does the SMV originate - ✔✔at the mesentery
The SMV joins the ______ vein posterior to the neck of the pancreas to form ___ - ✔✔splenic vein posterior to the neck
of the pancreas to form the MPV
What does the SMV drain - ✔✔small intestine and proximal colon
Where does the IMV arise from - ✔✔colon
The IMV ascends to the left of the ____ - ✔✔IMA
The IMV joins _________ vein posterior to body of pancreas - ✔✔splenic vein posterior to body of pancreas
What does the IMV drain - ✔✔distal colon
Where do the hepatic veins enter IVC - ✔✔just below the diaphragm
The hepatic veins drain blood from the ________ and return it to the heart - ✔✔liver
What is the most common variation in hepatic vein anatomy - ✔✔an accessory right hepatic vein
What is the direction of flow in the hepatic veins - ✔✔hepatofugal
What are the functional unit of the liver? - ✔✔lobules which are composed of hepatocytes
The portal triad tracts course _____________ to the lobules of liver tissue - ✔✔adjacent
, What do the hepatocytes surround - ✔✔periphery of veins
What do the hepatocytes do - ✔✔synthesize, metabolize, and excrete compounds
What do the walls of the sinusoids contain - ✔✔endothelial and Kupffer cells that phagocytize bacteria and foreign
material
What are the functions of the liver - ✔✔1. metabolism of digestive products
2. storage of vitamins, iron, glycogen, fat, amino acids
3. detoxification
4. bile production and excretion
5. albumin and globulin formation
6. lymph production
What causes an increase in LFT's - ✔✔acquired and inherited liver disease (hepatitis, fatty liver, hemochromatosis,
Wilson disease)
The liver contains higher levels of ___ than ___ - ✔✔ALT than AST
Changes in the ___ levels are more specific to liver disease - ✔✔ALT
Elevation of AST levels indicate? - ✔✔NON hepatic issues (because AST is found in other organs)
Where is Aspartate Aminotransferase present - ✔✔liver, kidneys, skeletal muscle, heart muscle, and brain
AST increases with - ✔✔acute hepatitis, cirrhosis, metastasis, and Reye Syndrome
AST is mildly increased with - ✔✔fatty changes
AST is NOT elevated with - ✔✔isolated biliary obstruction