liver carbohydrate metabolism lipid metabolism protein & aa metabolism synthesis of plasma...
Post on 22-Dec-2015
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Liver• carbohydrate metabolism• lipid metabolism• protein & AA metabolism• synthesis of plasma proteins• vitamin metabolism• digestion (bile synthesis)• detoxification
Pancreas• endocrine (insulin & glucagon)• exocrine (bicarb & digestive enzymes)
Right lobeLeft lobe
Coronary ligament
Falciform ligament
Ligamentum teres
Left lobe
Right lobe
Quadrate lobe
IVC
Hepatic portal vein
Portal triad• hepatic portal vein• hepatic artery• bile duct
Hepatic triad• hepatic portal vein• hepatic artery• bile ductule
Central vein
Hepatic lobule
sinusoids hepatocytes Bile canaliculus
Hepatic portal vein - Central vein – hepatic veins – inferior vena cava
Stomach & intestines
sup. & inf mesenteric veins
Hepatic portal vein
Liver sinusoids
Hepatic vein
Inferior vena cava
Hepatic portal system – 70% of blood to liver
Cirrhosis – portal hypertension, jaundice
Cirrhosis of the liver• due to liver disease• scarring of liver tissue• jaundice (bile pigments)• ascites (fluid in abd cavity)• portal hypertension• causes:
• drug abuse• alcoholism• hepatitis C
normal
cholelithiasis
• Majority of gallstones are cholesterol, some from pigmented blood products
• Can see them on ultrasound
• Can use medications or surgery