• the gallbladder. • Porta hepatic( bile duct,H.a.H.V) • Fissure for lig. Venoosum & lesser omentum. Separation of the four lobes of the liver: •Right sagittal fossa - groove for inferior vena cava and gall. Segmental anatomy of the liver –Liver segments are based on the portal and. Human liver, gallbladder, pancreas anatomy vector illustration. Download a Free Preview or High Quality Adobe Illustrator Ai, EPS, PDF and High Resolution JPEG versions. ID #19456166. Download Ai, EPS, PDF & JPG files. ![]() Common Bile Duct (CBD) • Anatomy: Usually 5 - 15 cm in length and with a diameter usually. Gallbladder • Anatomy: 7 - 10 cm long structure that lies on visceral surface of the liver usually between the right lobe and quadrate lobe and anteriorly against the duodenum. ![]() The neck of is surrounded by the peritoneum helping to bind it to the liver. • Components: Fundus, body, neck, cystic duct, common hepatic duct, common bile duct • Normal wall thickness: On anterior view by ultrasound should be. Hepatic Artery • Anatomy: Is a branch off of the celiac artery. The common hepatic artery comes directly off of the celiac trunk and then divides superiorly into the hepatic artery to perfuse the liver and gallbladder and then inferiorly as the gastroduodenal artery to perfuse a portion of the stomach and duodenum. • Function: Provide the other 20 - 25% of blood flow to the liver. The cystic artery branches off the hepatic artery to perfuse the gallbladder. • Variations: Abberrant hepatic arteries: The most common right aberrant hepatic artery comes off of the superior mesenteric artery and left aberrant hepatic artery comes off of the left gastric artery. Inferior Vena Cava • Anatomy: Continues to arise from the liver just inferior to the diaphragm. • Function: Receives venous blood from the right, middle, and left hepatic veins of the liver and returns it to the right side of the heart for distribution to the lungs for oxygenation. • Clinical Considerations: • Vascular Status Assessment: Using ultrasound the IVC diameter and degree of collapse between inspiration and expiration can help to vascular status of the patient. A greater than 50% collapse can suggest volume depletion. Liver • Anatomy: Second to the skin, it is the largest gland in the body and weighs about 1,500 g. In children, it is about 5% vs. Adults it is 2.5% of the body weight. It lies just inferior to the surface of right hemidiaphragm. It is divided into 2 main lobes and two accessory lobes that are created by reflections of the peritoneum. It is divided into 4 divisions and then further into 8 segments that can be surgically resected because each are independently perfused by branches of the portal triad. • Ligamentum venosum: fibrous remnant of the fetal ductus venosus which was known to bypass the liver by shunting blood from the umbilical vein to the IVC. • Round Ligament: is a fibrous remnant of the umbilical vein. • Function: Its function is multifactorial: • Receive nutrients from the gastrointestinal tract via the portal circulation • Synthesize albumin, clotting factors, bile, and convert ammonia to blood urea nitrogen (BUN) • Store glycogen and increase blood glucose levels via hepatogluconeogenesis • Metabolize medications via phase I & II pathways • Elimination of medications and bile into the bile canaliculus. • Blood Supply: Hepatic artery and portal vein • (Variations) Abberrant hepatic arteries: The most common right aberrant hepatic artery comes off of the superior mesenteric artery and left aberrant hepatic artery comes off of the left gastric artery • Imaging: Ultrasound and CT scan • Diseases: Cirrhosis, fatty liver disease, hepatocellular carcinoma, liver lacerations, abscesses • Clinical Considerations: • Cirrhosis: • Fibrosis of the liver leading to loss of synthetic function as well as abnormal distribution and blood flow leading to portal hypertension. Free download lagu westlife obvious youtube. Download lagu Westlife - Obvious (Single Mix) MP3 dapat kamu download secara gratis di Planetlagu. Details lagu Westlife - Obvious (Single Mix) bisa kamu lihat di tabel, untuk link download Westlife - Obvious (Single Mix) berada dibawah. Numerous causes (alcoholic, alpha-1 antitrypsin deficiency, drug induced, fatty liver disease, hemochromatosis) • Diabetes Mellitus: • Patients with type 2 diabetes have insulin resistance that results in too much hepatogluconeogenesis. The oral medication, metformin works in the liver to reduce this process which improves fasting blood sugars. • Liver Biopsy: • Since the liver lies in the right upper quadrant and is protected in part by the overlying thoracic cage, the needle is commonly inserted in the right 10 th intercostal space in the midaxillary line. • Liver Laceration: • Commonly from trauma or rib fracture. Rasta songs sinhala lyrics. Can result in bleeding that may require surgical treatment. • Subphrenic Abscesses: • Normally collects from infections involving the peritoneal cavity such as ruptured duodenal ulcers and appendicitis that collect in the subphrenic recess. • Traumatic Intraabdominal Injuries: • The large size in children in relation to adults puts children at greater risk for traumatic intrabdominal injuries.
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