The Liver Review
lobules, kupffer, portal triad
Each hepatic lobe can be further divided into thousands of liver _______. Lobules contain hepatocytes, biliary epithelial cells, and ______ cells. Each lobule is surrounded by a ________
portal hypertension
Enlargement of the portal vein is indicative of ______
right-sided heart, budd-chiari syndrome
Enlargment of the hepatic veins is seen in ________ abnormalities, and occlusion of the hepatic veins is seen with ________
triphasic
Hepatic veins have a ______ blood flow pattern secondary to their association with the right atrium and atrial contraction
elevated
In the case of cirrhosis, extrahepatic biliary obstruction, gallstones, hepatitis, mets, or pancreatic carcinoma, alkaline phosphatase will be ______
elevated
In the case of cirrhosis, fatty liver, hepatitis, mets, AST will be ______
elevated
In the case of hepatitis, hepatocellular disease, obstructive jaundice, ALT will be ______
hepatopetal, monophasic
Normal flow within the portal veins should be ______ and _____ with some variation noted with respiratory changes and after meals
quadrate lobe
The ______ lobe is located between the gallbladder fossa and the round ligament
right hepatic vein, right intersegmental fissure
The ______ separates the anterior segment of the right lobe from the posterior segment of the right lobe (2)
13
The diameter of the main portal vein can vary with respiration, although typically measures less than ___ mm in the AP dimension
13 mm
The diameter of the portal vein should not exceed _____
anterior, posterior
The hepatic artery is _____ to the main portal vein and _____ to the common bile duct
increase
The hepatic veins ______ in size as they approach the diaphragm
papillary process
The inferior extension of the caudate lobe is called the _____
middle hepatic vein
The left lobe of the liver can be separated from the right lobe by the _______
right hepatic vein
The right intersegmental fissure contains the ______
right hepatic vein
The right lobe of the liver is divided into segments by the ________
increase
A clinical finding of hepatocellular carcinoma includes a/an _______ in a-fetoprotein
hepatic veins
Budd chiari syndrome leads to a reduction in the size of the _____
decrease
Normal portal veins _____ in size as they approach the diaphragm
quadrate
Sonographically, the ______ lobe is considered the medial segment of the left lobe
middle hepatic vein, main lobar fissure, gallbladder fossa
The _____, ____, and _____ separate the right lobe from the lobe (these are located between the anterior segment of the right lobe and the medial segment of the left lobe)
left hepatic vein, left intersegmental fissure, ligamentum teres, falciform ligament
The _____, _____, ______, and ______ separate the lateral segment of the left lobe from the left medial segment of the left lobe
liver
The ______ is responsible for hemopoiesis
ligamentum teres
The left umbilical vein after birth becomes the _______
medial and lateral segments of the left lobe
The ligamentum trees can be used to separate the ____
middle hepatic vein
The main lobar fissure contains the ______
low
The normal flow pattern of the hepatic artery is _____ resistance
70
The portal provides the liver with approximately ___% of its total blood supply
anterior, posterior
The right portal vein divides into _____ and _____ branches
