Common Bile Duct, Hepatic Artery, Portal Vein (Mickey Mouse in trans)
cystic duct
joins the gallbladder to the common bile duct
common hepatic duct
bile duct system that drains the liver into the common bile duct
porta hepatis
portal vein, hepatic artery, common bile duct
same components of the portal triad but within the liver
hepatofugal
flow away from the liver (veins, bile)
hepatopedal
flowing towards the liver (arteries)
Falciform Ligament
seperates the left and right lobes of the liver and attaches to the diaphragm
ligamentum venosum
remnants of the ducts venosus in the liver (shunt in the liver when a fetus)
by the caudate lobe
Ligamentum teres
remnant of the umbilical veein
within the falciform ligament
by the quadrate lobe
round ligament
same as ligamentum teres
Caudate Lobe
Above the porta hepatis
right is the IVC
Left is the fossa for ductus venosus
in the right lobe, superior portion
Ampulla of Vater
where the common bile duct and the pancreatic duct connects to go to the intestine
Sphincter of Oddi
small muscle that guards the ampulla of vater
Spiral Valves
in the neck of the GB
Fundus
is the top portion of the GB
Duct of Wirsung
largest duct of pancreas that drains the tail, body, and head of the gland
joins the common bile duct to enter the duodenum through the ampulla vater
Duct of Santorini
small accessory of the pancreas found in the head of the gland
by passes the Ampulla of Vater straight to the duodenum, not everyone has it
Gerota's Fascia
another term for the renal fascia (pararenal fat)
Morison's Pouch
common place for ascites in the peritoneal cavity
between the right kidney and liver
Hilum
of the kidney is where the RV, RA, ureters enter the body of the kidney
Hemangioma
(liver) bright hyperechoic, tumor of capillaries, usually don't change in size
sludge
gallbladder, crystallization within the bile without stone formation, lack shadowing
Cholelithiasis
stone with in the gallbladder
Choledocolithiasis
stones within the CBD
Metastases
cancer that does not stay in one spot
cirrhosis
is a concequence of chronic liver disease characterized by replacement of liver tissue by fibrotic scar tissue as well as regenerative nodules, leading to progressive loss of liver function
most commonly from ascites
simple cyst
anechoic on pictures, with enhancement
hydronephrosis
kidney cannot drain into the ureter causing a backup in fluid, causes enhancement and atrophy in the kidney
Describe how the direction of blood flow determined by Doppler?
BART (normal)- blue away, red towards
RABT- red away red towards
(depends on the color bar)
Trace the excretion of the bile through the biliary system to the duodenum.
Liver to the hepatic duct
Gallbladder to the cystic duct
Those two ducts form the common bile duct
The pancreatic then joins to make the ampulla of vater through the spuincter of oddi to the duodenum
Vascular landmarks of the pancreas
IVC, AO, splenic vein, PC, SMA
List the echogenisities:
renal capsule
sinus, pelvis, collecting system
cortex
medulla, pyramids
