2. 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)

4. Right lobe Left 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

5. 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

6. 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

7. Celiac trunk Common hepatic artery Arterial supply to liver – 30% of blood to liver

8. 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

9. cholelithiasis Majority of gallstones are cholesterol, some from pigmented blood products Can see them on ultrasound Can use medications or surgery

10. tail body head Pancreatic duct Bile duct Hepatopancreatic ampulla

12. QUESTIONS?