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Liver: Anatomy and Physiology, Pathophysiology, Study notes of Medicine

The notes is about the role of the liver in the human body and the disease and conditions associated with it.

Typology: Study notes

2022/2023

Available from 02/13/2023

Xixiluciaa
Xixiluciaa 🇵🇭

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LIVER
4)
Excretory
/
secretory
major
metabolic
&
synthetic
processes
functions
versatile
/
major
organ
5.)
storage
hepatic
lobules
C
,
L
,
M
,
H
,
P
regenerative
capacity
can
recover
BILE
:
3-4
Ltd
;
it
is
used
*
capacity
is
only
up
to
20%
lipid
digestion
FUNcM0N-
1)
metabolic
processes
a
C.
L
,
M
,
P
,
H
BILE
HELPS
dietary
a
synthetic
lipid
-
synthesizes
clotting
factors
emulsification
-
plasma
proteins
hydrolyse
TAG
3)
detoxification
-
urea
cycle
ammonia
A
bite
acids
>
MA
attach
>
waste
prod
.
-
macrophages
:
knpffer
cells
:
phagocytosis
during
config
.
of
Chile
.
M
.
2)
bile
salt
conjugated
in
liver
pf3
pf4
pf5

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LIVER 4)^ Excretory /^ secretory

  • major metabolic & (^) synthetic processes functions
  • versatile (^) /

major organ 5.) storage

  • hepatic lobules C ,

L , M , H^ ,^ P

regenerative capacity

→ (^) can (^) recover BILE :^ 3-4 Ltd ; it^ is used

  • (^) capacity is^

only up

to ≤ (^) 20% FUNcM0N- 1)^ metabolic^ processes^ lipid^ digestion a C. L^ ,^ M^ , P^ , H^ ✗

BILE HELPS

→ (^) dietary a (^) synthetic (^) lipid

synthesizes clotting^ factors^ ↓ emulsification

  • plasma proteins^ hydrolyse

TAG

  1. (^) detoxification
  • urea (^) cycle

→ ammonia A bite acids

> MA attach

waste prod.

  • macrophages :

knpffer cells^

: (^) phagocytosis during (^) config

.^ of^ Chile^.^ M^.

  1. (^) bile salt^ →^ conjugated^ in liver

Classifications (^) of Bite^ acids^ &^ bite^ salts^ ①^ Proto^ porphyrin^ Ix ① PRIMARY (^) @ SECONDARY

  • should be eliminated "" '""→ " "^ "" """

""" " "%

NF OF INTESTINES - Ex :
HEME
  • deoxydneeic - cannot be^ recycled ×.

litho chalice^ _

cyclic (^) STRUCTURE

  • chaotic opens up^4 changes
  • chemo

deoxy

chalice • ursodeoxychotic occur

BILIRUBIN ② BIUVERDTN

  • metabolic breakdown^ of heme^ ( (^250) -350mg / d) → greenish

BNvEbDW

③ (^) B

]gREDhctA

(^85) -90%

Kgb

to -^15 %^ myoglobin

  • unconjngated bilirubin

water (^) insoluble ( NP^ )

  • indirect (^) bilirubin
  • not excreted in (^) the urine
  • URINE : - 131

& - PLASMA : ✓ 131

LIVER DISORDERS^ b.^ cirrhosis^ : alcoholism

a. (^) jaundice c. (^) hepatitis

  • manifestation d.^ BO
  • yellow discoloration e.^ tumor f. (^) hepatic
  • skin (^) / sclera encelopathg 3-

my 1dL^

9.^ drug^ -^ dlohol^ related

DEPOSITION :^ Pre^ - hepatic ADULT :^ LESS^ HARMFUL ↑ BI

  • intact BBB Hepatic NEWBORN! FATAL ↑ (^) B
  • (^) ✗ intact^ BBB^ ( 15

-20mg 1dL^ )

Post
B

cos ↓ (^) Hepatic Jaundice kerniclems €^ mental retardation

light

  • _ (^) ↓ (^) biti ①

(^) MOTOR Physiology^ Jaundice^ of^ NB

DYSFUNCTION

( permanent)

↑ -^ immature^ liver

PH0totAERn

  • tight sensitive -^3 days

↑ B^ '

② CRIGLER - NAJJAR SYNDROME ⑤ ROTOR SYNDROME

genetic

  • viral infection
  • bilirubin

excretion

* UGT

lag ⁿ8upgpt -^ ↑^ B2 PLASMA (gene)

  • conjugation is detective
  • fatal - ↑B ③ (^) GILBERT (^) SYNDROME

acquired

  • detect in bilirubin (^) transport
  • ⑤ Hepatocytes

④ DUBIN^

  • JOHNSON^ →^ dark^ pigmentation ( (^) deposition of
  • (^) Genetic
HPO FUCHSIN )
  • emo - AT PROTEIN _ A N 4 L^ R (^) N (^) R ↑ (^) BI A (^) T G^1 A L e^ A^ O^ W ' (^) S^ N^ N c p^ I^ 5

4 E^ C^ Po

l (^) f R AR (^) F T E i r