liver is the largest gland of the body. it normally
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8/14/2019 Liver is the Largest Gland of the Body. It Normally
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LiverLiver
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The liver is the largest gland of the body. It normallyThe liver is the largest gland of the body. It normally
weighs about 1.5kg. The sharp inferior border of theweighs about 1.5kg. The sharp inferior border of the
liver does not normally extend below the right costalliver does not normally extend below the right costal
margin. If it does, it is enlarged. In order to free themargin. If it does, it is enlarged. In order to free the
liver for study, you must cut the falciform ligament,liver for study, you must cut the falciform ligament,superior and inferior parts of the coronary ligament,superior and inferior parts of the coronary ligament,
the right and left triangular ligaments, the lesserthe right and left triangular ligaments, the lesser
omentum and the structures in its free marginomentum and the structures in its free margin
(common bile duct, proper hepatic artery and portal(common bile duct, proper hepatic artery and portal
vein) and the hepatic veins at the point where theyvein) and the hepatic veins at the point where theyempty into the inferior vena cavaempty into the inferior vena cava
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Size and ShapeSize and Shape
During development, liver size increases with increasingDuring development, liver size increases with increasing
age, averaging 5 cm span at 5 years and attaining adultage, averaging 5 cm span at 5 years and attaining adult
size by age 15. The size depends on several factors: age,size by age 15. The size depends on several factors: age,
sex, body size and shape, as well as the particularsex, body size and shape, as well as the particular
examination technique utilized (e.g., palpation versusexamination technique utilized (e.g., palpation versuspercussion versus radiographic). By percussion, the meanpercussion versus radiographic). By percussion, the mean
liver size is 7 cm for women and 10.5 cm for men .A liverliver size is 7 cm for women and 10.5 cm for men .A liver
span 2 to 3 cm larger or smaller than these values isspan 2 to 3 cm larger or smaller than these values is
considered abnormal. The liver weighs 1200 to 1400 g inconsidered abnormal. The liver weighs 1200 to 1400 g in
the adult woman and 1400 to 1500 g in the adult man.the adult woman and 1400 to 1500 g in the adult man.
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Frontal views of the liver forFrontal views of the liver for
different body types.different body types.
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Lateral views of the liver forLateral views of the liver for
different body typesdifferent body types
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Parts of liverParts of liver
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Right lobeRight lobe
TheThe right loberight lobe is much larger than the left; theis much larger than the left; theproportion between them being as six to one.proportion between them being as six to one.
It occupies theIt occupies the rightrighthypochondriumhypochondrium, and is separated, and is separatedfrom the left lobe on its upper surface by thefrom the left lobe on its upper surface by the falciformfalciformligamentligament; on its under and posterior surfaces by the; on its under and posterior surfaces by theleftleftsagittalsagittalfossafossa; and in front by the; and in front by the umbilical notchumbilical notch..
It is of a somewhat quadrilateral form, its under andIt is of a somewhat quadrilateral form, its under andposterior surfaces being marked by three foss: theposterior surfaces being marked by three foss: theporta and the foss for theporta and the foss for the gall-bladdergall-bladder
andand inferior vena cavainferior vena cava, which separate its left part into, which separate its left part intotwo smaller lobes; thetwo smaller lobes; the quadratequadrate andand caudate lobescaudate lobes..
http://en.wikipedia.org/wiki/Right_hypochondriumhttp://en.wikipedia.org/wiki/Right_hypochondriumhttp://en.wikipedia.org/wiki/Right_hypochondriumhttp://en.wikipedia.org/wiki/Right_hypochondriumhttp://en.wikipedia.org/wiki/Falciform_ligamenthttp://en.wikipedia.org/wiki/Falciform_ligamenthttp://en.wikipedia.org/wiki/Falciform_ligamenthttp://en.wikipedia.org/wiki/Falciform_ligamenthttp://en.wikipedia.org/w/index.php?title=Left_sagittal_fossa&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Left_sagittal_fossa&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Left_sagittal_fossa&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Left_sagittal_fossa&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Left_sagittal_fossa&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Left_sagittal_fossa&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Umbilical_notch&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Umbilical_notch&action=edit&redlink=1http://en.wikipedia.org/wiki/Gall-bladderhttp://en.wikipedia.org/wiki/Gall-bladderhttp://en.wikipedia.org/wiki/Inferior_vena_cavahttp://en.wikipedia.org/wiki/Inferior_vena_cavahttp://en.wikipedia.org/wiki/Quadratehttp://en.wikipedia.org/wiki/Quadratehttp://en.wikipedia.org/wiki/Caudate_lobehttp://en.wikipedia.org/wiki/Caudate_lobehttp://en.wikipedia.org/wiki/Caudate_lobehttp://en.wikipedia.org/wiki/Quadratehttp://en.wikipedia.org/wiki/Inferior_vena_cavahttp://en.wikipedia.org/wiki/Gall-bladderhttp://en.wikipedia.org/w/index.php?title=Umbilical_notch&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Left_sagittal_fossa&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Left_sagittal_fossa&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Left_sagittal_fossa&action=edit&redlink=1http://en.wikipedia.org/wiki/Falciform_ligamenthttp://en.wikipedia.org/wiki/Falciform_ligamenthttp://en.wikipedia.org/wiki/Right_hypochondriumhttp://en.wikipedia.org/wiki/Right_hypochondrium -
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Left lobeLeft lobe
TheThe left lobeleft lobe is smaller and moreis smaller and more
flattened than the right. It is situatedflattened than the right. It is situated
in thein the epigastricepigastric and leftand left
hypochondriachypochondriac regions. Its upperregions. Its uppersurface is slightly convex and issurface is slightly convex and is
moulded on to the diaphragm; itsmoulded on to the diaphragm; its
under surface presents the gastricunder surface presents the gastricimpression andimpression and omentalomentaltuberositytuberosity..
http://en.wikipedia.org/wiki/Epigastrichttp://en.wikipedia.org/wiki/Epigastrichttp://en.wikipedia.org/wiki/Hypochondriachttp://en.wikipedia.org/wiki/Hypochondriachttp://en.wikipedia.org/wiki/Omental_tuberosityhttp://en.wikipedia.org/wiki/Omental_tuberosityhttp://en.wikipedia.org/wiki/Omental_tuberosityhttp://en.wikipedia.org/wiki/Omental_tuberosityhttp://en.wikipedia.org/wiki/Omental_tuberosityhttp://en.wikipedia.org/wiki/Omental_tuberosityhttp://en.wikipedia.org/wiki/Hypochondriachttp://en.wikipedia.org/wiki/Epigastric -
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Falciform ligamentFalciform ligament
TheThe falciform ligamentfalciform ligament is a ligament which attaches theis a ligament which attaches the
liver to the anterior body wall. It is a broad and thin antero-liver to the anterior body wall. It is a broad and thin antero-
posterior peritoneal fold, falciform (Latin "sickle-shaped") inposterior peritoneal fold, falciform (Latin "sickle-shaped") in
shape, its base being directed downward and backward, itsshape, its base being directed downward and backward, its
apex upward and backward.apex upward and backward.
It is attached by its left margin to the under surface of theIt is attached by its left margin to the under surface of the
diaphragm, and the posterior surface of the sheath of thediaphragm, and the posterior surface of the sheath of the
right Rectus as low down as theright Rectus as low down as the umbilicusumbilicus; by its right; by its right
margin it extends from the notch on the anterior margin ofmargin it extends from the notch on the anterior margin of
the liver, as far back as the posterior surface.the liver, as far back as the posterior surface.
http://en.wikipedia.org/wiki/Umbilicushttp://en.wikipedia.org/wiki/Umbilicushttp://en.wikipedia.org/wiki/Umbilicus -
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Coronary LigamentCoronary Ligament
TheThe coronary ligamentcoronary ligament of theof the liverliver refers to parts ofrefers to parts of
thethe peritonealperitoneal reflections that hold the liver to thereflections that hold the liver to the
inferior surface of theinferior surface of the diaphragmdiaphragm..
The anterior layer of the coronary ligament is formed byThe anterior layer of the coronary ligament is formed by
the reflection of the peritoneum from the upper marginthe reflection of the peritoneum from the upper marginof the bare area of the liver to the under surface of theof the bare area of the liver to the under surface of the
diaphragm.diaphragm.
The posterior layer of the coronary ligament is reflectedThe posterior layer of the coronary ligament is reflected
from the lower margin of the bare area and isfrom the lower margin of the bare area and is
continuous with the right layer of the lesser omentumcontinuous with the right layer of the lesser omentum
http://en.wikipedia.org/wiki/Liverhttp://en.wikipedia.org/wiki/Liverhttp://en.wikipedia.org/wiki/Peritonealhttp://en.wikipedia.org/wiki/Peritonealhttp://en.wikipedia.org/wiki/Thoracic_diaphragmhttp://en.wikipedia.org/wiki/Thoracic_diaphragmhttp://en.wikipedia.org/wiki/Thoracic_diaphragmhttp://en.wikipedia.org/wiki/Peritonealhttp://en.wikipedia.org/wiki/Liver -
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Location of the liverLocation of the liver
Located behind the lower ribs on theLocated behind the lower ribs on the
right side of the abdomen.right side of the abdomen.
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Functions of liverFunctions of liver
to produce substances that break down fats,to produce substances that break down fats,convert glucose to glycogen,convert glucose to glycogen,
produce urea (the main substance of urine), makeproduce urea (the main substance of urine), makecertain amino acids (the building blocks ofcertain amino acids (the building blocks ofproteinsproteins
),), filter harmful substances from the blood (such asfilter harmful substances from the blood (such as
alcohol), storage of vitamins and minerals (alcohol), storage of vitamins and minerals (vitamins Avitamins A,, DD, K and, K and B12B12))
maintain a proper level or glucose in the blood. Themaintain a proper level or glucose in the blood. The
liver is also responsible for producingliver is also responsible for producing cholesterolcholesterol. It. Itproduces about 80% of the cholesterol in your body.produces about 80% of the cholesterol in your body.
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