Liver histology

Last updated: November 01, 2022

Liver histology

for the love of anki

for the love of anki

Anatomy clinical correlates: Heart
Anatomy of the superior mediastinum
Anatomy clinical correlates: Mediastinum
Anatomy of the inferior mediastinum
Lymphatic system anatomy and physiology
Cardiovascular changes during postural change
Cardiovascular changes during hemorrhage
Hypertensive emergency
Conn syndrome
Abetalipoproteinemia
Hyperlipidemia
Lymphangioma
Anticoagulants: Warfarin
Anticoagulants: Heparin
Anticoagulants: Direct factor inhibitors
Total anomalous pulmonary venous return
Acyanotic congenital heart defects: Pathology review
Atherosclerosis and arteriosclerosis: Pathology review
Peripheral artery disease: Pathology review
Cardiomyopathies: Pathology review
Supraventricular arrhythmias: Pathology review
Heart blocks: Pathology review
Pericardial disease: Pathology review
Hypertension: Pathology review
Vasculitis: Pathology review
Dyslipidemias: Pathology review
Cyanotic congenital heart defects: Pathology review
Coronary artery disease: Pathology review
Valvular heart disease: Pathology review
Heart failure: Pathology review
Ventricular arrhythmias: Pathology review
Aortic dissections and aneurysms: Pathology review
Endocarditis: Pathology review
Shock: Pathology review
Cardiac and vascular tumors: Pathology review
Cholinergic receptors
Cholinomimetics: Direct agonists
Adrenergic receptors
Cholinomimetics: Indirect agonists (anticholinesterases)
Muscarinic antagonists
Sympathomimetics: Direct agonists
Adrenergic antagonists: Presynaptic
Adrenergic antagonists: Alpha blockers
Adrenergic antagonists: Beta blockers
ACE inhibitors, ARBs and direct renin inhibitors
Thiazide and thiazide-like diuretics
Calcium channel blockers
cGMP mediated smooth muscle vasodilators
Class I antiarrhythmics: Sodium channel blockers
Class II antiarrhythmics: Beta blockers
Class III antiarrhythmics: Potassium channel blockers
Class IV antiarrhythmics: Calcium channel blockers and others
Lipid-lowering medications: Fibrates
Miscellaneous lipid-lowering medications
Positive inotropic medications
Pulseless electrical activity
Anatomy clinical correlates: Other abdominal organs
Anatomy of the perineum
Anatomy of the female urogenital triangle
Anatomy of the male urogenital triangle
Anatomy clinical correlates: Male pelvis and perineum
Anatomy clinical correlates: Female pelvis and perineum
Development of the renal system
Kidney histology
Tubular reabsorption of glucose
Urea recycling
Tubular secretion of PAH
Tubular reabsorption and secretion of weak acids and bases
Tubular reabsorption and secretion
Proximal convoluted tubule
Loop of Henle
Distal convoluted tubule
Sodium homeostasis
Potassium homeostasis
Phosphate, calcium and magnesium homeostasis
Osmoregulation
Antidiuretic hormone
Kidney countercurrent multiplication
Free water clearance
Vitamin D
Physiologic pH and buffers
The role of the kidney in acid-base balance
Buffering and Henderson-Hasselbalch equation
Acid-base map and compensatory mechanisms
Plasma anion gap
Metabolic alkalosis
Renal agenesis
Horseshoe kidney
Potter sequence
Hyperphosphatemia
Hypophosphatemia
Hyponatremia
Hypermagnesemia
Hypomagnesemia
Hypercalcemia
Hypocalcemia
Renal tubular acidosis
Diabetic nephropathy
Amyloidosis
Lupus nephritis
Poststreptococcal glomerulonephritis
Rapidly progressive glomerulonephritis
IgA nephropathy (NORD)
Alport syndrome
Hydronephrosis
Acute pyelonephritis
Chronic pyelonephritis
Prerenal azotemia
Renal azotemia
Postrenal azotemia
Acute tubular necrosis
Renal papillary necrosis
Renal cortical necrosis
Chronic kidney disease
Multicystic dysplastic kidney
Medullary cystic kidney disease
Medullary sponge kidney
Renal cell carcinoma
Angiomyolipoma
Nephroblastoma (Wilms tumor)
WAGR syndrome
Beckwith-Wiedemann syndrome
Posterior urethral valves
Hypospadias and epispadias
Bladder exstrophy
Urinary incontinence
Neurogenic bladder
Transitional cell carcinoma
Non-urothelial bladder cancers
Congenital renal disorders: Pathology review
Renal tubular defects: Pathology review
Renal tubular acidosis: Pathology review
Acid-base disturbances: Pathology review
Electrolyte disturbances: Pathology review
Renal failure: Pathology review
Nephrotic syndromes: Pathology review
Nephritic syndromes: Pathology review
Urinary incontinence: Pathology review
Urinary tract infections: Pathology review
Kidney stones: Pathology review
Renal and urinary tract masses: Pathology review
Osmotic diuretics
Carbonic anhydrase inhibitors
Loop diuretics
Potassium sparing diuretics
Blood histology
Blood components
Blood groups and transfusions
Sideroblastic anemia
Anemia of chronic disease
Lead poisoning
Hemolytic disease of the newborn
Glucose-6-phosphate dehydrogenase (G6PD) deficiency
Pyruvate kinase deficiency
Paroxysmal nocturnal hemoglobinuria
Hereditary spherocytosis
Fanconi anemia
Megaloblastic anemia
Folate (Vitamin B9) deficiency
Diamond-Blackfan anemia
Acute intermittent porphyria
Porphyria cutanea tarda
Vitamin K deficiency
Bernard-Soulier syndrome
Glanzmann's thrombasthenia
Hemolytic-uremic syndrome
Antithrombin III deficiency
Factor V Leiden
Protein C deficiency
Protein S deficiency
Antiphospholipid syndrome
Hodgkin lymphoma
Non-Hodgkin lymphoma
Chronic leukemia
Acute leukemia
Leukemoid reaction
Myelodysplastic syndromes
Polycythemia vera (NORD)
Myelofibrosis (NORD)
Essential thrombocythemia (NORD)
Langerhans cell histiocytosis
Mastocytosis (NORD)
Multiple myeloma
Monoclonal gammopathy of undetermined significance
Waldenstrom macroglobulinemia
Microcytic anemia: Pathology review
Non-hemolytic normocytic anemia: Pathology review
Intrinsic hemolytic normocytic anemia: Pathology review
Extrinsic hemolytic normocytic anemia: Pathology review
Macrocytic anemia: Pathology review
Heme synthesis disorders: Pathology review
Coagulation disorders: Pathology review
Platelet disorders: Pathology review
Mixed platelet and coagulation disorders: Pathology review
Thrombosis syndromes (hypercoagulability): Pathology review
Lymphomas: Pathology review
Leukemias: Pathology review
Plasma cell disorders: Pathology review
Myeloproliferative disorders: Pathology review
Antiplatelet medications
Thrombolytics
Hematopoietic medications
Ribonucleotide reductase inhibitors
Topoisomerase inhibitors
Platinum containing medications
Anti-tumor antibiotics
Microtubule inhibitors
DNA alkylating medications
Monoclonal antibodies
Antimetabolites for cancer treatment
Anatomy of the pharynx and esophagus
Anatomy of the oral cavity
Anatomy of the salivary glands
Anatomy of the tongue
Anatomy of the anterolateral abdominal wall
Anatomy of the abdominal viscera: Blood supply of the foregut, midgut and hindgut
Anatomy of the abdominal viscera: Esophagus and stomach
Anatomy of the abdominal viscera: Small intestine
Anatomy of the abdominal viscera: Large intestine
Anatomy of the abdominal viscera: Pancreas and spleen
Anatomy of the gastrointestinal organs of the pelvis and perineum
Anatomy of the abdominal viscera: Innervation of the abdominal viscera
Anatomy of the abdominal viscera: Liver, biliary ducts and gallbladder
Anatomy of the inguinal region
Anatomy of the muscles and nerves of the posterior abdominal wall
Anatomy of the peritoneum and peritoneal cavity
Anatomy of the vessels of the posterior abdominal wall
Anatomy clinical correlates: Anterior and posterior abdominal wall
Anatomy clinical correlates: Viscera of the gastrointestinal tract
Anatomy clinical correlates: Peritoneum and diaphragm
Anatomy clinical correlates: Inguinal region
Development of the digestive system and body cavities
Development of the gastrointestinal system
Development of the teeth
Development of the tongue
Gallbladder histology
Esophagus histology
Stomach histology
Small intestine histology
Colon histology
Liver histology
Pancreas histology
Anatomy and physiology of the teeth
Liver anatomy and physiology
Gastrointestinal hormones
Chewing and swallowing
Vitamins and minerals
Intestinal fluid balance
Prebiotics and probiotics
Peritonitis
Pneumoperitoneum
Cleft lip and palate
Congenital diaphragmatic hernia
Esophageal web
Tracheoesophageal fistula
Pyloric stenosis
Sialadenitis
Parotitis
Oral candidiasis
Ludwig angina
Aphthous ulcers
Temporomandibular joint dysfunction
Dental abscess
Gingivitis and periodontitis
Dental caries disease
Oral cancer
Warthin tumor
Boerhaave syndrome
Zenker diverticulum
Diffuse esophageal spasm
Esophageal cancer
Eosinophilic esophagitis (NORD)
Gastric dumping syndrome
Gastroparesis
Cyclic vomiting syndrome
Gastroenteritis
Gastric cancer
Gastroschisis
Imperforate anus
Omphalocele
Meckel diverticulum
Intestinal atresia
Hirschsprung disease
Intestinal malrotation
Necrotizing enterocolitis
Intussusception
Tropical sprue
Small bowel bacterial overgrowth syndrome
Lactose intolerance
Whipple's disease
Protein losing enteropathy
Microscopic colitis
Intestinal adhesions
Volvulus
Gallstone ileus
Abdominal hernias
Femoral hernia
Inguinal hernia
Small bowel ischemia and infarction
Ischemic colitis
Familial adenomatous polyposis
Peutz-Jeghers syndrome
Gardner syndrome
Juvenile polyposis syndrome
Colorectal polyps
Colorectal cancer
Carcinoid syndrome
Irritable bowel syndrome
Diverticulosis and diverticulitis
Appendicitis
Anal fissure
Anal fistula
Hemorrhoid
Rectal prolapse
Crigler-Najjar syndrome
Biliary atresia
Gilbert's syndrome
Dubin-Johnson syndrome
Rotor syndrome
Hepatic encephalopathy
Hemochromatosis
Wilson disease
Budd-Chiari syndrome
Non-alcoholic fatty liver disease
Cholestatic liver disease
Hepatocellular adenoma
Autoimmune hepatitis
Primary biliary cholangitis
Primary sclerosing cholangitis
Neonatal hepatitis
Reye syndrome
Benign liver tumors
Hepatocellular carcinoma
Biliary colic
Ascending cholangitis
Chronic cholecystitis
Gallbladder carcinoma
Cholangiocarcinoma
Pancreatic pseudocyst
Pancreatic cancer
Pancreatic neuroendocrine neoplasms
Zollinger-Ellison syndrome
Congenital gastrointestinal disorders: Pathology review
Esophageal disorders: Pathology review
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Inflammatory bowel disease: Pathology review
Malabsorption syndromes: Pathology review
Diverticular disease: Pathology review
Appendicitis: Pathology review
Gastrointestinal bleeding: Pathology review
Colorectal polyps and cancer: Pathology review
Pancreatitis: Pathology review
Gallbladder disorders: Pathology review
Jaundice: Pathology review
Viral hepatitis: Pathology review
Cirrhosis: Pathology review
Laxatives and cathartics
Antidiarrheals
Acid reducing medications

Questions

USMLE® Step 1 style questions USMLE

0 of 2 complete

A researcher is studying the histology of liver parenchyma. Under histological examination, the liver parenchyma is divided into hexagonal hepatic lobules containing the central vein in the center and the portal triad at the periphery. Each hepatic lobule is divided into three different zones. The circled zone in the picture is most susceptible to which of the following injuries?  


Transcript

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The liver is the largest internal organ in the body and weighs about 1.5 kg.

It’s surrounded by a capsule of fibrous connective tissue called Glisson’s capsule.

If we look at the liver from an inferior view, which is a view from the bottom of the liver, we can see that the liver is divided into a large left lobe and right lobe, as well as two smaller lobes, called the quadrate and caudate lobes.

The liver parenchyma or functional tissue of the liver is organized into thousands of hepatic lobules, which have a dual blood supply that comes from terminal branches of the hepatic portal vein and hepatic artery.

The blood then flows through sinusoids surrounded by hepatocytes before draining into the lobule’s central vein.

Hepatocytes are the main functional cells of the liver that perform a large variety of functions, including the production of bile, a number of plasma proteins, and non-essential amino acids; the metabolism of fat, carbohydrate, and protein; the storage of glucose, vitamins, and iron; and the breakdown or detoxification of metabolic waste products, drugs, and toxins.

At lower magnification, the hexagonal shape of the hepatic lobules can be identified by their slightly darker edges and the prominent central veins in the center of each lobule.

The portal triad consists of a bile ductule, portal venule, and arteriole.

After identifying the lobule, it can be easier to locate portal triads in an image since they’re typically located at the corners of the lobules.

If we take a closer look at just one portal triad, we can more easily identify the portal venule by its large diameter and thin walls compared to the arteriole, which has a much smaller diameter and thicker walls.

Similar to this image, the portal tract can sometimes have more than one bile duct.

The bile ducts can be identified by their prominent simple cuboidal epithelium.

Also in this image are a couple small lymphatic vessels, which have even thinner walls than the venule.

Let’s now take a closer look at the hepatocytes, which are large polygonal epithelial cells that form branching plates that are only one-cell thick, separated by sinusoids, and radiate outward from the central vein.

The sinusoids carry blood from the hepatic arteriole and portal venule to the central vein, while the bile canaliculi or capillaries carry the bile produced by hepatocytes in the opposite direction in order to drain into the bile ductules.

The hepatocyte’s cytoplasm is very eosinophilic, or pink because they contain a lot of mitochondria.

Key Takeaways

The liver consists of thousands of hepatic lobules, which on microscopic examination are identified by their prominent central vein, as well as a slightly pale central portion of the lobule compared to the edges of the lobules. On corners of lobules lie portal triads, each containing a portal venule, hepatic arteriole, and bile duct. Venules can be identified by their large lumen and thin wall, as opposed to arterioles that have a thicker wall and a smaller diameter. The bile duct is identified by its simple cuboidal epithelium. The main cells of the liver parenchyma are hepatocytes. These are large polygonal cells with eosinophilic cytoplasm and basophilic nuclei.