liver
[liv´er]the large, dark-red gland located in the upper right portion of the abdomen, just beneath the diaphragm (see also color plates). Its manifold functions include storage and filtration of blood; secretion of bile; conversion of sugars into glycogen; the synthesis and breakdown of fats and the temporary storage of fatty acids; and the synthesis of serum proteins such as certain of the alpha and beta globulins, albumin (which helps regulate blood volume), and fibrinogen and prothrombin (which are essential coagulation factors).
Storage Functions. The liver can store up to 20 per cent of its weight in glycogen and up to 40 per cent of its weight in fats. The basic fuel of the body is a simple form of sugar called glucose. This comes to the liver as one of the products of digestion, and is converted into glycogen for storage. It is reconverted to glucose, when necessary, to keep up a steady level of sugar in the blood. This is normally a slow, continuous process, but in emergencies the liver, responding to epinephrine in the blood, releases large quantities of this fuel into the blood for use by the muscles.
As the chief supplier of glucose in the body, the liver is sometimes called on to convert other substances into sugar. The liver cells can make glucose out of protein and fat. This may also work in reverse: the liver cells can convert excess sugar into fat and send it for storage to other parts of the body.
In addition to these functions, the liver builds many essential proteins and stores up certain necessary vitamins until they are needed by other organs in the body.
As the chief supplier of glucose in the body, the liver is sometimes called on to convert other substances into sugar. The liver cells can make glucose out of protein and fat. This may also work in reverse: the liver cells can convert excess sugar into fat and send it for storage to other parts of the body.
In addition to these functions, the liver builds many essential proteins and stores up certain necessary vitamins until they are needed by other organs in the body.
Protective Functions. The liver disposes of worn-out blood cells by breaking them down into their different elements, storing some and sending others to the kidneys for disposal in the urine. It also filters and destroys bacteria. One of the most important functions of the liver is the detoxification of drugs, alcohol, and environmental poisons.
The liver also helps to maintain the balance of sex hormones in the body. A certain amount of female hormone is normally produced in males, and male hormone in females. When the level of this opposite sex hormone rises above a certain point, the liver takes up the excess and disposes of it.
Finally, the liver polices the proteins that have passed through the digestive system. Some of the amino acids derived from protein metabolism cannot be used by the body; the liver rejects and neutralizes these acids and sends them to the kidneys for disposal.
The liver also helps to maintain the balance of sex hormones in the body. A certain amount of female hormone is normally produced in males, and male hormone in females. When the level of this opposite sex hormone rises above a certain point, the liver takes up the excess and disposes of it.
Finally, the liver polices the proteins that have passed through the digestive system. Some of the amino acids derived from protein metabolism cannot be used by the body; the liver rejects and neutralizes these acids and sends them to the kidneys for disposal.
Liver Function Tests. There are many laboratory procedures that measure some aspect of liver functions. Serum bilirubin and urine bilirubin and urobilinogen levels provide information about the metabolism and excretion of bile pigments. Albumin and many of the alpha and beta globulins are synthesized by the liver. Disease that impairs their synthesis is shown by serum protein electrophoresis. Blood-clotting tests, such as one-stage prothrombin time, demonstrate a reduced synthesis of vitamin K–dependent coagulation factors by the liver.
There are many enzymes that occur in the liver and are released into the blood when there is liver damage or biliary obstruction. The ones most commonly determined in the laboratory are alkaline phosphatase, aspartate transaminase (AST), and alanine transaminase (ALT). AST and ALT are also commonly called (serum) glutamic-oxaloacetic transaminase (GOT or SGOT) and (serum) glutamic-pyruvic transaminase (GPT or SGPT). Alkaline phosphatase is elevated in patients with intrahepatic or extrahepatic obstruction of bile flow, as in cholestatic jaundice or in primary or metastatic carcinoma. AST and ALT are elevated in patients with hepatocellular injury as in acute viral or toxic hepatitis.
Both ultrasonography and radioisotope scans (scintiscans) are useful in demonstrating space-occupying lesions of the liver, such as cysts, abscesses, and tumors. Ultrasonography is an excellent tool for evaluating ascites or preparing for a liver biopsy. The scintiscans use technetium-99m sulfur colloid, which is taken up by the reticuloendothelial cells of the liver and spleen, or gallium-67, which has an affinity for abscesses and certain tumors. On a colloid scan, abscesses and tumors appear as filling defects or “cold spots”; on the gallium scan, they appear as “hot spots.”
A needle biopsy of the liver is useful in demonstrating the presence of cirrhosis, steatosis, alcoholic hepatitis, chronic hepatitis, and carcinoma. Liver biopsy is contraindicated in patients who have clotting defects, severe anemia, or a bacterial infection in an area to be traversed by the biopsy needle, for example, right lower lobar pneumonia.
There are many enzymes that occur in the liver and are released into the blood when there is liver damage or biliary obstruction. The ones most commonly determined in the laboratory are alkaline phosphatase, aspartate transaminase (AST), and alanine transaminase (ALT). AST and ALT are also commonly called (serum) glutamic-oxaloacetic transaminase (GOT or SGOT) and (serum) glutamic-pyruvic transaminase (GPT or SGPT). Alkaline phosphatase is elevated in patients with intrahepatic or extrahepatic obstruction of bile flow, as in cholestatic jaundice or in primary or metastatic carcinoma. AST and ALT are elevated in patients with hepatocellular injury as in acute viral or toxic hepatitis.
Both ultrasonography and radioisotope scans (scintiscans) are useful in demonstrating space-occupying lesions of the liver, such as cysts, abscesses, and tumors. Ultrasonography is an excellent tool for evaluating ascites or preparing for a liver biopsy. The scintiscans use technetium-99m sulfur colloid, which is taken up by the reticuloendothelial cells of the liver and spleen, or gallium-67, which has an affinity for abscesses and certain tumors. On a colloid scan, abscesses and tumors appear as filling defects or “cold spots”; on the gallium scan, they appear as “hot spots.”
A needle biopsy of the liver is useful in demonstrating the presence of cirrhosis, steatosis, alcoholic hepatitis, chronic hepatitis, and carcinoma. Liver biopsy is contraindicated in patients who have clotting defects, severe anemia, or a bacterial infection in an area to be traversed by the biopsy needle, for example, right lower lobar pneumonia.
Disorders of the Liver. The liver, with its many complex functions, can be damaged by various disorders and diseases, including hepatitis, cirrhosis, and abscess. Signs of liver damage include jaundice, ascites, uncontrolled bleeding resulting from a decrease in clotting factors, and increased sensitivity to drugs.
Liver. Bile, manufactured in the liver, is stored in the gallbladder; it passes through the bile duct into the duodenum, the upper end of the small intestine, where it aids in digestion.
fatty liver one affected with fatty infiltration, usually from alcohol abuse, jejunoileal bypass surgery, or occasionally diabetes mellitus; fat is in large droplets and the liver is enlarged but of normal consistency; patients are often asymptomatic but the condition can progress to hepatitis or cirrhosis if the underlying cause is not removed.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.
liv·er
(liv'ĕr), [TA] Do not confuse this word with livor.The largest gland of the body, lying beneath the diaphragm in the right hypochondrium and upper part of the epigastric region; it is of irregular shape and weighs from 1-2 kg, or about one fortieth the weight of the body. As an exocrine gland, it secretes bile; it initially receives most absorbed nutrients through the portal vein; it detoxifies drugs and many exogeneous substances and is also of great importance in fat, carbohydrate, and protein metabolism; also stores glycogen.
Synonym(s): hepar [TA]
[A.S. lifer]
Farlex Partner Medical Dictionary © Farlex 2012
liver
(lĭv′ər)n.
1. A large, reddish-brown, glandular organ in the abdominal cavity of vertebrates that secretes bile and is active in the formation of certain blood proteins and in the metabolism of carbohydrates, fats, and proteins.
2. An organ in invertebrates that is similar to the vertebrate liver.
3. The bile-secreting organ of certain animals, used as food.
4. A dark reddish brown.
adj.
1. Made of or flavored with liver: liver pâté.
2. Of a dark reddish brown.
The American Heritage® Medical Dictionary Copyright © 2007, 2004 by Houghton Mifflin Company. Published by Houghton Mifflin Company. All rights reserved.
occult primary malignancy
Occult cancer, unknown primary A malignancy of unknown 1º site or origin that is symptomless, which first manifests itself as metastases or secondary–paraneoplastic phenomena, and usually has a poor prognosis; OPMs are problematic as appropriate therapy requires that the primary malignancy be eradicated, and many remain obscure despite aggressive diagnostic work-up; certain malignancies metastasize to certain sites with greater than expected frequency; in OPMs affecting the brain, the primary arises in the lungs in up to 85% Treatment Up to 30% of Pts with metastases from an occult primary adenoCA may respond to chemotherapy–mitomycin C, adriamycin, vincristine; poor response is more common in ♂ and in Pts with liver and/or infradiaphragmatic metastases Occult primary malignancies
Bone Breast, bronchus, prostate, thyroid, kidney
CNS Breast, bronchus, kidney, colon
Head & neck Oropharynx, nasopharynx–most are squamous cell carcinoma; also adenocarcinoma, melanoma, rhabdomyosarcoma, oat cell, salivary gland, thyroid carcinomas
Liver CA of stomach, colon, breast, pancreas, or bronchus
Lung Breast, colon, kidney, melanoma, sarcoma, stomach, testis, thyroid
Lymph nodes
• Cervix Naso– and oropharynx, thyroid, larynx, lymphoma
• Supraclavicular Bronchi, breast, stomach, esophagus, pancreas, colorectal,
lymphoma
lymphoma
• Axillary Breast, melanoma, lymphoma
• Inguinal Urogenital tract, anus, melanoma, lymphoma
Ovary Stomach, colon
Serosal surfaces Bronchi, breast, ovary, lymphoma
Skin Melanoma, breast, bronchus, stomach, kidney
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.
liv·er
(liv'ĕr) [TA]The largest gland of the body, lying beneath the diaphragm in the right hypochondrium and upper part of the epigastrium; it is of irregular shape and weighs from 1-2 kg, or about 1/40 the weight of the body. It secretes bile and is also of great importance in both carbohydrate and protein metabolism.
Synonym(s): hepar [TA] .
Synonym(s): hepar [TA] .
Medical Dictionary for the Health Professions and Nursing © Farlex 2012
liver
The largest organ of the ABDOMEN occupying the upper right corner and extending across the midline to the left side. It is wedge-shaped, with the thin edge pointing to the left, of a spongy consistency, reddish-brown in colour and moulded to fit under the domed DIAPHRAGM so that most of it lies behind the ribs. The liver receives chemical substances in the blood, especially in the nutrient-rich blood from the intestines (glucose, amino acids, fats, minerals and vitamins) and processes these according to the needs of the body. It takes up the products of old red blood cells and converts these into a pigment, bilirubin, which together with other substances, form the bile. It breaks down toxic substances into safer forms. Ammonia produced from protein breakdown is converted into urea, which is excreted in the urine. Alcohol and other drugs are altered to safer forms. To a remarkable degree, the liver is able to regenerate itself after disease, toxic damage or injury. But if this capacity is exceeded, functional liver cells form nodules and are replaced by inert fibrous tissue (CIRRHOSIS) and the whole function of the body is severely affected.Collins Dictionary of Medicine © Robert M. Youngson 2004, 2005
liver
the largest and most complex organ of the vertebrate body, with a wide range of functions (see below).several of which are vital for life to continue. In mammals the liver receives a double blood supply, about 70% coming from the HEPATIC PORTAL SYSTEM and 30% from the arterial system. The liver performs the following functions:- removes excess glucose from the blood and stores it as GLYCOGEN.
- converts glycogen back to glucose when blood sugar levels are low.
- converts food substances to other types, e.g. carbohydrates into fats, amino acids into carbohydrates or fats.
- deaminates amino acids, converting the ammonia produced into urea via the ORNITHINE CYCLE, releasing the nitrogenous wastes into the blood.
- transaminates amino acids (see TRANSAMINATION from one type to another via keto acids.
- detoxifies many harmful compounds.
- manufacturers fats, including cholesterol. (h) manufacturers many plasma proteins, including FIBRINOGEN and PROTHROMBIN.
- stores several important substances, e.g. iron and fat-soluble vitamins.
- excretes bile pigments.
- manufacturers bile salts.
- destroys worn-out red blood cells.
Collins Dictionary of Biology, 3rd ed. © W. G. Hale, V. A. Saunders, J. P. Margham 2005
Liver
A solid organ located on the right in the upper abdomen. It plays a major role in metabolism, digestion, detoxification, and elimination of substances from the body.
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Gale Encyclopedia of Medicine. Copyright 2008 The Gale Group, Inc. All rights reserved.
liv·er
(liv'ĕr) [TA]The largest gland of the body, lying beneath the diaphragm in the right hypochondrium and upper part of the epigastric region; it is of irregular shape and weighs from 1-2 kg, or about one fortieth weight of body. Detoxifies drugs and many exogeneous substances and is also of great importance in fat, carbohydrate, and protein metabolism.
Medical Dictionary for the Dental Professions © Farlex 2012
Patient discussion about liver
Q. Why do I have Fatty Liver? I have just had a complete overhaul regarding my health and thankfully the only thing that came back was that I had fatty liver, now I don`t drink, never have, I`m not desperately overweight although have lost 4 stone over a period of time, and I like to think that I eat sensibly, salads, fruit, veg.. Any thoughts anyone?
A. The scholars investigate and find, eight in ten fat people have fatty liver. The main reason is that a large amount of dissociative fat acid in blood is gradually transferred to liver and this overburdens the metabolism ability of liver then leads the fat accumulated and finally the fatty liver formed. More than half the patients with type 2 diabetes mellitus associated with fatty liver. Dextrose and fat acid can’t get a good use and obstacle appears in lipoprotein synthesizing. When dextrose and fat acid change into fat in liver, this will lead fat accumulation and finally fatty liver formed.
For the entire article you can go to:
http://www.liver-health.info/?page=fatte_liver
Hope this helps.
For the entire article you can go to:
http://www.liver-health.info/?page=fatte_liver
Hope this helps.
Q. What are the risks of cirrhosis of liver? My dad has cirrhosis and I would like to know what are the risks and how does it get treated.
A. Death!
Q. What is Liver Cirrhosis? I read that alcohol can lead to liver cirrhosis. What does cirrhosis mean?
A. The word "cirrhosis" is a neologism that derives from Greek kirrhos, meaning "orange-yellow". In this condition, the liver appears yellow in pathology from all the tissue changes and damage caused to it. Cirrhosis has many possible causes. Sometimes more than one cause is present in the same patient. In the Western World, chronic alcoholism and hepatitis C are the most common causes. The sick liver gradually loses its function, therefore leading to end stage liver disease that ultimately requires liver transplant.
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