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T7N - Text number 7 - Nursing<br />

LIVER AND BILIARY<br />

TRACT<br />

The liver, the largest secreting org<strong>an</strong> in the body,<br />

possesses a major degree <strong>of</strong> reserve functional<br />

capacity, unusual<br />

resist<strong>an</strong>ce to damage <strong>by</strong> noxious subst<strong>an</strong>ces, <strong>an</strong>d extraordinary<br />

powers <strong>of</strong> regeneration. Up to 80% <strong>of</strong> the liver cells may<br />

damaged without producing severe symptoms, <strong>an</strong>d complete<br />

be<br />

recovery<br />

may ensue. The functions <strong>of</strong> the liver are m<strong>an</strong>y, but accurate<br />

information concerning them is far from complete.<br />

The functional unit <strong>of</strong> the liver, the hepatic lobule,<br />

may be considered as a tube (bile capillary) the walls <strong>of</strong> which<br />

are in juxtaposition with cords <strong>of</strong> liver cells; one end<br />

empties<br />

into a bile duct, while the other end is closed. Bile is excreted<br />

from small c<strong>an</strong>aliculi into the larger capillary <strong>an</strong>d thence into<br />

the duct. Blood from the portal vein enters one end <strong>of</strong> this unit,<br />

filters past <strong>an</strong>d between the cords <strong>of</strong> liver cells, <strong>an</strong>d exits<br />

into<br />

the hepatic vein. Blood from the hepatic artery supplies the cells<br />

<strong>an</strong>d also empties into the hepatic vein.<br />

T8N - Text number 8 - Nursing<br />

BRONCHITIS<br />

In the usual infectious form, acute bronchitis is<br />

part <strong>of</strong> a general acute upper respiratory infection. Onset may<br />

develop from the common cold, or from a pyogenic or<br />

virus<br />

infection <strong>of</strong> the nasopharynx, throat, or tracheobronquial<br />

tree.<br />

Acute bronchitis is most prevalent inwinter.<br />

Predisposing or contributory factors are exposure, chilling,

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