2. Microanatomy of GI tract Flashcards

1
Q

What are the 4 layers of the GI tract?

A
  1. Inner lining: mucosa 2. Support: submucosa 3. Muscle: muscularis external/ priopria 4. Outer wrapping: adventitia/ serosa
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2
Q

What does the mucosa consist of?

A

Epithelium - no blood vessels BM LP directly under BM. Supports epithelium structurally and nutritionally with blood and lymph Muscularis mucosa - visibly folded lining, thin layer smooth muscle. Movement and support

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3
Q

Which structures have stratified squamous non keratinising epithelium?

A

Oral cavity, pharynx, oesophagus and anal canal

protective

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4
Q

What epithelium does the stomach have and why?

A

Simple/ branched tubular glands for acid secretion Mucous columnar glandular cells

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5
Q

What are Enterocytes?

A

Columnar cells specialised for absorption with microvilli

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6
Q

Which structures have simple squamous?

A

Serosa and lining blood vessels eg vessels in LP

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7
Q

What does the submucosa consist of?

A

Connective tissue Blood vessels Lymphatic Nerves Some glands Submucosal (meissner’s plexus)

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8
Q

What does the SM Meissiner’s plexus do

A

Supplies glands and muscularis mucosa

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9
Q

What does the muscularis externa/ propria consist of

A

Smooth muscle: inner circular and outer longitudinal Responsible for movement of food along tube (peristalsis)

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10
Q

What is the Myenteric (Auerbach’s) plexus?

A

Nerve plexus between muscle layers of muscularis externa/ propria Modulated by ANS Modulates peristalsis

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11
Q

When does peristalsis slow down and speed up?

A

Slow down due to obstruction and neuro problems Speed up in irritable bowel and diarrhoea

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12
Q

What is the adventitia

A

Outer wall of gut tube Thin layer of connective tissue

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13
Q

What is the serosa

A

Outer layer of structures covered by serous membrane Squamous epithelial cells secreting small amount of fluid to allow organs glide over each other Intraperitoneum structures

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14
Q

What are sphincters

A

Thickenings of smooth muscle

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15
Q

5 types of sphincters

A

Oesophageogastric Pyloric Ileocaecal Internal anal, upper canal- retains faeces (involuntary) External anal sphincter- voluntary

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16
Q

What is GALT

A

Gut associated lymphoid tissue Located in LP Ranges from individual cells to large aggregates

17
Q

What are Peyer’s patches

A

GALT aggregates in ileum Antigen sampling cuboidal cells

18
Q

What’s different about oral cavity and pharynx compared to GI tract

A

Only 2 of 4 layers Mucosa and SM No muscularis mucosa SM contains small salivary glands

19
Q

Histological features of lips

A

Folds of skeletal muscle covered by keratinised squamous without adenexal structures (no glands) Thick stratum lucidum and high dermal papillae with rich capillaries

20
Q

Name the salivary glands and types of secretion

A

Parotid - connective tissue capsule - parotid stensen’s duct - serous Submandibular - connective tissue capsule - submandibular Wharton’s duct - mixed muco- serous Sublingual - no capsule - mixed sero- mucous secretion

21
Q

Tongue

A

Bulk of interlaced SkM not organised Oral epithelium (strat squamous) - masticatory epithelium Attached to floor of mouth Papillae - taste buds LP, muscle core with minor salivary glands and fat Circumvallate papillae have most taste buds filliform don’t have any

22
Q

Taste buds in tongue

A

50-100 taste receptor cells form one taste bud Long microvilli present on receptor cells Only open to surface via taste pore Sensory nerve fibres penetrate base of taste bud (4 types of cells, type 4 is stem and 3 is differentiating)