Accessory Organs To Digestion Flashcards

(46 cards)

0
Q

What are the 6 main functions of the liver?

A
Bile production
Metabolic pathways 
Produces plasma proteins 
Degrades drugs and toxins
Stores and converts several vitamins and iron
Endocrine
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1
Q

What is the covering of the liver?

A

Glissons capsule

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2
Q

What are the major functions of bile?

A

Aids in lipid digestion

Disposal of waste products

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3
Q

What are the two sources of blood supply to the liver?

A

Hepatic artery

Hepatic portal vein

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4
Q

What are the parenchyma of the liver?

A

Organized plates of hepatocytes

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5
Q

What is the connective tissue stroma of the liver ?

A

Continuations of the fibrous capsule in the liver itself

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6
Q

What are the sinusoidal capillaries?

A

Vascular channels between plates of hepatocytes than allow leakage through them to the hepatocytes into the space of disse

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7
Q

What are the spaces of disse in the liver?

A

The space between the sinusoidal endothelium and the hepatocytes where plasma leaks into and hepatocyte cilia are found

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8
Q

What does the classic model of looking at the liver center around?

A

Central vein in the middle

Corners are portal triads

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9
Q

What does the portal model of the liver designed to emphasize?

A

Exocrine function (bile)

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10
Q

What is the portal model centered around physically?

A

Portal triad in the middle

Central vein on the corners

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11
Q

What is the liver acinus model good at showing?

A

Correlation between liver pathology, blood perfusion, and metabolic activity

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12
Q

Where is the short axis in the liver acinus model?

A

Between two triads

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13
Q

Where is the long axis in the liver acinus model?

A

Between two terminal hepatic venules

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14
Q

Which zone cells are the first to show effects of reduced perfusion?

A

Zone 3

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15
Q

Which zone cells are the first to show effects of bile obstruction?

A

Zone 1

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16
Q

Where is the site of exchange in the liver?

A

Space of disse

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17
Q

In a fetus, what is also found in the space of disse?

A

Islands of blood forming cells

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18
Q

What cells are found in the space of disse in adults?

A

Ito cells (hepatic stellate cells)

19
Q

What do Ito cells do?

A

Store vitamin a

20
Q

What happens to Ito cells in pathological conditions?

A

Turn into myofibroblasts

21
Q

Plasma that remains in the space of disse drains where?

A

Into the space of mall to
Lymphatic capillaries to
thoracic duct

22
Q

What are 5 prominent organelles of hepatocytes?

A
Peroxisomes
RER
Lysosomes
Golgi
SER
23
Q

What do all the bile canaliculi come together and form?

A

Canal of hering

24
What cells are speculated to be found in the canal of hering?
Hepatic stem cells
25
What mucosa is the gallbladder?
Simple columnar epithelium
26
What organelle are the epithelial cells of the gallbladder rich in?
Mitochondria
27
What is the main function of the gallbladder?
Store bile, concentrate it, and release it
28
What controls the contraction of the gallbladder?
CCK
29
Where is the endocrine portion of the pancreas found?
Islets of langerhans
30
What do acinar cells do in the pancreas?
Release and store pro enzymes
31
What are the enzymes released by the acinar cells?
Proteolytic enzymes Amylase Lipases Nucleates
32
Pro enzymes are made active in the small intestine by what two enzymes?
Enterokinase makes trypsin | Trypsin activates others
33
What two hormones control pancreatic secretion and are produced in the enteroendocrine cells?
CCK | Secretin
34
How does gastric acid interact with secretin?
Stimulus for it | It stimulates intercalated duct cells to release bicarbonate to neutralize acid
35
How does CCK up regulate pancreatic secretion?
It is stimulated by lipids and gastric acid | It causes acinar cells to produce pro enzymes
36
What are the three major cell types in islets of langerhans ?
Alpha Beta Delta
37
What do beta cells secrete?
Insulin
38
What do alpha cells secrete?
Glucagon
39
What do delta cells secrete?
Somatostatin
40
What are the three minor cells of the pancreas?
PP cells (f cells) D-1cells EC cells
41
What do pp cells secrete?
Pancreatic polypeptide
42
What do D-1 cells secrete?
Vasoactive intestinal polypeptide
43
What do ec cells secrete?
Secretin Motilin Substance p
44
What is the major function of the endocrine pancreas?
Regulate blood glucose levels!
45
What is the function of somatostatin ?
Inhibits insulin and glucagon