Gastrointestinal Flashcards

(48 cards)

1
Q

general hollow organ organization

A

mucosa, submucosa, muscularis externa

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2
Q

elements of mucosa

A

epithelial lining, lamina propria (CT), muscularis mucosa (SM)

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3
Q

Muscularis externa

A

This can have two layers: inner circular and outer longitudinal

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4
Q

Esophagus layers

A

mucosa, submucosa, muscularis externa, outer CT (adventitia and serosa

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5
Q

esophagus specializations

A

plexi, glands, GE junction

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6
Q

esophagus plexi

A

nerve and submucosal

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7
Q

esophagus glands

A

submucosal, mixed seromucus. Duct is stratified cuboidal

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8
Q

Esophagus GE junction

A

rapid transition of epithelia type. Metaplastic changes occur with chronic GERD

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9
Q

Stomach sections

A

cardia, fundus, parietal. Simple columnar epithelia.

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10
Q

Cardia

A

region of stomach that meets esophagus, closest to heart. Contains short glands/pits. Cells are mucus and EE

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11
Q

Fundus

A

body of stomach, contains long rug and short pits with Long glands. Cels are parietal, chief, and mucus.

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12
Q

Periatal cells

A

look like fried eggs, intracellular caniculi with lots of mitochondria

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13
Q

chief cells

A

basophilic, protein secreting. Pepsinogen is secreted, which becomes pepsin at acidic PH

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14
Q

Pyloric region

A

contains long pits, short clans. Mucous and EE cells. The sphincter is thickened inner muscular external region.

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15
Q

Enteroendocrine cells

A

abundant in stomach. secrete lots of products. Require a special stain to see these.

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16
Q

Small intestine GE junction

A

epithelia change from no microvilli to microvilli

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17
Q

small intestine components

A

duodenum, Jejunum, Ileum

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18
Q

General small intestine characteristics

A

villi, many goblet cells, crypts (will many cell types)

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19
Q

Crypts

A

invaginations into Lamina propria, appear like flowers with central lumen.

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20
Q

Cells in crypts

A

goblet cells, paneth cells, EE (open and closed)

21
Q

goblet cells

A

unicellular with no microvilli. Number increases distally down the intestine

22
Q

Paneth cells

A

at the base of crypt. Antimicrobial eosinophilic granules.

23
Q

EE open vs closed (in crypts of SI)

A

open: surface is exposed to lumen. Both have granules at the basal end.

24
Q

Villi specializations

A

SM, epithelia, and lymphatic capillaries

25
SM in villi
located in lamina propria, help contract lymph
26
Epithelia in Villi
microvilli, terminal bars. Simple columnar. Also contain glycoxalyx, which concentrate enzymes.
27
Lympathics in Villi
absorb lipids, shuttle to laima propria
28
Duodenum characteristics
villiform, Brunner glands
29
Brunner glands
submucosal glands that neutralize chyme with alkaline secretions
30
Jejunum
contains place circulates and teniae coli, NO GLANDS
31
plicae circulares
infoldings of submucosa
32
Ileum
can have some place. Contains lymphocytes and peyers patch (with M cells)
33
Colon
no villi, crypts, lots of goblet, EE
34
Appendix
lymphocytes, no villi, crypts
35
Liver functions
metabolic, exocrine, endocrine
36
Liver structure
highly cellular, CT capsule, hexagonal lobules, which contain central vein and dual blood supply
37
sinusoids of liver
discontinuous epithelium, reticular fibers, overlie Disse region, blood flow
38
Cells in liver
hepatocytes, kuffer, Ito
39
Bile caniculi
located in between hepatocytes, move bile towards duct
40
Kuffer cells
macrophages that can move freely on the lumen side
41
Ito cells
store vitamin A, activated by damage
42
Portal tract components
Portal vein, hepatic artery, bile duct, lymphatics (sometimes)
43
Liver lobule types
classic, portal accinus central vein, triangle from ducts, between central veins (oval)
44
Gall Bladder
bile storage/concentration, no MM/submucosa, no goblet, contains false glands
45
false glands
continuous with lumen, located in gallbladder
46
Hormones that act on gallbladder/pancreas
CCK-contraction | Secretin-Bicarbonate secretion
47
Epithelium of gallbladder
simple columnar. They concentrate bile by creating osmotic gradient and absorbing h2o
48
Pancreas exocrine function
highly lobulated with septa, contains serous acini which contain zymogen granules. Has inter and intralobular ducts