GI histology II Flashcards

(54 cards)

1
Q

What are the 3 parts of SI?

A
  • Duodenum
  • Jejunum
    -Ileum
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2
Q

Function of SI

A
  • Move chyme forward
  • Continue its digestion with juices secreted and accessory glands
  • Absorb the nutrient material released by digestion into the blood and lymph vessels in its mucosa
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3
Q

Describe folding of SI

A

Four degrees of folding amplify the absorptive surface area of the mucosa

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4
Q

What are the 4 degrees of folding of SI?

A
  • Plicae circulares
  • Intestinal villi
  • Crypts of Lieberkuhn
  • Microvilli on the apical surface of the lining epithelium
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5
Q

Goblet cells

A

Unicellular mucin secreting glands

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6
Q

Enterocytes Primary function

A

absorption

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7
Q

Enterocytes

A

Tall columnar cells with basally positioned nucleus

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8
Q

Enteroendocrine cells

A

Produce various paracrine and endocrine hormones

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9
Q

Microvilli of enterocytes form brush border and contain

A

intramembraneous enzymes including lactase, maltase and sucrase.

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10
Q

Paneth cells primary function

A

Maintain mucosal innate immunity by secreting antimicrobial substances

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11
Q

M cells

A

modified enterocytes that cover enlarged lymphatic nodules in the lamina propria

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12
Q

Goblet cells

A

columnar mucus secreting cells

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13
Q

Secretory product of goblet cells contain

A

80% carbohydrates and 20% proteins, released by exocytosis.

Mucus hydrates to form a protective gel coat to shield the epithelium from mechanical abrasion and bacterial invasion.

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14
Q

Lactase deficiency gives rise to

A

osmotic diarrhea

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15
Q

What is associated with the microvillus brush border of enterocytes?

A

the glycocalyx or cell coat.

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16
Q

What is glycocalyx?

A

a cell surface glycoprotein complex containing mucins and sugars
- Increase surface area
- Protective
- Digestive
- Absorptive

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17
Q

Enterocytes: each microvillus has a

A

core of vertically oriented actin microfilaments

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18
Q

Actin microfilaments of enterocytes extend into the apical cytoplasm and insert into the

A

horizontally oriented terminal web and attach to the intracellular density associated with the zonula adherens.

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19
Q

What do junctional compelxed do?

A

Bind epithelial cells to prevent passage of macromolecules from lumen into the intracellular spaces and lamina propria

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20
Q

The plasma membrane covering the basolateral cell surfaces has no digestive enzymes but is rich in

A

Na, K dependent ATPase

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21
Q

Celiac disease antibodies against

A

Gliadin

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22
Q

Celiac disease deficient

A

enterocyte maturation (immune mediated epithelial damage)

Loss of villi

23
Q

Enteroendocrine cells in duodenum secrete

A

Secretin and CCK

24
Q

Secretin and CCK promote

A

Pancreatic exocrine secretion

25
CCK stimulates contraction of gall bladder and thus
Propel bile into common bile duct and then into duodenum, Secretin augemented CCK induced contractions
26
Paneth cells have large
eosinophilic secretory granules in their apical cytoplasm
27
Brunner's glands
Neutral or alkaline secreting mucus with a bicarbonate content - Secrete in response to feeding and PSN
28
Describe histology of Jejunum
- Villi are long and glands stain dark in the mucosa. - muscularis mucosae is thin - Similar to duodenum but is absent of Brunners glands
29
What is a characteristic of the ileum?
Pyers patches
30
What are pyers patches?
Groups of many lymphatic nodules massed together
31
What doe GALTs (gut associated lymphoid tissue) participate in?
Uptake of antigens and their exposure to APCs
32
What are M cells?
Specialized epithelial cells in the ileum overlying the lymphoid follicles of Peyer patches.
33
M cells have ______ rather than microvilli on their apical surface
Microfolds
34
M cells selectively endocytose antigens and
transport them to the underlying lymphocytes and dendritic cells
35
Digestive system is controlled by ______ nervous system and influenced by the _________nervous system
Enteric; central
36
What ist he enteric nervous system?
- Intestinal nerve network - Can receive stimuli - Integrates sensory formation - Acts upon the GI tract by changing motility or secretion
37
What are the Myentric plexus of Auerbach
Numerous groups of nerve cells and bundles of nerve fibers between the layers of the muscularis externa
38
Equivalent to myentric plexus of Auerbach in the submucosa is what?
Plexus of Meissner
39
What are the functions of the enteric nervous system?
- Gastric motility - Release of mucus and enzymes - Release of hormones - Secretion of immunomodulatory molecules
40
What is Hirschsprungs disease?
Congenital defect in colonic innervation
41
In Hirschsprungs disease, neural crest cells fail to
migrate the entire length of the bowel wall during embryogenesis
42
What does Hirschprungs disease affect?
Rectum and sigmoid colon
43
What are the portions of large intestine?
- Cecum - colon - RectumD
44
Describe cecum
- Proximal LI - Begins at ileo-cecal valve - Appendix hangs off the side
45
Describe colon
- Ascending, transverse, descending, sigmoid colons
46
Decribe rectum
- Distal portion of LI - Ends at anal canal
47
What are the functions of the colon
- Reabsorb electrolytes and water and eliminate undigested food and waste (Na/K activated ATPase drive transport system)
48
How is LI distinguished from SI?
- Omental appendices (faty projections) - Tenia coli - Haustra
49
What are tenia coli?
Equally spaced bands of outer, longitudinal layer of muscularis externa
50
What are the functions of tenia coli?
- Allows segments of colon to contract independently. - Fecal compaction. - General peristalsis.
51
Describe appendix
Thin finger-like process that is a blind extension of the colon, at the apex of the embryonic cecum. No villi Crypts of Lieberkuhn Columnar cells with goblet cells Extensive lymphoid tissue Thick Submucosa
52
What is the most distal portion of the alimentary canal?
Anal canal
53
Anus histology
Strat squamous epi, prominent veins, long crypts, predominantly goblet cells
54
Rectum histology
Thick mucosa, simple columnar epi, prominent veins, long crypts, predominantly goblet cells