Histology Of The Lower GI Tract Flashcards

(30 cards)

1
Q

What are the 4 degree of folding?

What is their purpose?

A

Plicae circularis
Intestinal villi
Intestinal glands (Crypts of Leiberkuhn)
Micro villi on enterocytes

Increase surface area

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2
Q

Where does Plicae circularis begin?

Where does it disappear?

A

Duodenum

Mid-ileum

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3
Q

What do villi form?

Where do they end?

A

Crypts of Liberkuhn

Muscularis mucosae

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4
Q

What are Crypts of Lieberkuhn?

What kind of cells are in the crypts?

A

Simple tubular glands that increase s.a.

Absorptive, goblet, Paneth, and enteroendocrine cells

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5
Q

Where is the muscularis mucosa located?

A

Between mucosa and submucosa

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6
Q

What is serosa?

A

Thin layer of loose CT covered by visceral peritoneum (mesothelium)

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7
Q

What is mesothelium?

A

Membrane of simple squamous cells that forms the lining of several body cavities

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8
Q

What is the purpose of segmentation?

What controls it?

A

Mix food w/chyme

ANS

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9
Q

Where is the site of of blood and lymphatic flow?

A

Intestinal submucosa

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10
Q

Arterioles from the submucosal plexus create what 2 capillary networks?

A

Villus capillary plexus supplies intestinal villus and upper crypts of Lieberkuhn

Pericryptal capillary plexus supplies lower half

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11
Q

Where are lacteals located?

What are they?

What is their circulation

A

Centrally located within a villus

Convey chyle packaged in chylomicrons

Intestine to lymph to thoracic duct to systemic blood

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12
Q

What distinguishes the duodenum?

A

Brunner’s glands in submucosa

Few goblet cells

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13
Q

What distinguishes the Jejunum?

A

Well-developed Plicae circularis
Irregular villi
No glands/patches

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14
Q

What distinguishes the ileum?

A

Lots of lymphoid nodules (Peyer’s Patches) in LP and submucosa
Finger like villi
Goblet cells

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15
Q

What enzymes are in the enterocytes?

What is their purpose?

How are they transported?

A

Lactase, Maltese, sucrase

Terminal digestion of carbs to reduce them to hexoses

Carrier proteins

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16
Q

What is the secretory products of goblet cells?

How are they released?

Purpose?

A

Glycoproteins (80% carbs, 20% proteins)

Exocytosis

Protective gel against bacterial invasion

17
Q

What do Paneth cells do?

What is their mechanism?

A

Secrete antimicrobial proteins to limit bacteria contact

Kill bacteria by enzymatic degradation of the bacterial wall or disrupting inner membrane

18
Q

What part of the gut does Crohn’s disease affect?

A

Terminal ileum

Large intestine

19
Q

What is the cause of the initial alteration of the intestinal mucosa in Crohn’s disease?
Result?

A

Neutrophils into the Crypts of Lieberkuhn

-occlusion of the lumen by fibrosis and fistula formation of other segments in the small intestine

20
Q

What bacteria is commonly treated with FMT?

What is the purpose?

A

C. diff which causes diarrhea

Replace good bacteria that has been killed or suppressed

21
Q

What is the major function of the large intestine?

A

Transport of ions and water

22
Q

What forms the large intestine?

A

Cecum and appendix –> asc, trans, desc colon –> sigmoid colon –> rectum –> anus

23
Q

What kind of epithelium lines the large intestine?

Formed by what?

What is not found in the large intestine?

A

Simple columnar

Enterocytes and goblet cells

Plicae circularis and villi

24
Q

What do glands of Lieberkuhn contain?

What is not present?

A

Goblet, enteroendocrine, and stem cells

Paneth cells

25
What forms taeniae coli? What do contractions produce?
Outer smooth muscle layer Haustra
26
Describe the appendix:
NO villi, NO taenia coli, lots of lymphoid tissue thickened wall Safe house for good bacteria
27
What kind of epithelium below Pectinate line?
Keratinized stratified squamous
28
What does the submucosa contain below the Pectinate line?
Sebaceous and sweat glands
29
Loss of what gene leads to colorectal tumors?
APC (excess of it)
30
What is chyme mixed with? Via what mechanism?
HCl, pepsinogen, gastric lipase, intrinsic factor PIG H Peristalsis