Lecture Outline #24: Digestive System Flashcards

(89 cards)

1
Q

digestive system function #1

A

mechanical processing
- chewing (mastication) - gives more surface area for enzymes
- churning of stomach
- segmentation in small intestine

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2
Q

digestive system function #2

A

chemical breakdown
- sugars, lipids, proteins

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3
Q

digestive system function #3

A

secretion of acids/enzymes/buffers
- by GI tract
- by accessory organs: pancreas, liver

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4
Q

digestive system function #4

A

absorption across gut epithelium into BVs
- mainly occurring in SI
- nutrients, electrolytes, vitamins, water
- water absorption mainly occurs in small mesenteric vein to the liver

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5
Q

digestive system #5

A

dehydration, compaction, excretion
- dehydration and compaction mainly happens in large intestine
- defection of feces

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6
Q

gut - what is, what are the parts

A

gut - alimentary canal/GI tract, as a whole it is a muscular tube extending from mouth to anus
Make up of diverticula
1. Foregut - mouth, esophagus, stomach, duodenum
2. Midgut - (main absorption) jejunum, ileum
3. Hindgut - colon, rectum, part of anus

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7
Q

accessory organs of gut

A

tongue, teeth, gastric & intestinal glands
foregut accessory organs - liver, gallbladder, pancreas, salivary glands

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8
Q

the oral cavity

A

tongue, teeth, lips, cheeks, hard/soft palates
- place of mastication and bolus formation

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9
Q

lips & cheeks

A

cheeks - buccinator m.
lined with mucous membrane
orbicularis oris - CN VII: keep food in mouth
labial frenulum (superior & inferior lines on centers of gum) stabilized lips
vestibule - space btw lips/cheeks and teeth/gums

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10
Q

uvula

A

part of soft palate - ball dangly thingy

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11
Q

gingiva

A

gums
mucosa epithelium covering alveolar bone/hard palate

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12
Q

parotid glands

A

innervated by IX
anterior to ear
drained by stenson’s duct

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13
Q

submandibular glands

A

innervated by VII
beneath tongue and sublingual gland
drained by Wharton’s ducts

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14
Q

sublingual glands

A

innervated by VII
beneath teeth
drained by bartholin’s ducts

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15
Q

saliva

A

cleans teeth and moistens food
has amylase enzyme to break down starch
protects enamel when acid reflux occurs

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16
Q

tongue

A

intrinsic m.s run in every direction, XII
muscular hydrostat - m. maintains volume but changes shape
anchored to hyoid & mandible
stabilized by lingual frenulum (attaches tongue to mandible)

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17
Q

ankyloglossia

A

tongue too tightly bound to floor of mouth by lingual frenulum

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18
Q

hairy tongue (lingua villosa)

A

hypertrophy of filiform papillae from poor oral hygiene

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19
Q

soft palate

A

muscular flap, continuation of hard palate
divides naso-/oropharynx during swallowing

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20
Q

hard palate

A

palatine & maxillary bones

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21
Q

teeth

A

3 parts
1. crown
2. neck
3. root
innervated by inferior and superior alveolar n.s
attach to V2 and V3

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22
Q

three materials of teeth

A
  1. Enamel (crown): calcium phosphate - hardest substance
  2. Dentin (body of teeth): not as hard, forms, root & encloses the pulp cavity
  3. cementum: cements each into the socket
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23
Q

pulp cavity

A

contains NAVLs
root canal: narrow tunnel thru each root

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24
Q

gomphosis

A

fibrous joint that anchors the root of tooth into the bony alveolar socket

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25
incisors
8 of them 1 root blade-shaped cusp for chisling
26
cuspids
4 of them 1 root conical-pointing cusp for holding onto things
27
bicuspid
8 2 premolars 1-2 roots blade-like cusps
28
molars
8-12 of them 3-4 roots large-flattened crowns for grinding
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deciduous teeth
around 20 teeth that erupt between 6 mo to 2 yrs
30
non-deciduous teeth
around 28-32 teeth that erupt around 6-21 yrs
31
alveolar process
surrounds tooth root, lose tooth=loose process
32
braces
align and straighten teeth
33
impacted molars
grow sideways into another tooth on lower jaw = not bad on upper jaw = roots of teeth are in maxillary sinus so when you take out teeth, there is a connection of sinus and oral cavity for air to flow
34
root canal dental implants
procedure where drill is pushed through enamel all the way to the root and take the pulp out. The tooth is filled with a hard compound
35
mandibular tori
bony growth on medial side of mandible
36
gut layers - mucosa
innermost tunic for surface area and protection made of mucous membrane ANS controls mucous secretions that protect gut lining rugae (plicae circularis) for pleated appearance/more SA epithelium is supported by lamina propria (CT) villi (columnar epithelium/Goblet cells) for SA for more nutrient exchange
37
gut layers - submucosa
contains exocrine glands for enzyme secretion is highly vascular (NAVLS) for absorption of nutrients has ANS fibers called meissner's plexus to control exocrine secretions
38
gut layers - muscularis
2 muscle layers for peristalsis = muscular directional contractions, the further the stretch of m.s the harder the contraction inner layer - circularis m.s to pinch food, decreases diameter and increases length outer layer - longitudinal m.s to shorten food, decrease tube length and increase diameter myenteric plexus (of ANS fiber) controls peristalsis/segmentation (mixing) of chyme
39
gut layers - serosa
outermost layer is a serous membrane (visceral peritoneum)
40
esophagus
collapsible muscular tube of inner & outer muscularis layers, submucosa & mucosa. extends from pharynx to stomach through esophageal hiatus of diaphragm
41
bolus movement to esophagus
1. foot enters oral cavity 2. mastication - bolus formation 3. bolus moves to back of mouth to swallow 4. soft palate rises to close nasal cavity 5. epiglottis lowers over trachea 6. bolus is swallowed into esophagus
42
regions of stomach
1. cardia - entrance to stomach with cardiac sphincter 2. fundus - bulging domed aspect 3. Body - with greater and lesser curvatures w/ respective omentums 4. pylorus - end of stomach with strong pyloric sphincter
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walls of stomach
3 layers of m.s (outer, inner, and oblique layers) to squish and churn food to lower pH level of 2 internal surface is covered in rugae produces gastric juices (HCl, pepsin, rennin) to kill bacteria and mucous to protect walls from gastric juices stores ethanol, water, and aspirin which goes directly into bloodstream
44
gastric ulcer
open sore in the stomach lining
45
gastric reflux/gastroesophageal reflux disease
chronic condition when stomach acids leak back into esophagus through cardiac sphincter
46
congenital diaphragmatic hernia
birth defect that occurs when diaphragm doesn't form properly, leaving a hole that allows abdominal organs - mainly stomach - to move into chest cavity
47
paraoesophageal hernia
a large portion of the stomach or other bowel organs are pushed up into the chest
48
hiatal hernia in utera (pregnant women)
a portion of the stomach penetrates the hiatus of the diaphragm, esophagus and stomach slide up
49
small intestine
mucosa has plicae circularis and villi to increase SA as well as microvilli Is 20 - 25 ft long with three parts (duodenum, jejunum, and ileum)
50
duodenum
8-12 inches long place where pH neutralization occurs to bring pH level up to 7 (buffers do this) mixing bowl of chyme submucosal glands produce mucous & buffers mucosa layer is thin contains MALT & peyers patches hepatopancreatic sphincter is below duodenal papilla
51
jejunum
7-9 feet long dense mucosa majority of digestion, some absorption functions are done through enzymes secreted from pancreas through duodenum and combined with jejunum's own enzymes
52
ileum
8-14 feet long medium thickness mucosa final digestion, majority absorption contains GALT ileocecal valve - controls flow of chyme into cecum
53
krohn's disease
no plicae circularis, less absorption of nutrients
54
colon
where dehydration, absorption, and compaction of chyme occurs which becomes feces. 5 feet long, big lumen, and has less longitudinal & circularis m.s so feces is slow moving haustra - pouches formed by colon musculature, where circular m.s meet tenia coli - 3 longitudinal ribbons of muscle that come together at vermiform appendix epiploic appendages - fat
55
colon sections in order
cecum ascending colon (10-16") hepatic/right colic flexure - beneath liver transverse/mid colon (10-16") splenic/left colic flexure - beneath spleen descending colon (10-16") sigmoid flexure sigmoid colon (8-16")
56
vermiform appendix
vestigial remnant blind pocket with little lymphoid function
57
diverticula diverticulosis diverticulitis
1. out-pocketing of colon wall 2. abnormal diverticula (small pouches/hernias) that form on colon walls 3. inflammation of abnormal diverticula mainly in sigmoid colon, can pop once it swells enough and feces gets into peritoneum and abdominal cavity = sepsis
58
GI tract innervation
at splenic flexure, that last third of tract is innervated by pudendal nerve, everything above is vagus nerve
59
rectum
6-8" long contains baroreceptors to monitor pressure highly muscular termination of colon when feces enter - urge to defecate epithelium is keratinized - abrasion-resistant
60
anus
muscular valves at terminus of rectum = verge-pockets that hold feces contain baroreceptors internal anal sphincter - ANS involuntary smooth m. external anal sphincter - voluntary skeletal m. can get internal & external hemorrhoids
61
food flow
(food) through orbicularis oris (bolus) - oral cavity - oropharynx - esophagus - through cardiac sphincter (chyme) - stomach - through pyloric sphincter - duodenum - jejunum - ileum - through ileocecal valve (feces) - cecum - ascending colon - transverse colon - descending colon - sigmoid colon - rectum - through external anal sphincter - through internal anal sphincter - anus
62
ileostomy
resection of portion of gut defecate through small intestine stoma, whole LI is taken out
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colostomy
resection of a portion of gut stoma in abdominal wall for defection rectum & anus is taken out
64
accessory structure - liver
largest organ in body large blood reservoir has R/L lobes, caudate & quadrate (gallbladder) lobes metabolizes carbohydrates, lipids, amino acids stores vitamins and minerals detoxify/remove waste products (ammonia/urea) inactivate/remove various drugs & hormones produce bile to emulsify lipids
65
liver - vasculature
common hepatic artery from celiac trunk of aorta to become hepatic proper artery arteries through capillary beds in GI = hepatic portal v.s hepatic veins return blood to IVC
66
gallbladder
hollow, thin muscular sac for storing excess bile has a fundus (ending), body, and neck
67
bile
makes feces brown produced by liver to emulsify lipids = not digest but take apart food to increase SA, lipase breaks down
68
hepatopancreatic sphincter
regulatory m. if constricted (no food) = bile backs up into common bile duct to cystic duct (2-way) and into gallbladder for storage if dilated (food) = gallbladder contracts and inject bile into duodenum
69
cholecystitis
inflammation of gallbladder
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cholelithiasis
presence of gallstones in gallbladder stones are normally cholesterol based and can get stuck in cystic duct
71
cirrhosis (hepatitis)
destruction of hepatocytes due to: 1. exposure to drugs (ethanol replaces hepatic tissue with scar tissue = decrease function) 2. viral infection (hep C) 3. blockage of hepatic ducts
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hepatic portal hypertension
if blood cannot drain via HPV, finds alternate routes - thrombosis, cirrhosis, fibrosis found in liver - back from through several portocaval anastomes - metabolizes escape
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pancreas
elongate organ with lumpy, granular texture located btw stomach & duodenum highly vascular - drains to HPV endocrine f(x)s - 1% exocrine f(x)s - 99%
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endocrine functions
uses blood secretions - through hepatic portal system 1. glucagon - raises glucose levels in blood 2. insulin - lowers blood glucose levels can get diabetes II if eating an overabundance of starches and sugars
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exocrine functions
uses ducts secretions - enzymes - through pancreatic duct into duodenum 1. proteinases - degrade proteins 2. lipases - degrade fats 3. nucleases - degrade DNA & RNA
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lactose intolerant
not enough lactase enzymes food ferments in GI hydrogen & methane produced = bloated
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serous membranes
abrasion resistant 1. parietal peritoneum lines peritoneal cavity 2. visceral peritoneum covers organs
78
mesenteries
BVs go through these to organs, supports/protects NAVLs durable, double layer of serous membrane suspends GI tract from walls of cavity
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peritoneal cavity
full of serous fluids GI tract is not in it but goes through it
80
intraperitoneal organs
pass through peritoneal cavity organ is free moving suspended by a mesentery jejunum & ileum
81
secondarily retroperitoneal organs
initially free-moving, suspended by a mesentary in the cavity, now moved behind peritoneum organ is stationary only laminated on one side duodenum pancreas asc & desc colon
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retroperitoneal organs
outside peritoneal cavity easy surgical access organ is stationary urogenital system abdominal aorta IVC kidneys
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mesentery proper
encloses the jejunum & ileum
84
mesocolon
suspends transverse & sigmoid colons
85
lesser omentum
btw stomach & liver with common bile duct running within
86
greater omentum (mesogaster)
extends from greater curvature site of fat storage & fights infections stomach to transverse colon creates a double layer over small intestine
87
coronary ligament
suspends liver from diaphragm
88
falciform ligaments
btw liver & abdominal wall @ umbilicus contains ligamentum venosum
89
round ligament
ventral mesentary