Small and Large Intestine Flashcards

(31 cards)

1
Q

parts of small intestine

A

duodenum, jejunum, ilieum

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2
Q

function of SI

A

helps to further digest food coming from the stomach.
It absorbs nutrients and water
move food along

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3
Q

what increases surface area in the small intestine?

A

cylindrical, circular folds (plicae), villi, microvilli

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4
Q

what is the function of villus and crypt cells in SI

A

villus - absorbs, crypt - secretes Cl and water

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5
Q

what is the importance of H2O secretion in digestion

A
  • maintain lumenal contents in liquid state
  • promotes mixing of nutrients w digestive enzymes
  • aids nutrient presentation to absorbing surface
  • dilutes and washes away toxins
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6
Q

what transporter does Cl go through at the apical membrane in SI

A

CFTR

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7
Q

what regulates the transportation of Cl through the membrane in SI

A

Adenylate cyclase

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8
Q

what are the 2 types of movement in s intestine

A

segmentation and peristalsis

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9
Q

what is segmentation

A
  • contraction ↔ relaxation of short segments
  • contraction moves chymes (up&down) into areas of relaxation
  • relaxed areas then contract and push chyme back
  • thorough mixing of contents w digestive enzymes
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10
Q

what generates segmentation contractions

A

depolarisation generated by pacemaker cells in longitudinal muscle

basic electrical rhythm produces oscillations in membrane potential → threshold → AP → contraction

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11
Q

what is the frequency of segmentation determined by

A

BER (basic electrical rhythm), decreases as move down tract

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12
Q

what determines strength of contraction in segmentation

A

AP frequency

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13
Q

what effect does parasym and symp have on contraction in segmentation

A

para - inc contraction,

symp - dec

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14
Q

when does peristalsis start

A

following absorption of nutrients, segmentation stops and p starts

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15
Q

what is the migrating motility complex

A

patterns of peristaltic activity travelling down small intestine,

starts in gastric antrum

ends in terminal ileum

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16
Q

what does the MMC migrating motility complex do

A

move undigested material into large int

limit bacterial colonisation of small int

17
Q

what hormone is involved in initiation migrating motility complex

18
Q

what is the law of the intestine

A

bolus always moves down to colon, mediated by myenteric plexus

19
Q

what is the gastroileal reflex

A
  • opening of ileocaeceal valve
  • chyme enter large int
  • distention of colon
  • reflex contraction of ileocaecal valve ( prevents backflux into small int)
20
Q

structure of large int, parts and epithelium

A

ascending, transverse, descending, sigmoid

muscularis externa - circular muscle layer complete but longitudinal not

21
Q

what are the 3 bands around the colon

22
Q

what does the colon do

A
  • no important nutrient absorption

- transports Na from lumen into blood, absorption of water, dehydrates chyme, solid faecal pellets

23
Q

what is the importance of long residence time in colon

A

what is the importance of long residence time in colon

24
Q

what does bacteria do in colon

A
breakdown cellulose
Bacterial fermentation of undigested carbohydrate
- short chain FA
- Vitamin K
- gas
25
what is the anus closed by
- internal anal sphincter (smooth muscle under automatic control) - external anal sphincter (skeletal muscle under voluntary control)
26
what reflex gives you the urge to defaecate and why
defaecation reflex distention of rectal wall produced by mass movement of faecal material into rectum → mechanoreceptors
27
what is the defaecation reflex
- under parasymp control via pelvic splanchnic nerves - contraction of rectum - relaxation of internal and contraction of external anal spinchter - inc peristaltic activity in colon, inc pressure on spinchter → relax under voluntary control → faeces come out
28
what causes constipation
distention of rectum
29
what causes diarrhoea
too frequent passage of faeces which are too liquid, causes dehydration enterotoxigenic bacteria
30
enterotoxigenic bacteria
Produce protein enterotoxins which maximally turn on intestinal chloride secretion from crypt cells inc H2O secretion elevate intracellular second messengers H2O secretions swamps absorptive capacity of villus cells
31
how do you treat Secretory Diarrhoea
Give sodium/glucose solution rehydration oral rehydration therapy