Week 7+8 Digestive System Flashcards

(50 cards)

1
Q

order of small intestine

A

duodenum
jejunum
ileum

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2
Q

________- of the small intestine mucosa slow the passage of food, thereby providing more time for digestion and absorption

A

Circular folds

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3
Q

folds for absorption are most numerous and prominent in the

A

jejunum and upper ileum.

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4
Q

Absorption occurs through

A

villi (jazz hands)

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5
Q

A villus is composed of

A

-absorptive columnar epithelial cells (enterocytes)
-mucus-secreting goblet cells
-Each villus secretes enzymes necessary for digestion and absorbs nutrients

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6
Q

___________ create a mucosal surface known as the brush border

A

microvilli

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7
Q

contains lymphocytes; plasma cells, which produce immunoglobulins; and macrophages.

A

lamina propria (a connective tissue layer of the mucosa) lies beneath the epithelial cells of the villi

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8
Q
A
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9
Q

if you are lactose intolerant youre deficient in

A

lactase

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10
Q

inhibits the breakdown of lactose (milk sugar) into monosaccharides glucose and galactose and therefore prevents lactose digestion and absorption across the intestinal wall.

A

lactase deficiency

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11
Q

lactase persistence (LP).

A

-most people stop making as much lactase after breast feeding
-most are completely done between 10-15 y/o
-but some still can make lactase and digest

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12
Q

are milk allergies and lactose intolerance different

A

yes

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13
Q

details of lactose intolerance

A

-undigested lactose remains in the intestine,
-bacterial fermentation causes gases to form.
-Undigested lactose also increases the osmotic gradient in the intestine, causing irritation and osmotic diarrhea.

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14
Q

lactose intolerance sxs

A

bloating, crampy pain, diarrhea, and flatulence

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15
Q

lactose intolerance tests

A
  1. Hydrogen breath test
  2. genetic testing
  3. food sensitivity testing
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16
Q

Gluten-sensitive enteropathy,

A

celiac disease

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17
Q

autoimmune disease of the small intestinal villous epithelium when there is ingestion of the cereal protein gluten (gliadin) found in wheat, rye, barley, and oats in genetically susceptible individuals

A

celiac disease

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18
Q

other autoimmune associated with celiac

A

type 1 diabetes mellitus, autoimmune thyroiditis, and Addison disease.

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19
Q

what cells infiltrate during celiac disease

A

T cells

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20
Q

flattening of villi in the upper small intestine happens in

A

celiac

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21
Q

malabsorption in celiac

A

loss of mucosal surface area and brush-border enzymes leads

22
Q

Fat malabsorption in the jejunum is the major cause of

A

steatorrhea (fatty stools)

23
Q

a cutaneous manifestation of gluten-sensitive enteropathy

A

Dermatitis herpetiformis
-blister formation on skin
-symettrical
-usually on elbows

24
Q

most common GI condition

25
IBS classifcations
1.IBS with diarrhea (IBS-D), 2. IBS with constipation (IBS-C) 3. mixed IBS (IBS-M)
26
origins of IBS
1. Microbiome alterations from early use of antibitoics 2. post intestinal infection 3. Visceral hypersensitivity in gut lumen
27
diet for IBS
low FODMAPS -group of carbohydrates that are poorly absorbed in the small intestine and subsequently fermented in the small or large intestine
28
Inflammatory Bowel Diseases
-ulcerative colitis -crohns -genetic factors, alterations in epithelial cell barrier functions, immunopathology related to abnormal T-cell reactions to commensal microflora
29
a chronic inflammatory disease that causes ulceration of the colonic mucosa and extends proximally from the rectum into the colon
ulcerative colitis
30
age for ulcerative colitis
20 and 40 years of age
31
The primary lesions of UC are continuous with no skip lesions, are limited to the mucosa, and are not transmural
The primary lesions of UC are continuous with no skip lesions, are limited to the mucosa, and are not transmural
32
where is UC most severe
rectum and sigmoid colon
33
complications of UC
toxic megacolon, anal fissures, hemorrhoids, and perirectal abscess
34
UC treatment
-5-aminosalicylic acid (mesalazine) (a type of NSAID) -Corticosteroids and salicylates suppress the inflammatory response -immune suppressants
35
-affects any part of the gastrointestinal tract from the mouth to the anus -small intestine and proximal large colon are most commonly affected by the disease
Crohns Disease
36
most common site of Crohns
ileocolon -but both the large and small intestines may be involved.
37
typical Crohns lession
-granuloma -cobblestone projections of inflamed tissue surrounded by areas of ulceration
38
does CD or UC commonly have fistulas anal fissure, perianal abscess, and fistula
Chrons -fistula= abnormal connection between organs because there is a degradation of tissue -happens in Crohns where are layers of GI are eaten away -UC is superficial ulceration
39
Crohns vs ulceravtive colitis
-Crohn's =there are healthy parts of the intestine mixed in between inflamed areas. -Ulcerative colitis=is continuous inflammation of the colon and rectum
40
herniations or saclike outpouchings of mucosa through the muscle layers of the colon wall
Diverticula
41
is Diverticulosis cause symptoms or associated with inflammation
no
42
bstruction of the diverticulum sac by fecaliths, irritation of the mucosa that causes inflammation, congestion and further obstruction.
diverticulitis
43
diverticulitis sxs
abdominal pain (usually on the left side), fever, nausea, vomiting, cramps, and constipation.
44
inflammation of the vermiform appendix, which is a projection from the apex of the cecum
Appendicitis
45
most common surgical emergency of the abdomen and usually occurs between 20 and 30 years of age
Appendicitis
46
appendix pain
shift of location to the right lower quadrant with rebound tenderness.
47
most common internal hemorrhoids sxs
bleeding (painless)
48
are internal or external hemorrhoids more painful
external
49
-localized in mucosal layer -no skip lesions -only in colon
Ulcerative colitis
50
-transmural inflammation, (mucosa and serosa) -cobblestone projections -skip lessons (anywhere from mouth to anus but not continuous)
Crohns Disease