Term
carbohydrates, proteins, fats |
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Definition
what are the macronutrients? |
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Term
Na+, K+, Ca++, Fe++, Cl-, PO4- |
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Definition
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Term
1) motility 2) large SA 3) appropriate pH 4) hydrolytic enzymes 5) emulsifying factors 6) specialiezed cells 7) specific transport mechanisms (carriers, pumps, pores) 8) energy 9) blood or lymph flow |
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Definition
what are the essential factors for digestion? |
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Term
segmentation contraction, and peristaltic waves |
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Definition
what are the 2 types of small intestine motility? |
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Term
1) basal electrical rhythm (BER) 2) enteric nervous system 3) response to distention 4) intestinal transit time 5) ileo-cecal sphincter |
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Definition
what things control small intestine motility? |
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Term
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Definition
what % of nutrients are absorbed in the small intestine? |
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Term
5 minutes (then inhibitors kick in) |
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Definition
how long does it take to move food from the mouth to the jejunum? |
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Term
to increase the SA for absorbtion etc. |
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Definition
what is the purpose of villi and crypts in the small intestine? |
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Term
cells on the villi have folds in their apical membranes (microvilli) |
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Definition
what is the brush border? |
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Term
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Definition
what is the surface area of the small intestine? |
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Term
H+ ions, bile HCO3-, pancreatic HCO3- |
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Definition
what factors change the luminal pH? |
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Term
amylase: salivary, pancreatic lipase: pancreatic proteases: pancreatic disaccharidass: brush border peptidases: brush border |
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Definition
where is amylase secreted? lipase? proteases? disaccharidases? peptidases? |
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Term
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Definition
does the small intestine absorb disaccharides? |
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Term
(stomach?), bile acids and lecithin |
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Definition
what are the emulsifiers? |
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Term
milk is a carb(lactose is a disaccharide) |
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Definition
what type of macronutrient is milk considered? |
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Term
starch, glycogen, sucrose, lactose, fructose |
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Definition
what are the carb digestion dietary substances? |
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Term
amylase(with high capacity) rapidly hydrolyzes to form maltose, maltotriose, alpha limit dextrins, and glucose
starch is completely digested within the first meter of the small intestine |
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Definition
what is the first stage of starch/carb digestion? when does this take place? |
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Term
alpha limit dextrins = glu-glu-glu (3+ glucose) maltose: glu-glu maltotriose: glu-glu-glu sucrose: fru-glu lactose: gal-glu |
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Definition
describe the structure of alpha limit dextrins, maltose, maltotriose, sucrose, lactose |
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Term
sucrose, lactose, maltose, maltotriose, alpha limit dextrins are hydrolyzed by enzymes in the brush border of enterocytes yielding 99% glu, 0.5% gal, 0.5% fru |
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Definition
where does stage 2 carb digestion occur? |
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Term
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Definition
what enzyme dissapears at weaning in most humans? |
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Term
the stomach: pepsin
then continues 2/3 through the small intestine via pancreatic proteases at the brush border yielding di, and tri-peptides and amino acids |
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Definition
where does protein digestion begin? what enzyme? what digests them from there? |
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Term
di/tri-peptids, hydrolases |
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Definition
proteases are secreted by the pancreas, yeilding ____, then the brush border ______, leades to amino acids and dipeptides & are transported through the cell |
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Term
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Definition
what is the daily fat intake? the daily protein intake? |
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Term
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Definition
what form is most dietary fat? |
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Term
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Definition
where does emulsification for fat digestion begin? |
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Term
2 fatty acids and a monoglyceride |
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Definition
what does pancreatic lipase produce (acting as a "hydrolase" for fat)? |
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Term
makes solublized micelles |
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Definition
what does digestion do to fat? |
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Term
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Definition
proteins bind to _____ regions of fat molecules and coat the surface, the biles salts aid/enhance this process |
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Term
as micelles it diffuses based on a concentration gradient |
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Definition
how is fat absorbed by enterocytes? |
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Term
the micelles are recreated into TAG's and then packaged into a chylomicron (fat+ protein) then they diffuse out the basal side into the LYMPH |
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Definition
describe what happens to a micelle in an enterocyte, and where it goes from there. |
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Term
Sodium!! for the Na+/K+ pump to make a concentration gradient for secondary active transport |
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Definition
what is CENTRAL to absorbtion? |
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Term
the basal surface, uses ATP energy |
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Definition
where is the NA+/K+ pump on an enterocyte? does it use energy? |
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Term
secondary active transport |
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Definition
how do glucose and amino acids get into the enterocytes? (in general) |
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Term
facilitated diffusion down the concentration gradient (uses sodium cotransport
galactose is about the same as glucose
fructose uses facilitated diffusion all the way through the enterocyte but WITHOUT sodium, then it is converted to glucose before reaching the basal side |
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Definition
how does glucose get into an enterocyte? galactose? fructose?(more specific) |
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Term
lack of sanitation (dirty food and water), cholera, childhood diseases |
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Definition
what can cause deadly diarrhea? |
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Term
water + sugar + salt (stops electrolyte depletion) |
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Definition
what is the magic treatment of diarrhea? |
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Term
sugars (glu) is transported via secondary active transport with sodium, the water follows the sugar |
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Definition
how does water get into the cell? |
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Term
di/tri-peptides, they use H+ to co-transport into the cell
(H+ pumped back out with antiport Na+/H+ pump) |
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Definition
which diffuses more rapidly, amino acids or di/tri-peptides? |
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Term
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Definition
what ion uses paracellular diffusion for absorbtion? |
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Term
calcium: first 1/3 of small intestine iron: upper 1/2 of small intestine |
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Definition
where is calcium absorbed, iron? |
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Term
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Definition
what does the colon have a high capacity to absorb? |
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Term
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Definition
what kind of gas forms in the colon? how? |
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Term
hyper: diarrhea hypo: constipation |
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Definition
a hyper functioning colon causes what? a hypo functioning colon causes what? |
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Term
cecum and ascending (proximal) colon |
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Definition
where is most of the feces storage in the colon? |
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Term
slow segmentation (haustra) peristalsis (mass movement = poop sensation) |
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Definition
what causes colonic motility? |
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Term
slow segmentation (haustra) peristalsis (mass movement = poop sensation) |
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Definition
what causes colonic motility? |
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Term
contraction of the abdominal muscles against the diaphragm causes increased abdominal pressure and leads to removal of feces |
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Definition
what is the valsalva in regards to defecation? |
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Term
1)overflow: overwhelm the small intestine with H20 and salt
2)osmotic: non-absorbable substances go through the GI tract (like milk of magnesia)
3)inflammatory: disease of the intestinal lining such as ulcerative colitis, leading to epithelial death |
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Definition
what are the 3 types of diarrhea? describe each |
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