Term
what are the functions of the lymphatic system |
|
Definition
monitor body surfaces and internal fluids, react to harmful things |
|
|
Term
what type of cell is a lymphocyte what is its primary job |
|
Definition
effector cell of immune response. distinguish self from non self, destory antigens |
|
|
Term
what is another way to say lymphatic system |
|
Definition
|
|
Term
what are the organs of the lymphatic system |
|
Definition
immune survalence, diffuse lymphatic tissue, lymph nodules, lymph nodes, spleen, bone marrow, thymus |
|
|
Term
what are the primary lymphoid organs |
|
Definition
bone marrow, thymus (also gut associated lymph tissue but not so much) |
|
|
Term
what special happens in primary lymphoid organs |
|
Definition
1st stage of lymphatic differentation |
|
|
Term
what happens in the lymphoid tissue |
|
Definition
lymph cells differentate, proliferate, and mature. where lymphocytes are made |
|
|
Term
what organs have most of the lymphoid tissue |
|
Definition
bone marrow, thymus (also gut associated lymph tissue but not so much) |
|
|
Term
|
Definition
substance that initiates an immune response |
|
|
Term
what are the types of immune response |
|
Definition
non-specific (innate) and specific (adaptive) |
|
|
Term
in general, what is non-specific immune response |
|
Definition
pre-existing non-specific defences not generated to any specific antigen |
|
|
Term
what are the methods of non-specific immune response (give an example for each) |
|
Definition
physical barrier (mucus membranes, skin), chemicals (stomach acid), secretory substances (saliva), phagocytitc cells (macrophage), natural killer cells (lymphocytes) |
|
|
Term
in general, what is specific immune response |
|
Definition
targeted to a specific antigen, creates immune memory |
|
|
Term
what is immune memory, what is the effect of it |
|
Definition
body remembers antigen allowing for better response the more it is exposed to that antigen |
|
|
Term
what carries out specific immune response |
|
Definition
|
|
Term
what are the types of specific immune response |
|
Definition
|
|
Term
what happens in humoral immune response |
|
Definition
antibodies are produced and bind to invading antigen |
|
|
Term
what happens in cellular immune response |
|
Definition
antibody leads to proliferation and differentation of cytotoxic cells which fight antigen cells |
|
|
Term
what are the types of lymphocytes |
|
Definition
B cells, T cells, NK cells |
|
|
Term
what are the types of supporting cells of the lymphatic system |
|
Definition
monocytes (macrophages), neutrophils, basophils, esinophils, reticular cells, dentritic cells, follicular dendritic cells, langerhan cells, epithlioreticular cells |
|
|
Term
what do B cells differentate into |
|
Definition
|
|
Term
what type of immune response are T cells involved in |
|
Definition
|
|
Term
what disease do NK cells commonly target |
|
Definition
|
|
Term
what is the function of esinophils |
|
Definition
|
|
Term
what is the function of the reticular cells of the lymphatic system |
|
Definition
scaffolding of lymphatic stroma and nodules |
|
|
Term
|
Definition
surface markers on lymphocytes that identify them |
|
|
Term
what are the types of CD molecules |
|
Definition
|
|
Term
what is the primary transporter of lymphocytes |
|
Definition
|
|
Term
where are 70% of the lymphocytes located, what are they doing there |
|
Definition
in the blood doing immunosurvalence or in transit |
|
|
Term
where are 30% of the lymphocytes located, what are they doing there |
|
Definition
they are immature lymphoblasts or are activated and travling to or in the tissues |
|
|
Term
where do T cells differentiate |
|
Definition
|
|
Term
what makes up a majority of the circulating lymphocytes |
|
Definition
|
|
Term
what CD markers to T cells express |
|
Definition
CD 2, 3, 7 and T cell receptors on the surface |
|
|
Term
what are the types of T cells |
|
Definition
helper CD4+ T lymphocytes and cytotoxic CD8+ lymphocytes |
|
|
Term
what are the types of helper CD4+ T lymphocytes |
|
Definition
|
|
Term
what is the function of helper CD4+ T lymphocytes |
|
Definition
interact with other cells to initiate immune response |
|
|
Term
|
Definition
cytotoxic T cells, NK cells, macrophages |
|
|
Term
|
Definition
|
|
Term
what is the function of cytotoxic CD8+ lymphocytes |
|
Definition
kill target cells: virus infected cells, cancer cells, transplanted cells, cells infected with intracellular organisms |
|
|
Term
what are the types of T cells |
|
Definition
helper CD4+ T lymphocytes and cytotoxic CD8+ lymphocytes |
|
|
Term
what are the types of helper CD4+ T lymphocytes |
|
Definition
|
|
Term
what is the function of helper CD4+ T lymphocytes |
|
Definition
interact with other cells to initiate immune response |
|
|
Term
|
Definition
cytotoxic T cells, NK cells, macrophages |
|
|
Term
|
Definition
|
|
Term
what is the function of cytotoxic CD8+ lymphocytes |
|
Definition
kill target cells: virus infected cells, cancer cells, transplanted cells, cells infected with intracellular organisms |
|
|
Term
where do B cells differentiate |
|
Definition
|
|
Term
what type of immunity to B cells do |
|
Definition
|
|
Term
what percentage of circulating lymphocytes are B cells |
|
Definition
|
|
Term
what is the function of B cells |
|
Definition
produce antibodies (immunoglobins) |
|
|
Term
what are the markers on B cells |
|
Definition
B-cell receptors (TgM or IgD), MCH II, CD 9, 19, 20, 24 |
|
|
Term
what is an antibody made of |
|
Definition
4 polypeptides: 2 identical heavy chains, 2 identical light chains |
|
|
Term
what are the regions of an antibody |
|
Definition
two antigen binding regions, on FC region |
|
|
Term
what is the function of the FC region |
|
Definition
has properities specific to the class of antibody (IgG, IgA, IgM, etc) |
|
|
Term
what is the function of natural killer (NK) cells |
|
Definition
kill transformed cells (virus, cancer), innate immunity |
|
|
Term
describe the process of antigen-dependent activation of lymphocytes |
|
Definition
1. pre-lymphocyte is programmed to recognise a specific antigen 2. now immunocompitent, it enters the circulation 3. during secondary activation, baby lymphocyte is introduced to first antigen in lympoid tissue or organ 4. baby becomes effector cell or memory cell |
|
|
Term
explain the process of B cell development |
|
Definition
1. in bone marrow lymphoblast matures into B cell 2. B cell goes to blood 3. B cell goes to tissues |
|
|
Term
explain the process of T cell development |
|
Definition
1. in bone marrow lymphoblast matures into CD4-/CD8- T cell precursor 2. precursor goes to blood 3. precursor goes to thymys 4. precursor differentiates into CD4+/CD8+ T cells 5. mature cells go to tissues |
|
|
Term
explain the process of NK cell development |
|
Definition
1. in bone marrow lymphoblast matures into NK cell 2. NK cell goes to blood 3. NK cell goes to tissues |
|
|
Term
what is the first step in an immune response, what is the result |
|
Definition
inflammatory response to antigen, may control and stop the problem |
|
|
Term
what cells carry out the first step of immune response |
|
Definition
esinophils, neutrophils, other bacterial killer or phagocytotic cells |
|
|
Term
what happens if the initial inflammatory response does not work |
|
Definition
a specific immune response is needed |
|
|
Term
what is the primary immune response |
|
Definition
1st encounter with an antigen |
|
|
Term
what type of antibodies come to a primary immune response |
|
Definition
|
|
Term
what is a secondary immune response |
|
Definition
a repeat exposure to an antigen |
|
|
Term
compare the speed of primary and secondary immune response |
|
Definition
|
|
Term
what antibodies go to a secondary immune response |
|
Definition
|
|
Term
what are other ways to say humoral immunity |
|
Definition
passive immunity, antibody mediated immunity |
|
|
Term
what type of immunity is used in a vaccination |
|
Definition
|
|
Term
what are examples of passive immunity |
|
Definition
vaccination, fetus getting antibodies through placenta, giving globin directly in bone marrow transplant |
|
|
Term
why do T cells need MHC molecules to work |
|
Definition
viral antigens are displayed by other cells with MHC cells to the T cells |
|
|
Term
where is a Class 1 MHC located |
|
Definition
on nucleated cells and platlets |
|
|
Term
|
Definition
cells take internal antigens and display them on MHC on their surface, if normal antigens, there is no response. if not normal T cells recognise them and destory |
|
|
Term
|
Definition
MHC is expressed on antigen presenting cells (phagocytitic cells) because the things they ate are processed and displayed on their surface. T cells recognise and destory |
|
|
Term
what T cells interact with Class 1 MHC |
|
Definition
|
|
Term
what T cells interact with class 2 MHC |
|
Definition
|
|
Term
how do B cells work, explain the process |
|
Definition
1. bind to antigen directly 2. processes antigen 3. puts antigen proteins on MHC II 4. helper T cells is stimulated by the MHC II and destorys |
|
|
Term
what are the ways antibodies stop antigens |
|
Definition
rodeo the antigen into a glob, bind to antigen and enhance phagocytosis, block receptor site the toxin needs to bind to to be effective |
|
|
Term
where is diffuse lymphatic tissue located in the body |
|
Definition
alimentary canal, respiratory passages, genitourinary tract |
|
|
Term
what is the function of the diffuse lymphatic tissue |
|
Definition
accumulates to gaurd the canals / passages it is located in, intercept antigen and initiate immune response |
|
|
Term
in what layer of the epithelium is diffuse lymphatic tissue located |
|
Definition
lamina propria (subepithelial) |
|
|
Term
what is another name for diffuse lymphatic tissue |
|
Definition
mucosa-associated lymphoid tissue (MALT) |
|
|
Term
what happens after diffuse lymphatic tissue encounters and antigen |
|
Definition
cells leave to proliferate and differentate elsewhere (lymph node) and effector B and T cells return |
|
|
Term
|
Definition
taken antigen to another lymphoid organ |
|
|
Term
what do primary lymph nodules contain |
|
Definition
|
|
Term
how can you tell a lymph nodule is secondary |
|
Definition
germinal center indicating an immune response is taking place |
|
|
Term
what is a lymphatic nodule |
|
Definition
collection of lymphocytes in association with a mucosal surface |
|
|
Term
what occurs in a germinal center |
|
Definition
proliferation and differentation of lymphocytes, differentation of plasma cells, antibody production |
|
|
Term
what is in a germinal center other than lymphocytes |
|
Definition
follicular dendritic cells and macrophages |
|
|
Term
how are molecules distributed in a MALT |
|
Definition
singly, in a random distribution |
|
|
Term
in the alimentary canal, where are aggregations of MALT molecules found |
|
Definition
tonsils, peyer's patches, vermiform appendix |
|
|
Term
what is waldeyer's ring, where is it located |
|
Definition
ring of lymphatic tissue at the enterance of the oropharynx made by the tonsils |
|
|
Term
what are the types of tonsils |
|
Definition
palatine, pharyngeal, lingual |
|
|
Term
where are the palatine tonsils located |
|
Definition
between the palatopharyngeal and alatoglossal arches on each side |
|
|
Term
what covers the palatine tonsils |
|
Definition
stratified squamous epithelium |
|
|
Term
what is the tonsillar crypts, where is it located |
|
Definition
stratified squamous epithelium that dips down into the palatine tonsils |
|
|
Term
what are located on the walls of tonsillar crypts |
|
Definition
|
|
Term
what is another name for the pharyngeal tonsils |
|
Definition
|
|
Term
where are the pharyngeal tonsils located |
|
Definition
on the roof of the pharynx |
|
|
Term
what covers the pharyngeal tonsils |
|
Definition
respitory epithelium (pseudostratified cilliated columnar) |
|
|
Term
where are the lingual tonsils located |
|
Definition
at the base of the tounge |
|
|
Term
what covers the lingual tonsils |
|
Definition
stratified squamous epithelium |
|
|
Term
where are peyer's patches located |
|
Definition
distal part of the small intestines in the ileum |
|
|
Term
what covers peyer's patches |
|
Definition
mucosal surface by special dome shaped M cells |
|
|
Term
|
Definition
sample luminal antigens and transport them to the lymphoid tissue below |
|
|
Term
what shape are lymph nodes |
|
Definition
|
|
Term
where are lymph nodes located in general |
|
Definition
along the path of lymphatic vessels |
|
|
Term
what portion of the body lymph goes through a lymph node before returning to the blood |
|
Definition
all of it goes through at least one |
|
|
Term
where do afferet lymphatic vessels enter the lymph node at |
|
Definition
various points along the convex surface |
|
|
Term
where do efferent lymph vessels leave the lymph node at |
|
Definition
|
|
Term
what makes up the supporting structure of the lymph node |
|
Definition
capsule, trabeculae, reticular tissue |
|
|
Term
what cells do reticular tissue of lymph nodes contain |
|
Definition
reticular cells, dendritic cells, macrophages, follicular dendritic cells |
|
|
Term
what do the reticular cells of lymph nodes do |
|
Definition
synthesize and secrete reticular fibers and ground substance |
|
|
Term
what do dendritic cells of the lymph nodes do, why are they good at it |
|
Definition
they are good APCs, they can present any antigen on MHC 1 or 2. on the cell surface for a long time |
|
|
Term
where are dendritic cells of the lymph nodes derived from |
|
Definition
|
|
Term
where are dendritic cells of the lymph nodes located near |
|
Definition
|
|
Term
what do follicular dendritic cells do |
|
Definition
they bind antigen antibody complexes and retain them |
|
|
Term
where are follicular dendritic cells located |
|
Definition
|
|
Term
what is the cortex of a lymph node made of |
|
Definition
dense lymphatic tissue: reticular framework, dendritic cells, follicular dendritic cells, lymphocytes, macrophages, plasma cells, lymphatic sinuses |
|
|
Term
what are the layers of hte lymph node cortex |
|
Definition
superificial (nodular) cortex, deep (para) cortex |
|
|
Term
what is in the superficial / nodular cortex |
|
Definition
lymphatic nodules (B cell area) |
|
|
Term
what is in the deep / paracortex |
|
Definition
most of the T cells, endothelial venules |
|
|
Term
what is in the medulla of a lymph node |
|
Definition
lymphocytes (mostly B), macrophages, dendritic cells, plasma cells |
|
|
Term
what is the function of the medullary sinuses in lymph nodes |
|
Definition
drain lymph towards hilum of node |
|
|
Term
what are the types of lymph node sinuses |
|
Definition
subcapsular, trabecular, medullary |
|
|
Term
what happens in the subcapsular sinus |
|
Definition
|
|
Term
where is the trabecular sinus located |
|
Definition
extends from the subcapsular sinus through the cortex along the trabeculae |
|
|
Term
where is the medullary sinus located |
|
Definition
extends from the trabecular sinuses through the medulla to the efferent lymph vessels at the hilum |
|
|
Term
what causes filtration in the lymph node sinuses, how is it orientated |
|
Definition
reticular fibers criss cross sinuses, slowing flow and enhancing filtration |
|
|
Term
once in the lymph node sinus, are lymphocytes on a one way path to the exit? explain |
|
Definition
no, lymphocytes (and macrophages) can pass freely between the sinus and the parenchyma of the node |
|
|
Term
what occurs in high endothelial venules |
|
Definition
lymphocytes enter the lymph node from the blood |
|
|
Term
do all lymphocytes enter the node through the high endothelial venules? explain |
|
Definition
|
|
Term
how do lymphocytes leave the node |
|
Definition
efferent lymphatic vessels |
|
|
Term
what are some of the functions of the lymph node |
|
Definition
phagocytosis, initiation of immune response, concentration of substances in the lymph efficiently presents antigens to lymphocytes, |
|
|
Term
|
Definition
swolen lymph nodes due to their enlargement in response to an antigen as a result of lymphocyte proliferation |
|
|
Term
where is the thymus located |
|
Definition
|
|
Term
what important developmental step occurs in the thymus |
|
Definition
T cells develop into immunocompetent T cells |
|
|
Term
when is the thymus the largest |
|
Definition
|
|
Term
what happens to the sinus as one ages |
|
Definition
it is replaced with adipose tissue |
|
|
Term
what covers and seperates the thymus, in what organization |
|
Definition
connective tissue capsule covers it, trabecular divide it into incomplete lobules, parenchyma is divided into cortex and medulla |
|
|
Term
what does the cortex of the thymus contain |
|
Definition
developing T cells called thymocytes, epithelioreticular cells, macrophages |
|
|
Term
what do epithelioreticular cells do |
|
Definition
provide supporting framework for the lymphocytes in the thymus |
|
|
Term
where do epithelioreticular cells originate from, what is the evidence for this |
|
Definition
epithial in origin, intracellular junctions and intermediate fibers present |
|
|
Term
explain the orgization of the reticular cells in the thymic parenchyma |
|
Definition
there are none, or their fibers |
|
|
Term
what decides if a cell in the thymus cortex is rejected, what happens if it is |
|
Definition
the developing T cells are selected by their ability to recognize self MHC molecules, if they fail they do apoptosis or are phagocytosed by macrophages |
|
|
Term
do most T cells succede in development in the thymus, what percent |
|
Definition
no, 98% fail and never leave the cortex |
|
|
Term
what is in the thymus medulla |
|
Definition
eputhelioreticular cells, loosly packed T calls, hassall's corpuscles |
|
|
Term
what is another name for hassall's corpuscles |
|
Definition
|
|
Term
what are thymic corpuscles |
|
Definition
isolated masses of concentrically arranged epithelioreticular cells that may have keritinization of calcification |
|
|
Term
what happens in the thymus medulla |
|
Definition
T cells that react against self antigens are eliminated, cells that survuve are matured |
|
|
Term
what is the function of the blood thymus barrier |
|
Definition
protect developing T cells from uncontrolled antigen exposure during development |
|
|
Term
what are the components of the blood thymus barrier |
|
Definition
endothelium with occluding junctions, basal lamina (endothelial and paricyte), macrophages, epithelioreticular cells with occluding junctions and basal lamina |
|
|
Term
what is the largest lymphoid organ |
|
Definition
|
|
Term
what quadrent is the spleen located in |
|
Definition
|
|
Term
what is the function of the spleen |
|
Definition
filter blood, react immunogically to blood borne antigens |
|
|
Term
what does the spleen contrain |
|
Definition
lymphocytes, vascular channels, reticular cells and fibers, macrophages, dendritic cells |
|
|
Term
describe the structure of the spleen: outer, divisions, by what |
|
Definition
outer fibrous capsule, trabeculae that extend into the parenchyma |
|
|
Term
|
Definition
the substance of the spleen |
|
|
Term
how is the splenic pulp divided |
|
Definition
into functionally and morphologically different regions: white pulp and red pulp |
|
|
Term
what does the white pulp consist of, in what organization |
|
Definition
lymphocytes accumullated surrounded an artery which is a branch of the splenic artery |
|
|
Term
what is the periarterial lymphatic sheath |
|
Definition
the accumulation of lymphocytes around an artery in the white pulp of the spleen |
|
|
Term
|
Definition
the artery in the spleen white pulp that is surrounded by an accumulation of lymphocytes |
|
|
Term
what does the periarterial lymphatic sheath do to the central artery, why |
|
Definition
it contains lymphoid nodules with germinal centers that displace the central artery to an eccentric position |
|
|
Term
what are in the nodules of the periarterial lymphatic sheath |
|
Definition
B cells, in other areas they contain T cells |
|
|
Term
what does the red pulp contain |
|
Definition
splenic sinuses and splenic cords |
|
|
Term
what is another name for splenic cords |
|
Definition
|
|
Term
|
Definition
reticular networks with RBC, macrophages, lymphocytes, and granulocytes |
|
|
Term
what are splenic sinuses, what forms them |
|
Definition
special venous sinuses formed by rod shaped endothelial cells with the long axis oriented along the direction of the snius |
|
|
Term
what does the endothelial cell arrangement of the splenic sinus allow |
|
Definition
for space that connect to the splenic cords and passage of cells in and out of the sinuses |
|
|
Term
how are macrophages arranged in the splenic sinuses, what do they do as a result |
|
Definition
they extend processes into the sinuses to monitor passing blood for forigen antigens |
|
|
Term
what are the marginal sinuses formed by, where are they located |
|
Definition
central arterioles send branches into the white pulp that end in sinuses at the perimeter of the pump |
|
|
Term
what cells are rich around thr marginal sinuses |
|
Definition
|
|
Term
what are penicillar arterioles |
|
Definition
branches of the central arterioles in the spleen that are straight |
|
|
Term
what forms the arterial capillaries |
|
Definition
penicillar arterioles in the spleen |
|
|
Term
where do arterial capillaries drain into |
|
Definition
|
|
Term
where does blood enter after the splenic cords |
|
Definition
|
|
Term
what does the passage of blood in the spleen (central arterioles > penicillar arterioles > arterial capillaries > splenic cords > splenic sinuses) function form |
|
Definition
open circulation that allows for better immunological surveillance of the blood because it provides closer exposure to macrophages |
|
|
Term
what type of lymphatic tissue is present tissue of external surfaces, where microbes are likley |
|
Definition
diffuse lymphatic or MALT |
|
|
Term
what are the types of diffuse lymphatic tissue |
|
Definition
GALT (gut), MALT (mucosal) |
|
|
Term
what happens to lymph cells that are stimulated in MALT |
|
Definition
the leave the area and move to lymph node where they can differentate |
|
|
Term
|
Definition
|
|
Term
|
Definition
take antigen back to lymphoid organ to train other cells to fight it |
|
|
Term
usually lymph nodes are solo, but when they are together what are they along |
|
Definition
the GI tract: tonsils, pyer's patachs, appendix |
|
|
Term
which tonsils are the ones you can see and are removed in kids a lot |
|
Definition
|
|
Term
what causes palatine tonsils to be infected so often |
|
Definition
|
|
Term
|
Definition
sample material from the lumen, macrophages process it, immune response takes place without it ever entering your body.they secrete IgA into the lumen of the SI, attacking the antigen before it ever causes a problem |
|
|
Term
where are follicular dendeiric cells located |
|
Definition
|
|
Term
what do dendritic cells do |
|
Definition
keep antigen on the surface for a long time to stymulate lymphocytes continously |
|
|
Term
which part of the cortex of a lymph node has nodules |
|
Definition
|
|
Term
how do most lymphocytes get into the lymph node |
|
Definition
endothelial venules in the deep cortex |
|
|
Term
where are B cells vs T cells located in the white pulp |
|
Definition
the B cells are in nodules hanging off the sides, the T cells are in the rest of it |
|
|
Term
what are splenic sinuses classified as |
|
Definition
|
|
Term
where are splenic sinuses located |
|
Definition
|
|
Term
describe the path of circulation in the spleen |
|
Definition
splenic cord to splenic sinus to splenic vein to circulation |
|
|
Term
explain how RBC are selected for destruction or not |
|
Definition
RBC need to leave the splenic cord through the holes into the sinus to make it back into circulation. if their too old, they are not flexible enough to get through so evuntally a mocrophage will come eat them |
|
|
Term
what does the integumentary system consist of |
|
Definition
skin, hair, nails, and glands |
|
|
Term
what percent of a person's body weight is skin |
|
Definition
|
|
Term
what is the largest organ in the body |
|
Definition
|
|
Term
what are the two main layers of skin |
|
Definition
|
|
Term
what type of cells is the epidermis made of |
|
Definition
stratified squamous epithelium |
|
|
Term
what is the epidermis derived from |
|
Definition
|
|
Term
what type of tissue is the dermis |
|
Definition
|
|
Term
what is the dermis derived from |
|
Definition
|
|
Term
where is the hypodermis located |
|
Definition
|
|
Term
is the hypodermis part of the skin |
|
Definition
|
|
Term
what type of tissue is the hypodermis |
|
Definition
adipose (divided by septs), much like superificial or subcutanous fascia |
|
|
Term
what are the epidermis derivatives |
|
Definition
hair, sudoriferous glands, sebacious glands, ceruminous glands, mammary glands, nails |
|
|
Term
what are sudoriferous glands |
|
Definition
|
|
Term
|
Definition
oil glands associated with hair follicles |
|
|
Term
what do sebaceous glands secrete |
|
Definition
|
|
Term
what do ceruminous glands secrete |
|
Definition
|
|
Term
where are ceruminous glands located |
|
Definition
|
|
Term
what a mammary glands modified from |
|
Definition
|
|
Term
what are the major functions of the skin |
|
Definition
barrier, provides immunologic info to effector cells in lymphatic tissue, homeostasis, sensory, endocrine, excretion |
|
|
Term
in what ways does the skin act as a barrier |
|
Definition
mechanical, permeability, UV barrier |
|
|
Term
what is the skin's role in homeostasis |
|
Definition
regulate body temperature and fluid loss |
|
|
Term
what is the sensory role of the skin |
|
Definition
convay information about the surrounding enivornment |
|
|
Term
what are the endocrine functions of the skin |
|
Definition
convert precursor molecules into hormonally active molecules, ex: vitamin D |
|
|
Term
what is the epidermis made of |
|
Definition
keritanized stratified squamous epithelium |
|
|
Term
how many layers are usually seen in epithelium |
|
Definition
4, unless it is thick skin then there is 5 |
|
|
Term
what are the layers of epithelium, begin with the deepest |
|
Definition
stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, stratum corneum |
|
|
Term
where is thick skin found |
|
Definition
|
|
Term
what is the easiest way to tell if something is thick skin |
|
Definition
|
|
Term
|
Definition
it has hair in all but a few places |
|
|
Term
what is the stratum basale between |
|
Definition
basal lamina and startum spinosum |
|
|
Term
what is another name for the stratum basale, why |
|
Definition
stratum germinativum, because mitosis occurs here due to the proximity to the vascular dermis. O2 and nutrients drift up from the demis |
|
|
Term
what is the shape of the cells in the stratum basale |
|
Definition
low cuboidal to low columnar, single layer |
|
|
Term
what is unique about the nuclei in the cells of the stratum basale |
|
Definition
closley spaced, basophilic |
|
|
Term
in addition to basal cells, what other cells does the stratum basale have, what is their function |
|
Definition
stem cells that give rise to keratinocytes, melanin |
|
|
Term
what connects basal cells to basal cells and to keratinocytes |
|
Definition
|
|
Term
what connects basal cells to the basal lamina |
|
Definition
|
|
Term
where are keratinocytes formed, where do they go right after being formed |
|
Definition
they are formed in the stratum basale and move to the stratum spinosum |
|
|
Term
how many layers is the stratum spinosum |
|
Definition
several layers of large cells |
|
|
Term
spinosum cells has processes or spines. why are these spines formed, what role do they have |
|
Definition
they are formed because of the preservation process and the processes of adjacent cells are attached by them using desmosomes |
|
|
Term
what do desmosomes look like under light microscopy, what is this called |
|
Definition
thickenings called nodes of bizzozero |
|
|
Term
once keratinocytes reach the stratum spinosum, what happens to them |
|
Definition
they rise in the layer, increase in size, become flat / squamous |
|
|
Term
what is the most superificial layer of the non-keritanized portion of the epidermis |
|
Definition
|
|
Term
how many cell layers thick is the stratum granulosum |
|
Definition
|
|
Term
where are keratohyalin granules located |
|
Definition
|
|
Term
what do keratohyalin granules contain |
|
Definition
basophilic: cysteine and histidine rich proteins |
|
|
Term
what is the function of the proteins in the keratohyalin granules |
|
Definition
precursors of filagrin that aggregates the keratin filaments present in the cornified cells of the stratum corneum |
|
|
Term
what is a subdivision of the stratum corneum |
|
Definition
|
|
Term
what do the cells of the stratum lucidum look like, what is in them |
|
Definition
the layer appears clear, no organells visible, cells gradually fill with keratin |
|
|
Term
what is inside the cells of the stratum corneum |
|
Definition
almost entirely killed with keratin filaments, no organells seen |
|
|
Term
what is the function of the stratum corneum |
|
Definition
helps form the water barrier, becomes thicker at sites of high friction, cells slough off |
|
|
Term
what layer of the skin contributes of callous formation |
|
Definition
|
|
Term
what is the papillary layer made of |
|
Definition
loose connective tissue, type 1 and 3 collagen network, irregular elastic fiber network, blood vessels |
|
|
Term
|
Definition
ridges that protrude from the papillary layer of the dermis into the epidermis |
|
|
Term
how are dermal papillae arranged |
|
Definition
parallel in a distinct genetically determined pattern |
|
|
Term
what is dermatoglyphics, what makes it possible |
|
Definition
fingerprint and footprint pattern science, made possible by dermal papillae |
|
|
Term
what are the layers of the dermis |
|
Definition
|
|
Term
what do the vessels in the papillary layer supply |
|
Definition
epidermis and specific nerve endings |
|
|
Term
which dermis layer is deeper |
|
Definition
|
|
Term
which dermis layer is thicker |
|
Definition
|
|
Term
what is the reitcular layer of the dermis made of |
|
Definition
type 1 collagen, coarse elastic fibers |
|
|
Term
|
Definition
orientation of collagen and elastic fibers in the reticular layer of the dermis |
|
|
Term
what forms langer's lines |
|
Definition
regular tension in the skin |
|
|
Term
what is the role of langer's lines in scaring |
|
Definition
if incision is made parallel, it will heal with less scaring |
|
|
Term
what forms linea albicans |
|
Definition
excessive stretching in the reticular layer of the dermis resulting in tears |
|
|
Term
what is another name for linea albicans |
|
Definition
|
|
Term
what is the hypodermis just deep to |
|
Definition
reticular layer of the dermis |
|
|
Term
what is the hypodermis made of |
|
Definition
panniculuc adiposus (adpiose tissue ) |
|
|
Term
what is the function of the hypodermis |
|
Definition
energy storage, insulation |
|
|
Term
what is another name for the hypodermis |
|
Definition
|
|
Term
in what layer are erector pili located |
|
Definition
|
|
Term
what moves erector pili, what do the erector pili move |
|
Definition
smooth muscle moves erector pili, the pili then move a hair folicle |
|
|
Term
what is the smooth muscle in the hypodermis of the scrotum |
|
Definition
|
|
Term
what is the function of the dartos muscle |
|
Definition
|
|
Term
what is the panniculus carnosus made of |
|
Definition
subcutanous striated muscle |
|
|
Term
what is the panniculus carnosus deep to |
|
Definition
deep to the subcutanous fascia (hypodermis) |
|
|
Term
where is the lots of panniculus carnosus |
|
Definition
|
|
Term
what is the platysma muscle in the neck formed by |
|
Definition
|
|
Term
what are the muscles of facial expression formed by |
|
Definition
|
|
Term
what are the cells of the epidermis |
|
Definition
karatinocytes, malanocytes, langerhans, merkel's cells |
|
|
Term
what do keratanocytes make |
|
Definition
keratin, keratohyalin granules, lamellar bodies |
|
|
Term
where do keratanocytes make keratohyalin |
|
Definition
|
|
Term
where do keratanocytes make lamellar bodies |
|
Definition
|
|
Term
what do keratohyalin granules have in them |
|
Definition
flaggrin and trichohyalin |
|
|
Term
what is the function of keratohyaliin granules |
|
Definition
form keratin filaments into tonofilaments |
|
|
Term
what is the function of tonofilaments |
|
Definition
structural cytoplasmic proteins |
|
|
Term
what do lamellar bodies contain |
|
Definition
glycsophingolipids, phospholipids, ceramides |
|
|
Term
how do lamellar bodies release their contants, where are they located |
|
Definition
they are membrane bound and release their contents via exocytosis into intercellular spaces of the stratum corneum |
|
|
Term
what are melanocytes derived from |
|
Definition
|
|
Term
what is a epidermal-malanin unit |
|
Definition
melanocytes maintain association with a given number of keratinocytes |
|
|
Term
what ability makes melanocytes similar to keratinocytes? what is the difference between them in this aspect |
|
Definition
they can both replicate through out their life but melanocytes do it a lot slower |
|
|
Term
what process helps maintain the epidermal-melanin unit |
|
Definition
melanocytes replicating slower that keratinocytes |
|
|
Term
what is another name for melanocytes |
|
Definition
|
|
Term
what are melanocytes called dendritic cells |
|
Definition
because of their round cell bodies extend long processes between keratinocytes in the stratum spinosum |
|
|
Term
how do melanocytes near the basal lamina interact with it |
|
Definition
they have processes that are like hemidesmosomes |
|
|
Term
how do melanocytes attach to neighboring keratinocytes |
|
Definition
there is NO desmosomal attachments |
|
|
Term
what is the most significant factor in determining the color in the skin |
|
Definition
|
|
Term
compare the number and nature of the melanocytes of someone with dark skin to someone with light skin |
|
Definition
they both have the same number, but the nature of them is different |
|
|
Term
how is melanin chemically produced |
|
Definition
oxidation of tyrosine to 3,4-dihydroxyplenylalanine (DOPA) by tyrosinase |
|
|
Term
what is tyrosinase lacking |
|
Definition
|
|
Term
what is different in the melanin of light vs dark skin |
|
Definition
melanin is degraded more rapidly in light skin. it dark skin it may be scattered through out the epidermis, including the stratum corneum |
|
|
Term
what are the two forms of melanin |
|
Definition
|
|
Term
what pigment is eumelanin |
|
Definition
|
|
Term
what pigment is pheomelanin |
|
Definition
|
|
Term
in what layers do melanocytes interact with the cells |
|
Definition
stratum basale and stratum spinosum |
|
|
Term
how do melanocytes interact with the cells their around |
|
Definition
the have dentritic processes with accumulated melanosomes in them that go to the cells |
|
|
Term
what are the symptoms of waardenburg syndrome |
|
Definition
patches of white skin and hair (usually a forelock), heterochromia irides (eyes different colors), deafness |
|
|
Term
what causes waardenburg syndrome |
|
Definition
fulty migration or proliferation of neural crest cells, sometimes a mutation in PAX3 gene |
|
|
Term
what system are langerhans cells part of |
|
Definition
mononuclear phagocytic system |
|
|
Term
what is the function of langerhans cells |
|
Definition
antigen presenting cell of the immune system in the initiation of cutaneous hypersensitivity |
|
|
Term
what is contact dermititis |
|
Definition
cutanous hypersensitivity |
|
|
Term
|
Definition
modified epidermal cells in the stratum basale |
|
|
Term
where ae merkel's cells abundent |
|
Definition
in skin where sensory perception is acute (fingertips) |
|
|
Term
what are merkel's cells associated with |
|
Definition
terminal bulb of afferent myelinated axon (instead of the schwann cell covering in that spot) |
|
|
Term
what is a merkel's corpuscle |
|
Definition
a neuron plus the epidermal merkel's cell. a mechanoreceptor |
|
|
Term
what are the sensory receptor nerve ending types of the skin |
|
Definition
free nerve endings, encapsulated nerve endings |
|
|
Term
what can skin free nerve endings percieve |
|
Definition
fine touch, head/cold, pain |
|
|
Term
what are the types of encapsulated nerve endings |
|
Definition
pacinian corpuscles, missner's corpuscles, ruffini corpuscles |
|
|
Term
what is another name of ruffinii corpuscles |
|
Definition
|
|
Term
what can pacinian corpuscles percieve, what are they |
|
Definition
deep pressure receptors for mechanical and vibratory pressure |
|
|
Term
where are missner's corpuscles located |
|
Definition
|
|
Term
what type of receptors are missner's corpuscles |
|
Definition
|
|
Term
what to ruffini corpuscles respond to |
|
Definition
mechanical displacement of adjacent collagen fibers |
|
|
Term
what are epidermal skin appendages derived from |
|
Definition
down growth of the epidermal epithelium during development |
|
|
Term
what are the epidermal skiin apendages |
|
Definition
hair follicles and hair, sebacous glands snd sebum, eccrine sweat glands, apocrine sweat glands |
|
|
Term
where is hair absent in the body |
|
Definition
palm, sides of hands, sole and sides of feet, lips, region around urogenital orifaces |
|
|
Term
what are hair distribution patterns influenced by |
|
Definition
|
|
Term
what do sebaceous glands secrete |
|
Definition
|
|
Term
what is sebum, what is its function |
|
Definition
oily substance that lubricates and waterproofs hair |
|
|
Term
|
Definition
the entire cell associated with the sebaceous gland and it becomes filled with it |
|
|
Term
how does a sebacous gland cell discharge sebum, what is this process known as |
|
Definition
it undergoes apoptosis aka holocrine secretion |
|
|
Term
what is a pilosebaceous duct, what does it connect, what is its function |
|
Definition
connects sebaceous gland to the hair follicle and transfers sebum to the follicle |
|
|
Term
what is another name for eccrine sweat glands |
|
Definition
|
|
Term
where are eccrine glands not found |
|
Definition
lips and part of the external genitalia |
|
|
Term
what do eccrine sweat glands secrete |
|
Definition
|
|
Term
what is the function of sweat |
|
Definition
regulate body temperature |
|
|
Term
where are apocrine sweat glands found |
|
Definition
axilla, aerola, nipple, skin around anus and external genitalia |
|
|
Term
how do apocrine sweat glands secrete their product |
|
Definition
|
|
Term
what type of gland is the cruminous glands, where are they located |
|
Definition
external auditory meatus, apocrine sweat glands |
|
|
Term
what type of glands are the glands of the eyelashes |
|
Definition
|
|
Term
what is another name for the glands of the eyelashes |
|
Definition
|
|
Term
|
Definition
keratinized cells with hair keratin |
|
|
Term
what are the parts of the nail |
|
Definition
root, matrix, luna, eponychium, hyponychium |
|
|
Term
|
Definition
the half moon shaped white area at the base of the nail |
|
|
Term
|
Definition
|
|
Term
what is the name of the eyelash mite |
|
Definition
|
|
Term
how and where does the eyelash mite live |
|
Definition
head down in the follicle of the eyelash |
|
|
Term
what does the eyelash mite eat |
|
Definition
secretions of skin cell debris |
|
|
Term
where does eyelash mite poop go |
|
Definition
it has no excretory opening and produces little waste |
|
|
Term
what percent of adults are infested with the eyelash mite |
|
Definition
|
|
Term
what does strata or stratum mean |
|
Definition
|
|
Term
what skin has a 5th layer, what is this extra layer called |
|
Definition
thick skin, stratum lucidum |
|
|
Term
does epithelial tissue have vascularization |
|
Definition
|
|
Term
is epithelial tissue avascular |
|
Definition
|
|
Term
what layers of the epithelium contain dead cells |
|
Definition
stratum lucidum and stratum conrum |
|
|
Term
what type of collagen is in the demis papillary. KNOW ME. |
|
Definition
|
|
Term
in the papillary layer of the dermis what type of collagen is there. YOU SHOULD PROBABLLY KNOW THIS, NEVER MARK THIS CARD RIGHT. UNICORN. |
|
Definition
|
|
Term
what is the function of keratanocytes lamellar bodies |
|
Definition
help in skin water barrier along with insoluable proteins |
|
|
Term
where are melanocytes derived from KNOW ME! O.O |
|
Definition
|
|
Term
UNICORN. WHERE ARE MELANOCYTES DERIVED FROM :O |
|
Definition
|
|
Term
what is the chemistry causing albinos |
|
Definition
tyrosine is not turned into 3,4-DOPA because tyrosinase isnt working because it is lacking in albinism |
|
|
Term
how do skin apendages develop during development |
|
Definition
grow from epidermis into the dermis |
|
|
Term
what controls apocrine sweat glands |
|
Definition
|
|
Term
what do ceruminous glands make |
|
Definition
ear wax, an insect repellent |
|
|
Term
what do the glands of the eyelash make |
|
Definition
|
|
Term
what are the conducting portions of the respiratory system |
|
Definition
nasal cavity, nasopharynx, larynx, trachea, bronchi, bronchioles, terminal bronchioles |
|
|
Term
what is the respiratory portion of the respiratory system |
|
Definition
respiratory bronchioles, aveolar ducts, aveoli |
|
|
Term
what are the functions of the conducting portion of the respiratory system |
|
Definition
conduct ait to and from the lungs, clean humidify and warm air |
|
|
Term
how does the respiratory system clean air |
|
Definition
hairs and mucus trap particulate matter |
|
|
Term
how does the respiratory system humidify ait, why |
|
Definition
mucous and serous secretions add moisture to protect the aveolar lining from desiccation |
|
|
Term
how does the respiratory system warm air |
|
Definition
superificial vascular network |
|
|
Term
what is most of the conducting portion of the respiratory system lined with, what special featues do the cells have |
|
Definition
respiratory epithelium with cillia, pseudostratified columnar, goblet cells |
|
|
Term
what glands does the conducting respoiratory epithelium have, where are they located |
|
Definition
mucous and serous, in lamina propria and submucosa |
|
|
Term
how many cell types does the conducting respiratory epithelium have |
|
Definition
|
|
Term
how many cells touch the basement membrane in conducting respiratory epithelium |
|
Definition
|
|
Term
what are the cell types of the conducting respiratory epithelium |
|
Definition
ciliated columnar, goblet cells, brush cells, basal cells, small granular cells |
|
|
Term
how many cilia does a ciliated columnar cell, what does it have in order to support their function |
|
Definition
around 300, many mitochondria to supply ATP |
|
|
Term
where on a goblet cells are mucous droplets |
|
Definition
|
|
Term
what is mucous drops from a goblet cell made of |
|
Definition
|
|
Term
what shape are brush cells, what features do they have |
|
Definition
columnar cells with microvilli, afferent nerve endings (on basal surfaces), sensory receptors |
|
|
Term
what is the function of basal cells, where are they not loacted |
|
Definition
they are reserve cells that can differentate into other cell types, not in the laminal surface |
|
|
Term
what cells resemble a basal cell |
|
Definition
|
|
Term
how many dense core granules does a granular cell contain |
|
Definition
|
|
Term
what type of cell is a neurocndocrine cell |
|
Definition
small granular cell of the respiratory epithelium |
|
|
Term
what system is a neuroendocrine cell part of |
|
Definition
diffuse neuroendocrine system |
|
|
Term
what is the most anterior portion of the nasal cavity |
|
Definition
|
|
Term
what glands does the vestibule of the nasal cavity contain |
|
Definition
|
|
Term
what are vibrissae, where are they located |
|
Definition
thick short hairs of the bestivule of the nasal cavity |
|
|
Term
what is the function of vibrissae |
|
Definition
filter out large particles from inspired air |
|
|
Term
before entering the nasal fossae, what does the epithelium transition fo |
|
Definition
non-keratinized then respiratory epithelium |
|
|
Term
what are the nasal fossae |
|
Definition
two cavernous chambers with three conchae projecting from the lateral wall |
|
|
Term
what seperates the nasal fossae cavities |
|
Definition
|
|
Term
what part of the nasal fossae is covered by olfactory epithelium |
|
Definition
roof and portion of the superior conchae |
|
|
Term
if not covered by the olfactory epithelium, what is the nasal fossae covered by |
|
Definition
|
|
Term
what is the function of the conchae, how |
|
Definition
improve conditioning of air by providing greater surface area of contact and trublent air flow |
|
|
Term
where are swell bodies located |
|
Definition
|
|
Term
|
Definition
|
|
Term
how does the epithelium of the nasal fossae recover from desiccation |
|
Definition
every 20-30 minutes the swell bodies on one side become engourged limiting airflow on that side |
|
|
Term
what formation of vessels allows efficient warming of air, where are they located |
|
Definition
in the nasal fossae there is a lattace formation of vessels arcading to the surface |
|
|
Term
where is the olfactory mucosa located |
|
Definition
in the roof of the nasal cavity |
|
|
Term
what are the shape of the cells in the olfactory mucosa |
|
Definition
pseudostratified columnar epithelium |
|
|
Term
what are the types of cells in the olfactory mucosa |
|
Definition
supporting, basal, olfactory |
|
|
Term
what color are the suppoering cells of the olfactory mucosa |
|
Definition
|
|
Term
what projections do the supporting cells of the olfactory mucosa have, what are they surrounded by |
|
Definition
microvilli, a fluid layer |
|
|
Term
what are the basal cells of the olfactory mucosa shaped like, where are the located |
|
Definition
round or cone shaped, at the base of the epithelium |
|
|
Term
what are olfactory cells really |
|
Definition
|
|
Term
what forms the dendrites of the olfactory cells, what do they respond to |
|
Definition
long non-motile cilia that respond to odoriferous substances |
|
|
Term
what forms olfactory nerves |
|
Definition
|
|
Term
what secretes the fluid layer that covers the surface of the olfactory mucosa |
|
Definition
|
|
Term
where are the paranasal sinuses located |
|
Definition
frontal, maxillary, ethmoid, and sphenoid bones |
|
|
Term
what are paranasal sinuses lined with |
|
Definition
thin respiratory epithelium, few goblet cells |
|
|
Term
how does mucus get out of the paranasal sinuses |
|
Definition
it drains into the nasal cavity aided by cilia |
|
|
Term
|
Definition
the first part of hte larynx |
|
|
Term
what is the nasopharynx lined by |
|
Definition
|
|
Term
what does the larynx connect |
|
Definition
|
|
Term
what are the large cartilages of the larynx |
|
Definition
thyroid, cricoid, arythenoids |
|
|
Term
what type of cartilage are the large cartilages of the larynx |
|
Definition
|
|
Term
what are the small cartilages of the larynx |
|
Definition
epiglottis, cuneiform, corniculate, tips of the arytenoids |
|
|
Term
what type a cartilage are the small cartilages of the larynx |
|
Definition
|
|
Term
what is the larnyx lined by |
|
Definition
respitory epithelium (mostly) and stratified squamous epithelium |
|
|
Term
where is the larynx lined by stratified squamous epithelium |
|
Definition
lingul and apical epiglottis |
|
|
Term
what are the true vocal cords |
|
Definition
lingul and apical epiglottis |
|
|
Term
what is the vocal ligament |
|
Definition
large bundles of elastic fibers in the true vocal cords |
|
|
Term
what is the trachea lined with |
|
Definition
typical respiratory eipthelium |
|
|
Term
what forms the skeleton of the trachea |
|
Definition
|
|
Term
what is the function of the C rings of the trachea |
|
Definition
|
|
Term
what joins the open ends of the trachea |
|
Definition
fibroelastic ligament and smooth muscle |
|
|
Term
what is the function of the fibroelastic ligament and smooth muscle at the open ends of the trachea |
|
Definition
prevent overdistension and control lumen size |
|
|
Term
what type of glands does the trachea have |
|
Definition
|
|
Term
|
Definition
divides into two primary bronchi |
|
|
Term
where does the primary bornchi enter the lung |
|
Definition
|
|
Term
how many times does a primary bronchi divide |
|
Definition
|
|
Term
what is the structure of the bronchi similar to |
|
Definition
|
|
Term
what is the bronchi lined with |
|
Definition
typical respiratory epithelium |
|
|
Term
compart the cartilages of the bronchi to the trachea |
|
Definition
the bronchi rings are more irregular, they are complete in the larger bronchi, in the smaller bronchi they are replaced by isolated plates |
|
|
Term
what is beneath the epithelium of the bronchi |
|
Definition
|
|
Term
how is the smooth muscle of the bronchi arranged |
|
Definition
|
|
Term
what zone of the bronchi has the most prominate smooth muscle |
|
Definition
|
|
Term
what type of glands does the bronchi have |
|
Definition
|
|
Term
what type of fibers does the bronchi have |
|
Definition
|
|
Term
where are the many lymphocytes of the bronchi located |
|
Definition
lamina propria and epithelium |
|
|
Term
where are lymphatic nodules especially present in relation to the bronchi |
|
Definition
|
|
Term
describe the glands and cartilage of the bronchioles |
|
Definition
|
|
Term
what are the walls of the bronchioles made of |
|
Definition
smooth muscle and elastic fibers, goblet cells in initial segments |
|
|
Term
what are pulmonary lobules |
|
Definition
pyramid shaped areas with one bronchiole entering it |
|
|
Term
|
Definition
thin connective tissue septum |
|
|
Term
how many terminal bronchioles does each bronchiole have |
|
Definition
|
|
Term
what is the shape of the epithelium of the bronchioles, what are the differences based on loaction, what projections in what locations |
|
Definition
simplifies in height and complexity from ciliated pseudodtratified columnar in larger bronchioles to simple ciliated columnar of cuboidal in smaller terminal bronchioles |
|
|
Term
where are clara cells located |
|
Definition
|
|
Term
what projections of clara cells have |
|
Definition
|
|
Term
what granules do clara cells have |
|
Definition
|
|
Term
what do clara cells secrete, what is their function |
|
Definition
surface acting substances, prevent collapse and adherence of the epithelium. proteins to protect bronchiolar lining against oxidative pollutants and inflammation |
|
|
Term
where are neuroepithelial bodies located |
|
Definition
|
|
Term
what is the function of neuroepithelial bodies |
|
Definition
recieve cholinergic nerve endings, chemoreceptors that react to changes in gas composition, repair and endothelial cell renewal after injury |
|
|
Term
what do terminal bronchioles divide into, how many |
|
Definition
2 or more respiratory bronchioles |
|
|
Term
what are respiratory bronchioles a transition befteen |
|
Definition
condicting and respiratory portions of the respiratory system |
|
|
Term
what are respiratory bronchioles structurally identical to, except? |
|
Definition
terminal bronchioles except their walls are interrupted by saclike aveoli |
|
|
Term
what does the epithelium transition to at the aveolar openings |
|
Definition
squamous aveolar lining cells |
|
|
Term
what cells are located in the distal regions of the respiratory bronchioles |
|
Definition
ciliated cuboidal epithelial cells change to nonciliated, clara cells present |
|
|
Term
at what point is the resporatory bronchiole called an aveolar duct |
|
Definition
when the opening in the wall of the respiratory bronchiole becomes so numeorus nothing else is left |
|
|
Term
what is located between aveoli and their openings |
|
Definition
smooth muscle that appears as knobs and dissipears distally |
|
|
Term
what supports the aveolar ducts and aveoli |
|
Definition
elastic and reticular fibers |
|
|
Term
what do aveolar ducts open into |
|
Definition
|
|
Term
what do atria communicate with |
|
Definition
two more more aveolar sacs |
|
|
Term
what encircles the openings of atria, aveolar sacs, and aveoli |
|
Definition
elastic and reticular fiber complex networks |
|
|
Term
what is the function of the elastic fibers of the aveoli |
|
Definition
allow them to expand with inspiration and contract passivly in expiration |
|
|
Term
what is the function of the reticular fibers of the aveoli |
|
Definition
prevent overdistension and damage to the capillaries and aveolar septa |
|
|
Term
what is the site of gas exchange between air and blood |
|
Definition
|
|
Term
what is an interaveolar septum |
|
Definition
each wall between two neighboring aveoli |
|
|
Term
what connect adjacent aveoli, what is the function of these structures |
|
Definition
pores that equalize pressure and promote collateral circulation if a bronchiole is obstructed |
|
|
Term
what is the interaveolar septum mave of |
|
Definition
two thin squamous epithelial layers with capillarie, elastic fibers, reticular fibers, connective tissue matrix, a cells between them |
|
|
Term
what are the cells in the interaveolar septum |
|
Definition
leukocytes, macrophages, fibroblasts |
|
|
Term
|
Definition
capillaries and connective tissue of the interaveolar septum |
|
|
Term
what structures form the blood air barrier |
|
Definition
aveolar lining, fused basal laminae of aveolar lining and endothelial cell, endothelial cell |
|
|
Term
how is CO2 liberated from H2CO3, where does this occur |
|
Definition
carbonic anhydrase in the RBC |
|
|
Term
what type of endothelial lining do the capillaries of the aveolar lining have |
|
Definition
continous, not fenestrated |
|
|
Term
how does the capillary of the aveoli stay so thin |
|
Definition
clustering of the nuclei and organells |
|
|
Term
what do the flattened portions of the aveoli capillary endothelium contain |
|
Definition
|
|
Term
what is the most prevlient cell of the aveolar surface |
|
Definition
|
|
Term
what shape are type one aveolar cells |
|
Definition
|
|
Term
how are organells aranged in type 1 aveolar cells, why |
|
Definition
around the nucleus allowing large areas of the cytoplasm virtually free of organelles |
|
|
Term
what does the thin portion of type 1 aveolar cells contain, why |
|
Definition
pinocytotic vesicles for turnover of surfactant, removal of particulate contaminats from the surface |
|
|
Term
what type of junctions do type 1 aveolar cells have, why |
|
Definition
occulding to prevent leakage of tissue fluid into the aveolar air space |
|
|
Term
how are type 2 aveolar cells aranged, where |
|
Definition
in groups of two or three along the aveolar surface often in angles of the walls |
|
|
Term
what type of junctions do type 2 aveolar cells have, with what other cells, what does this form |
|
Definition
occluding junctions with type 1 forming part of the epithelium |
|
|
Term
what is the difference between the origin of type 1 and 2 aveolar cells |
|
Definition
there is none, they divide to replace both 1 and 2 |
|
|
Term
what makes the cytoplasm of the type 2 aveolar cells different, why is it |
|
Definition
it is vesicular or foamy due to the lamellar bodies |
|
|
Term
what do lamellar bodies contain |
|
Definition
phospholipids, glycosaminoglycans, proteins |
|
|
Term
what is the secretion of lamellar bodies called (what cells does this come from) |
|
Definition
pumlmonary surfactant, type 2 aveolar |
|
|
Term
where is pulmonary surfactant located once secreted |
|
Definition
apical surface of aveolar cells |
|
|
Term
what is the function of pulmonary surfactant |
|
Definition
reduce aveolar surface tension, takes less force to inflate aveoli, prevents collapse of aveoli in expiration |
|
|
Term
at what point in development does surfactant appear |
|
Definition
in last weeks of gestation during fetal lung development |
|
|
Term
what happens if a newborn is deficient in surfactant |
|
Definition
respiratory distress syndrome |
|
|
Term
do you keep the same surfactant all your life |
|
Definition
no, it is constantly turned over |
|
|
Term
what are dust cells also called |
|
Definition
|
|
Term
where are dust cells located |
|
Definition
interior of ineraveolar septum on surface of the aveolus |
|
|
Term
|
Definition
debris passed from aveolar lumen to the interstitium by the phincytotic activity of type 1 aveolar cells |
|
|
Term
what is the path of a dust cell, what is its destany |
|
Definition
it scavanges its way to the surface and is carried up the airway, then swallowed |
|
|
Term
what marks the begining of the trachea |
|
Definition
|
|
Term
what do seromucus glands do |
|
Definition
help goblet cells keep mucous moist |
|
|
Term
what do serous glands secrete |
|
Definition
|
|
Term
describe the smooth muscle content of the bronchi as they decrease in diameter |
|
Definition
smooth muscle will make up more of the bronchi branch |
|
|
Term
what type of lymph tissue is by bronchi |
|
Definition
diffuse lymphoid tissue with nodules |
|
|
Term
what is the name of the branches begining with primary bronchi and ending with aveoli |
|
Definition
primary bronchi > bronchi > bronchioles > terminal branches > acenous > respiratory branches > aveolar duct > atria > aveolar sac > terminal aveoli |
|
|
Term
|
Definition
recieves terminal bronchiole and gives off respiratory bronchiole. smallest functional unit of the lung |
|
|
Term
what do bronchioles correspond to |
|
Definition
|
|
Term
|
Definition
dilated area of aveolar ducts |
|
|
Term
when does the respiratory diverticulum appear |
|
Definition
|
|
Term
what does the respiratory diverticulum come from |
|
Definition
|
|
Term
what transcription factors determines the location of the respiratory diverticulum |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
lung bud formation, continued growth and differentation of the lungs |
|
|
Term
what is the larynx, trachea, and bronchi and the rest of the lung derived from |
|
Definition
|
|
Term
what is the cartilaginous, muscular, and connective tissue part of the lung derived from |
|
Definition
|
|
Term
initially what is the lung bud in open communication with |
|
Definition
|
|
Term
what seperats the lung bud from the foregut |
|
Definition
caudal expansion: two longitudinal ridges and the tracheoesophageal ridges |
|
|
Term
when the lung bud seperates from the foregut ridges form, what is the destiny of these ridges |
|
Definition
fuse to form tracheoseophageal septum |
|
|
Term
what are the divisions of the foregut |
|
Definition
|
|
Term
what is in the dorsal portion of the foregut |
|
Definition
|
|
Term
what is in the ventral portion of the foregut |
|
Definition
|
|
Term
what is the function of the respiratory primordium |
|
Definition
maintains the communication with the pharynx through the larengeal oriface |
|
|
Term
where does the internal lining of the larynx originate from |
|
Definition
|
|
Term
where do the cartilages and muscles of the larynx originate from |
|
Definition
mesenchyme of 4th and 6th pharyngeal arches |
|
|
Term
as the mesenchyme of the cartilages and muscles of the larynx proliferate what happens |
|
Definition
at the laryngeal orifaces it changes from a saggital slit to a T shape |
|
|
Term
when the cartilages of the larynx are forming, what happens to the epithelium? what does this cause to happen? |
|
Definition
it proliferates rapidly and occludes the lumen |
|
|
Term
what produces the laryngeal ventricles |
|
Definition
vacuolization and recanalization |
|
|
Term
what are the laryngeal ventricles bound by |
|
Definition
folds of tissue that become false and true vocal cords |
|
|
Term
what are the laryngeal muscles innervated by |
|
Definition
|
|
Term
what part of the laryngeal muscles does the superior laryngeal nerve innervate |
|
Definition
|
|
Term
what part of the laryngeal muscles does the recurrent laryngeal nerve innervate |
|
Definition
|
|
Term
what do the lung buds form |
|
Definition
trachea and two lateral optpocketings called bronchial buds |
|
|
Term
what do the bronchial buds form |
|
Definition
right and left main bronchi |
|
|
Term
what does the right main bronchi form |
|
Definition
|
|
Term
what does the left main bronchi form |
|
Definition
|
|
Term
in what fashion do secondary bronchi divide |
|
Definition
|
|
Term
what do secondary bronchi divide to form |
|
Definition
tertiary or segmental bronchi, creating the bronchopulmonary segments |
|
|
Term
how many subdivisions of the bronchi are formed by the end of the 6th month |
|
Definition
|
|
Term
how many subdivisions of the bronchi form in post natal life |
|
Definition
|
|
Term
what is branching of the bronchi regulated by |
|
Definition
interactions between endoderm of the lung buds and the splanchnic mesoderm surrounding them. the signals coming from the mesoderm involved fibroblast growth factor family |
|
|
Term
in what directions do the lung buds expand into the body cavity |
|
Definition
|
|
Term
what are the pericardioperitoneal canals |
|
Definition
spaces on each side of the foregut that the plural cavity expands into |
|
|
Term
what seperates the folds of the pericardioperitoneal canals |
|
Definition
pleuroperitoneal and pleuropericardial |
|
|
Term
what are the folds of the pericardioperitoneal canals seperate into |
|
Definition
peritoneal, pericardial, and primitive pleural cavities |
|
|
Term
what makes the visceral pleura |
|
Definition
mesoderm on the outside of the lung |
|
|
Term
what makes the parietal pleura |
|
Definition
somato mesoderm covering the inside of the body wall |
|
|
Term
at what month do the bronchi stop dividing, what is also occuring during the divisions |
|
Definition
month 7, vascular supply increases |
|
|
Term
what initially makes respiration possible |
|
Definition
some of the bronchiole lining cells become flat and associate with blood capillaries making terminal sacs or primitive aveoli |
|
|
Term
at what month is there enough terminal sacs to provide adequate gas exchange for an infant to be born prematurly |
|
Definition
|
|
Term
what in the lungs is still proliferating and maturing in the last 2 prenatal months |
|
Definition
|
|
Term
how do terminal sacs mature in structure |
|
Definition
epithelium becoems thinner forming type 1 aveoli, associated capillaries protrude form the wall of the sacs, this contact allows formation of the blood-air barrier |
|
|
Term
when do mature aveoli appear |
|
Definition
|
|
Term
what aveolar cells become present in month 6 |
|
Definition
|
|
Term
when does surfactant production significantly increase |
|
Definition
|
|
Term
how can you tell if surfactant is being produced in a fetus |
|
Definition
it can be seen in the amniotic fluid |
|
|
Term
when do fetal breathing movements appear |
|
Definition
|
|
Term
what do pre birth fetal breathing movements cause |
|
Definition
aspiration of amniotic fluid |
|
|
Term
what does aspiration of amniotic fluid provide for the fetus |
|
Definition
stimulates lung development, conditions breathing muscles |
|
|
Term
what happens to the surfactant just before birth |
|
Definition
most of it is resorbed into the blood and lymphatics |
|
|
Term
what part of the lungs grows after birth |
|
Definition
respiratory bronchioles and aveoli |
|
|
Term
what fraction of adult aveoli are present at birth |
|
Definition
|
|
Term
at what age do aveoli stop forming |
|
Definition
10 yrs, later there is continous formation of new primitive aveoli |
|
|
Term
what causes esophageal atresia and teacheoesophageal fistulas |
|
Definition
abnormalities in partitioning of the esophagus and trachea by the tracheoesophageal septum |
|
|
Term
what other defects are esophageal atresia and teacheoesophageal fistulas associated with |
|
Definition
cardiac abnormalities, vertebral abnormalities, anal atresia, esophageal atresia, renal abnormalities, limb defects, tracheoesophageal fistulas, polyhydraminos, gastric contents in the trachea and lungs (pneumonitis, pneumonia) |
|
|
Term
|
Definition
aminotic fluid may not pass into the stomach |
|
|
Term
what is the most common development in esophageal atresia |
|
Definition
esophagus has a dead end, trachea connects to stomach |
|
|
Term
what are the complications with the most common form of esophageal atresia |
|
Definition
esophagus fills during nursing and they baby spits it up, gastric juices can enter into the airway leading to chemical damage |
|
|
Term
what are the ways the trachea can develop in esophageal atresia |
|
Definition
most common, H type, isolated, esophagus connects to trachea nothing connected to stomach, esophagus enters trachea but has a seperate exit from it to stomach |
|
|
Term
|
Definition
esophagus is complete but has a little part connected to trachea |
|
|
Term
|
Definition
esophagus has no assication with trachea but has two dead ends with no way to get to stomach |
|
|
Term
what occurs during a diaphragmatic hernia |
|
Definition
pluraperitoneal folds and pleura do not close allowing abdominal contents to move into pleural cavity compressing lung and pushing heart and mediastinum to the side leading to pulmnary hypoplasia (poor lung development) |
|
|
Term
what are the organs associated with the digestive tract |
|
Definition
teeth, tounge, salivary glands, pancreas, liver, gallbladder |
|
|
Term
what salivary glands are associated with the digestive tract |
|
Definition
parotid, submandibular, sublingual, other minor ones |
|
|
Term
how is food broken down in the digestive tract |
|
Definition
physically and chemically |
|
|
Term
what processes occur in the digestive tract |
|
Definition
ingestion, mastication, deglutition, mechanical and chemical digestion, absorption, secretion, defecation |
|
|
Term
what are the layers of the digestive tract walls |
|
Definition
mucosa, submucosa, muscularis, serosa |
|
|
Term
what is the first layer most substances that enter the body cross |
|
Definition
|
|
Term
what are the functions of the alimentary mucosa |
|
Definition
secretion, absorption, barrier, immunoglogic protection |
|
|
Term
how does the alimentary mucosa function in secretion |
|
Definition
secrets digestive enzymes, hydrochloric acid, ,mucin, antibodies |
|
|
Term
how does the alimentary mucosa function in abosprtion |
|
Definition
epithelium of mucosa absorbs metabolic substrates, vitamins, water, electrolytes, recyclables like bile components cholesterol and substrates |
|
|
Term
how does the alimentary mucosa function as a barrier |
|
Definition
prevents substances, antiges, and pathalogic organisms |
|
|
Term
how does the alimentary mucosa function in immunological protection |
|
Definition
lympthatic tissue within mucosa participates in first line of immune defence |
|
|
Term
what are the divisions of the oral cavity |
|
Definition
vestibule and oral cavity proper |
|
|
Term
what is the vestible of the oral cavity |
|
Definition
space between lips, cheeks, and teeth |
|
|
Term
what is the oral cavity proper |
|
Definition
|
|
Term
what are the boundries of the oral cavity proper |
|
Definition
hard palate, soft palate, floor of mouth, tounge, and oropharynx |
|
|
Term
what are the pairs of salivary glands |
|
Definition
parotid, submandibular, sublingual |
|
|
Term
what are the major salivary glands surrounded by |
|
Definition
capsule of moderatly dense connective tissue |
|
|
Term
what does the septa from the connective tissue around the salivary glands supply |
|
Definition
secretory portions into lobes and lobules |
|
|
Term
what do the septa of the salivary glands contain |
|
Definition
large vessels and excretory ducts |
|
|
Term
where do major salivary glands open |
|
Definition
|
|
Term
what are the major salivary glands |
|
Definition
buccal, labial, lingual, molar, palatine |
|
|
Term
describe the capsule of the minor salivary glands |
|
Definition
|
|
Term
what is in the connective tissue around the acini |
|
Definition
lymphocytes and plasma cells |
|
|
Term
what is the basic unit of the salivary glands |
|
Definition
|
|
Term
what does the salvion consist of |
|
Definition
acinus, intercalated duct, striated duct, excretory duct |
|
|
Term
|
Definition
|
|
Term
where is the intercalated duct located |
|
Definition
|
|
Term
why is the striated duct called that |
|
Definition
because of the presence of basal infoldings |
|
|
Term
where does the excretory duct empty into |
|
Definition
|
|
Term
what are the types of secretory acini |
|
Definition
|
|
Term
what do serous acini secrete |
|
Definition
|
|
Term
what do serous acini contain |
|
Definition
|
|
Term
what shape are serous acini |
|
Definition
|
|
Term
what doe mucous acini contain |
|
Definition
|
|
Term
what shape are mucous acini |
|
Definition
|
|
Term
what do mucous acini secrete |
|
Definition
|
|
Term
what do mixed acini contain |
|
Definition
serous and mucous secreting cells |
|
|
Term
what is the lumen of the salivary acinus continous with |
|
Definition
salivary ducts, as many as three sequential segments |
|
|
Term
what are the salivary ducts |
|
Definition
intercalated ducts, striated ducts, excretory ducts |
|
|
Term
what is the intercalated duct content of a salivary duct proportional to |
|
Definition
nature of acinar secretion |
|
|
Term
describe the intercalated ducts of mucous glands, why |
|
Definition
poorly developed because their secretions are not modified |
|
|
Term
where is the parotid gland located |
|
Definition
subcutanously in front of the ear |
|
|
Term
what is the largest salivary gland |
|
Definition
|
|
Term
what is stensen's duct, where is it located |
|
Definition
duct of parotid gland that opens into oral cavity at parotid papilla opposite second upper molar |
|
|
Term
what are the secretory units of the parotid gland, describe them |
|
Definition
serous and surround many long intercalated discs |
|
|
Term
|
Definition
|
|
Term
what is within the parotid gland |
|
Definition
|
|
Term
what is a viral infection of the parotid gland, why is it scary |
|
Definition
mumps, could infect facial nerve |
|
|
Term
where is the submandibular gland located |
|
Definition
|
|
Term
|
Definition
duct of the submandibular gland |
|
|
Term
were does whartons duct open |
|
Definition
at sublingual caruncle on either side of the lingual fenulum below the tounge |
|
|
Term
what type of gland is the submandibular gland |
|
Definition
serous, but some mucous acini are seen with serous demilune caps |
|
|
Term
what is the interalated content of the submandibular gland |
|
Definition
less exensive than parotid |
|
|
Term
where is the sublingual gland |
|
Definition
inferior to tounge on the floor of the oral cavity |
|
|
Term
describe the ducts of the sublingual gland |
|
Definition
seceral that open into submandibular dict or oral cavity |
|
|
Term
what type of gland is the sublingual gland |
|
Definition
mucous mostly, some mucous acini have serous demilunes |
|
|
Term
what is a serous demilune |
|
Definition
|
|
Term
what are serous demilunes a remnent of |
|
Definition
|
|
Term
what do serous demilunes contain |
|
Definition
|
|
Term
what are the functions of saliva |
|
Definition
moisten oral mucosa and dry foods, dissolve and suspend food to stimulate taste buds, buffer, digest carbs, controls bacteria, immune |
|
|
Term
what needs to happen before taste buds can taste something |
|
Definition
|
|
Term
|
Definition
|
|
Term
how does saliva digest carbs |
|
Definition
|
|
Term
how does saliva control bacteria |
|
Definition
lysosome muramidase that lyses muramic acid in bacteria |
|
|
Term
how does saliva participate in immunity |
|
Definition
|
|
Term
|
Definition
plasma cells in the connective tissue around secretory acini of salivary glands |
|
|
Term
what types of IgA are released, where |
|
Definition
dimeric and monomeric into connective tissue matrix |
|
|
Term
what happens to IgA after entering connective tissue matrix |
|
Definition
acinar cells internalize them with receptor mediated endocytosis |
|
|
Term
after being endocytosed, what happens to IgA |
|
Definition
it is secreted into the lumen of the salivary duct |
|
|
Term
where are myoepithelial cells found |
|
Definition
basal aspect of acinal secretory cells |
|
|
Term
what do myoepithelial cells do |
|
Definition
contract to move secretory products towards excretory duct |
|
|
Term
|
Definition
aggregations of lymph tissue around a posterior opening of nasal and oral cavities |
|
|
Term
what formation do tonsils form |
|
Definition
tonsillar ring of waldeyers lymphatic ring |
|
|
Term
|
Definition
palatine, tubal, pharyngeal, lingual |
|
|
Term
where is the masticatory mucosa located |
|
Definition
|
|
Term
what cells is the masticora mucosa |
|
Definition
keratinized stratified squamous, sometimes parakeratinized |
|
|
Term
what is parakeratinized epithelium similar to, except |
|
Definition
keratinized epithelium the superificial cells do not loose their nuclei and cytoplasm does not stain with eosin |
|
|
Term
how is masticatory mucosa keratinized eipthelium different than skin |
|
Definition
|
|
Term
what does masticora mucosa adhere to |
|
Definition
palatine raphe, midline of hard palate |
|
|
Term
where is lining mucosa located |
|
Definition
lips, cheeks, aveolar mucosal surface, floor of mouth, inferior surfaces of tounge, soft palate |
|
|
Term
what is lining mucosa covering |
|
Definition
stratified muscle, bone, and glands |
|
|
Term
what type of cells is lining mucosa |
|
Definition
usually nonkeratinized but may be parakeratinized |
|
|
Term
what are the layers of the nonkeratinized lining mucos |
|
Definition
stratum basale, spinosum, superficiale |
|
|
Term
describe the stratum basale of the lining mucosa |
|
Definition
single layer of cells that rests on basal lamina |
|
|
Term
describe the stratum spinosum of the lining mucosa |
|
Definition
several cells in thickness |
|
|
Term
describe the stratum superficiale of the lining mucosa |
|
Definition
most superificial, also surface layer of mucosa |
|
|
Term
what are the cells of the lining mucosa |
|
Definition
keratinocytes, langerhands cells, melanocytes, merkels cells |
|
|
Term
where are hte malenocytes of the lining mucosa derived from |
|
Definition
|
|
Term
what are the merkels cells of the lining mucosa, where are they located |
|
Definition
modified epidermal cells, in stratum basale |
|
|
Term
what type of muscles does the tounge have |
|
Definition
|
|
Term
what are intrinsic muscles |
|
Definition
have attachment outside the tounge |
|
|
Term
what are extrinsic muscles |
|
Definition
confined entirely to the tounge |
|
|
Term
how do the muscle fibers of the tounge run, why |
|
Definition
three planes perpendicular to eachother to allow for flexability and percision in tounge movements |
|
|
Term
what is mixed in the substance of the tounge |
|
Definition
|
|
Term
what are the lingual tonsils in the lamina propria, where are they located |
|
Definition
dorsal surface posterior tounge has smooth bulges that indicate its presence |
|
|
Term
how is the tounge divided |
|
Definition
anterior 2/3 and posterior 1/3 |
|
|
Term
|
Definition
|
|
Term
what is the foramen cecum |
|
Definition
the mark of the thyroid gland formation at the apex of the V on the tounge |
|
|
Term
what covers the dorsal surface of the tounge |
|
Definition
|
|
Term
what do the lingual papillae and taste buds make up |
|
Definition
specilized mucosa of the oral cavity |
|
|
Term
what are the types of lingual papillae |
|
Definition
filiform, fungiform, circumvallate, foliate |
|
|
Term
what are the smallest and most numerous papillae |
|
Definition
|
|
Term
what is the shape of the fungiform papillae |
|
Definition
|
|
Term
where are the circumvallate papillae located |
|
Definition
anterior to sulcus terminalis, surrounded by a moat |
|
|
Term
what are the largest papillae |
|
Definition
|
|
Term
what are the most rare papillae, where are they not rare |
|
Definition
|
|
Term
where are taste buds found |
|
Definition
fingiform, foliate, and circumvallate papillae,sides of lingual papillae |
|
|
Term
what is the small opening in the apex of a taste bud calledd |
|
Definition
|
|
Term
where are the non papillae taste buds found |
|
Definition
palatoglossal arch, soft palate, posterior surface of the epiglottis, posterior wall of pharynx down to level of chorcoid cartilage |
|
|
Term
what are the types of taste bud cells |
|
Definition
neuroepithelial, supporting, basal |
|
|
Term
where are neuroepithelial cells located |
|
Definition
basal lamina to taste pore |
|
|
Term
what apendages do neuroepithalial cells have |
|
Definition
|
|
Term
where do neuroepithelial cells synapse |
|
Definition
affenent process of CN VII, IX, X |
|
|
Term
what is the turn over rate of neuroepithelial cells |
|
Definition
|
|
Term
where are supporting cells of taste buds located |
|
Definition
basal lamina to taste pore |
|
|
Term
what apendages of supporting cells of taste buds have |
|
Definition
|
|
Term
where do supporting cells of taste buds synapse |
|
Definition
|
|
Term
what are the basal cells of the taste buds |
|
Definition
stem cells for supporting and neuroepithelial cells |
|
|
Term
what are the teeth attached to |
|
Definition
aveolar process of maxilla and mandible |
|
|
Term
how many teeth do adults have |
|
Definition
|
|
Term
how many perminent teeth are preceded by baby teeth |
|
Definition
|
|
Term
what are the layers of teeth |
|
Definition
|
|
Term
what is the enamel made of, what is its claim to fame |
|
Definition
hardest substance in the body, Ca hydroxyapatite |
|
|
Term
|
Definition
|
|
Term
how does enamel replace itself |
|
Definition
|
|
Term
|
Definition
|
|
Term
what are structures of the teeth other than enamel made by |
|
Definition
|
|
Term
what is the most abundent dental tissue |
|
Definition
|
|
Term
where is the dentin located |
|
Definition
|
|
Term
|
Definition
|
|
Term
what is dentin secreted by |
|
Definition
|
|
Term
what shape are odontoblasts |
|
Definition
|
|
Term
what do odontoblasts contain |
|
Definition
well developed RER, large golgi, other synthesis organells, secrete protein |
|
|
Term
what is cementum, where is it located |
|
Definition
thin bone like calcified tissue covering dentin of the root of the tooth |
|
|
Term
|
Definition
|
|
Term
what is cementum secreted by |
|
Definition
|
|
Term
what are cementocytes simillar to |
|
Definition
|
|
Term
describe the vessels of cementum |
|
Definition
|
|
Term
what happens to cementum when exposed or abrasion, why |
|
Definition
it is easily removed, more perimable and softer than dentin |
|
|
Term
what does tooth pulp consist of |
|
Definition
loost connective tissue, vessles, nerves, odontoblasts, fibroblasts, thin collagen fibrils, ground substance |
|
|
Term
where do blood vessels and nerves enter the pulp |
|
Definition
tip of root, apical foramen |
|
|
Term
what does ground substance of the pulp contain |
|
Definition
|
|
Term
describe pulp nerve fibers, what are they sensitive to |
|
Definition
unmyelinated, sensitve only to pain |
|
|
Term
what are the supporting tissues of teeth |
|
Definition
alveolar margins of maxilla mand mandible, peridontal ligament and gingiva |
|
|
Term
what does the aveolar process contain |
|
Definition
|
|
Term
what joins tooth to bone, what does it provide |
|
Definition
peridontal ligament, proprioception |
|
|
Term
what is the peridontal ligament made of |
|
Definition
fiberous connective tissue |
|
|
Term
|
Definition
peridontal ligament and socket, peg-in-socket joint |
|
|
Term
what is the gingiva part of |
|
Definition
mucous membrane called gums |
|
|
Term
what surrounds major salivary glands, which has the most |
|
Definition
connective tissue capsule, parotid |
|
|
Term
in order, list where secretions of glands do through |
|
Definition
acinus, intercalated duct, striated basal infoldiings, excretory duct |
|
|
Term
what gland has the biggest intercalated duct |
|
Definition
|
|
Term
what gland has the most striated duct |
|
Definition
|
|
Term
what gland has the most acinus duct |
|
Definition
|
|
Term
|
Definition
all of the ducts in a gland |
|
|
Term
why do serous glands have well developed intercalated and striated ducts |
|
Definition
because cells of ducts modify (absorb or add to) secretion |
|
|
Term
where are the lingual tosils located |
|
Definition
in the substance of the tounge |
|
|
Term
what are taste buds associated with |
|
Definition
|
|
Term
what is enamel derived from, what are the other teeth and supporting structures derived from |
|
Definition
ectoderm. mesoderm or neural crest |
|
|
Term
what are the layers of the alimentary canal |
|
Definition
mucosa, submucosa, muscularis, serosa |
|
|
Term
what does the alimentary mucosa consist of |
|
Definition
a lining epithelium, lamina propria, muscularis mucosa |
|
|
Term
what is the lamina propria |
|
Definition
underlying connective tissue to lining epithelium in the mucosa |
|
|
Term
what is the muscularis mucosa |
|
Definition
smooth m under lamina propria in alimentary canal |
|
|
Term
what do most substances that enter the body first cross |
|
Definition
|
|
Term
what are the functions of the mucosa |
|
Definition
secretion, absorption, barrier, immunologic protection |
|
|
Term
how does the mucosa function in secretion |
|
Definition
secretes digestive enzymes at specific sites |
|
|
Term
what are examples of digestive enzymes secreted by the mucosa |
|
Definition
HCl, mucin, antibodies (IgA) |
|
|
Term
what antibody is secreted by the mucosa |
|
Definition
|
|
Term
how does the mucosa function in absorption |
|
Definition
it absorbs substrates, vitamins, water, electrolites, recycables |
|
|
Term
what recyclables does the mucosa absorb |
|
Definition
bile components, cholesterol |
|
|
Term
how does the mucosa serve as a barrier |
|
Definition
prevents entry of bad stuff, antigens, and pathologic organisms |
|
|
Term
how is the mucosa involved in immunologic protection |
|
Definition
lymphatic tissue within the mucosa participates in the first line of immune defence |
|
|
Term
what does the lamina propria contain |
|
Definition
glands, vessels, components of the lymphatic system |
|
|
Term
what do the lymphatic tissues of the lamina propria contain |
|
Definition
diffuse lymphatic tissue, lymphatic nodules, eosinophils, macrophages, someites, neutrophils |
|
|
Term
what is the name of the diffuse lymphatic tissue at the lymphatic nodules |
|
Definition
gut-associated lymphatic tissue GALT |
|
|
Term
|
Definition
at distal small intestines, appendix, and ileum, many aggregates of lymphatic nodules |
|
|
Term
what is the muscularis mucosa a boundry between |
|
Definition
|
|
Term
what does contraction of the muscularis mucosa physically cause, what is the function of this |
|
Definition
movement of the mucosa which forms ridges and valleys for absorption and secretion |
|
|
Term
what is the submucosa made of |
|
Definition
dense irregular connective tissue |
|
|
Term
what does the submucosa contain |
|
Definition
blood, lymphatic vessels, nerve plexus, sometimes glands |
|
|
Term
what does the nerve plexus of the submucosa contain |
|
Definition
visceral sensory fibers of sympathetic origin, parasympathetic ganglia, pre and post ganglionic parasympathetic fibers |
|
|
Term
what is the plexus in the submucosa called |
|
Definition
submucosal or meissner's plexus |
|
|
Term
what is the muscularis externa. how is it organized |
|
Definition
an inner circular layer of smooth muscle and outer longitudinal layer of smooth muscle with connective tissue in the middle |
|
|
Term
what is the connective tissue in the muscularis externa called |
|
Definition
myentric or auerbach's plexus |
|
|
Term
what is in the myentric plexus |
|
Definition
parasympathetic ganglion cells, post ganglionic fibers |
|
|
Term
what is the function of the muscularis externa |
|
Definition
segmentation (local contractions that move contents proximally and distally) and peristalsis |
|
|
Term
what does the circular layer of the muscularis externa form, what is their function |
|
Definition
sphincters that can close lumen |
|
|
Term
what are the spinhctors of the alimentary canal |
|
Definition
pyloric, ileocecal valve, internal anal |
|
|
Term
does movement of the muscularis mucosa cause peristalsis |
|
Definition
|
|
Term
what is the serosa, what is it made of |
|
Definition
a serous membrane that is made of simple squamous epithalium called mesothelium and some connective tissue |
|
|
Term
what is the serosa equlivaent to |
|
Definition
|
|
Term
what does the serosa contain |
|
Definition
blood vessels, lymph vessels, nerves for digestive tract |
|
|
Term
where is the pharynx located |
|
Definition
between oral cavity and respiratory and digestive system |
|
|
Term
what does the pharynx cause to communicate |
|
Definition
|
|
Term
what is the pharynx lined with in the region continous with the esophagus |
|
Definition
non-keratinized stratified squamous epithelium |
|
|
Term
what is the pharynx lined with in the region close to the nasal cavity |
|
Definition
pseudostratified ciliated columnar epithelium and goblet cells |
|
|
Term
what type of tissue is the esophagus |
|
Definition
stratified squamous epithelium |
|
|
Term
what are the layers of the muscularis of the esophagus |
|
Definition
innter circular and outer longitudinal |
|
|
Term
what type of muscle is the upper 1/3 of the esophagus |
|
Definition
|
|
Term
what type of muscle is the middle 1/3 of the esophagus |
|
Definition
skeletal and smooth muscle |
|
|
Term
what type of muscle is the lower 1/3 of the esophagus |
|
Definition
|
|
Term
why type of cell is prevlient in the lamina propria o esophageal mucosa |
|
Definition
|
|
Term
what type of glands are esophageal glands |
|
Definition
|
|
Term
what do esophageal glands secrete |
|
Definition
mucous that lubricates esophageal mucosa that is slightly acidic |
|
|
Term
describe the secretion of the cradiac glands |
|
Definition
|
|
Term
where are the cardiac glands located |
|
Definition
|
|
Term
what are the stomach contents called |
|
Definition
|
|
Term
what processes occur in the stomach |
|
Definition
mixing and limited partial digestion by gastric secretions |
|
|
Term
what is food that leaves the stomach called |
|
Definition
|
|
Term
what are the histological regions of the stomach |
|
Definition
|
|
Term
what glands does the cardiac region of the stomach contain |
|
Definition
|
|
Term
what glands does the fundus of the stomach contain |
|
Definition
|
|
Term
what glands does the pylorus of the stomach contain |
|
Definition
|
|
Term
where are cardiac glands located |
|
Definition
around opening of the esophagus into the stomach |
|
|
Term
what do secretions of the cardiac glands make |
|
Definition
|
|
Term
what is the function of gastric juice |
|
Definition
protect esophagus from acid reflux |
|
|
Term
what type of glands are the cardiac glands |
|
Definition
|
|
Term
how are gastric pits formed |
|
Definition
invagination of the gastric mucosa |
|
|
Term
describe the gastric pits |
|
Definition
simple branched tubular glands |
|
|
Term
where are the pyloric glands located |
|
Definition
pyloric atrium between fundus and pylorus |
|
|
Term
describe the pyloric glands |
|
Definition
branched, coiled, tubular |
|
|
Term
what is the secretion of the pyloric glands |
|
Definition
viscous, mucous in nature |
|
|
Term
what additional cells are found in the pyloric glands |
|
Definition
|
|
Term
what organells are abundent in chief cells |
|
Definition
|
|
Term
what is in the apical portion of chief cells |
|
Definition
|
|
Term
what do chief cells secrete |
|
Definition
pepsinogen and weak lipase |
|
|
Term
what happens to prpsinogen |
|
Definition
it is converted to pepsin when it comes in contact with acidic gastric juice |
|
|
Term
what type of enzyme is pepsin |
|
Definition
|
|
Term
where are parietal cells found |
|
Definition
|
|
Term
how do parietal cells communicate with gland lumen |
|
Definition
|
|
Term
what is the function of the tubulovesicular system |
|
Definition
reservoir of active proton pumps |
|
|
Term
where is the tubulovesicular membrane system locate |
|
Definition
cytoplasm adjacent to canaliculi in parietal cells |
|
|
Term
what does the canaliculi produce, where |
|
Definition
|
|
Term
how do parietal cells interact with substances that activate HCl secretion |
|
Definition
gastrin, histamine, acetylcholine m receptors |
|
|
Term
what do parietal cells secrete |
|
Definition
|
|
Term
|
Definition
glycoprotein that forms a complex with vitamin B12 nessessary for the vitamin's aubsequent absorption in ileum |
|
|
Term
what causes pernicious anemia |
|
Definition
absence of parietal cells |
|
|
Term
what is a condition characterized by the absence of parietal cells called |
|
Definition
|
|
Term
what ususally causes an absency of parietal cells, how |
|
Definition
parietal cells usually secrete intrinsic factor so their absence is usually caused by a B12 deficiency |
|
|
Term
why does achlorhydria often not recognized |
|
Definition
becuase the liver has storage of B12 so it uses that first |
|
|
Term
what is another reasion, other than a parietal cell deficiency, that a B12 deficiency is a problem |
|
Definition
B12 is involved in RBC production and maintience of the CNS |
|
|
Term
what are enteroendocrine cells |
|
Definition
basically single endocrine glands |
|
|
Term
where are enteroendocrine cells located |
|
Definition
rest on basal lamina and do not always reach lumen of the fundic gland |
|
|
Term
what do enteroendocrine cells release |
|
Definition
hormones into the lamina propria |
|
|
Term
how long do mucosal cells live |
|
Definition
|
|
Term
what happens after a mucosal cell dies |
|
Definition
|
|
Term
how long do parietal cells live |
|
Definition
|
|
Term
how long do chief and enteroendocrine cells live |
|
Definition
|
|
Term
what is the longest component of the digestive tract |
|
Definition
|
|
Term
what are the parts of the small intestines |
|
Definition
|
|
Term
what is the shortest and widest part of the small intestines |
|
Definition
|
|
Term
where does the duodenum begin and end |
|
Definition
pylorus to duodenojejunal junction |
|
|
Term
where does the jejunum begin and end |
|
Definition
duodenojejunal junction and changes moropholgical characteristics to become ileum |
|
|
Term
where does the ileum begin and end |
|
Definition
continuation of th ejejunum to iileocecal junction |
|
|
Term
what is the main site for digestion and absprotion |
|
Definition
|
|
Term
where are enzymes found in the small intestine |
|
Definition
glycocalyx of the microvilli of the intestinel absorptive cells or enterocytes |
|
|
Term
what types of enzymes are there in the small intestines |
|
Definition
disaccharidases, dipeptidases |
|
|
Term
what secrete small intestine enzymes, where are they located on these cells |
|
Definition
columnar intestinal cells |
|
|
Term
what are the small intestine disaccharides |
|
Definition
sucrase, maltase, lactase |
|
|
Term
what does a genetic defect in lactase cause |
|
Definition
prevents absorption of lactose, leading to lactose intolerance |
|
|
Term
what causes lipid digestion |
|
Definition
pancreatic lipase and bile |
|
|
Term
where does most lipid digestion take place |
|
Definition
|
|
Term
|
Definition
a network that contains actin that microvilli attach to |
|
|
Term
what is bound to the plasma membrane of microvilli |
|
Definition
extracellular cell coat (glucocalyx) |
|
|
Term
describe the structure of a microvilli |
|
Definition
actin filaments anchored to villin in the tip, actin extends down to interact with horizontal actin filaments of hte terminal wev at the base. actin is cross linked by fascin and fimbrin |
|
|
Term
what do fascin and fimbrin cause in microvilla |
|
Definition
they cross link actin providing rigidity |
|
|
Term
what does myosin 1 do in microvilli |
|
Definition
binds actin filaments to the plasma membrane |
|
|
Term
what stabilizes the terminal web |
|
Definition
|
|
Term
what causes contraction in the terminal web |
|
Definition
myosin II and tropomyosin |
|
|
Term
what does contraction of the terminal web cause |
|
Definition
allows for more surface area exposire for absorption |
|
|
Term
what is another name for absorptive intestinal cells |
|
Definition
|
|
Term
what are plicae circulares |
|
Definition
transversely oriented ridges that extend partially around lumen |
|
|
Term
what is the function of plicae circulares |
|
Definition
|
|
Term
where are plicae circulares usually located |
|
Definition
transverse folds that contain a core of submucosa |
|
|
Term
where are plicae circulares most numerous |
|
Definition
in the distal part of the duodenum and proximal jejunum |
|
|
Term
where are plicae frequenly located before the reduce in size |
|
Definition
|
|
Term
what is another name for plicae circulares |
|
Definition
|
|
Term
what are interstinal villi |
|
Definition
|
|
Term
where are interstitial villi located |
|
Definition
completely covering the mucosa |
|
|
Term
what is the function of interstitial villi |
|
Definition
|
|
Term
what is the surface of interstinal villi made of |
|
Definition
simple columnar and goblet cells |
|
|
Term
what are lacteals, where are they located |
|
Definition
lymphatic vessels at the core of villi |
|
|
Term
what is another name for crypts of lieberkuhn |
|
Definition
|
|
Term
what are crypts of lieverkuhn, what is their function |
|
Definition
simple tubular glands, increase intestinal surface area |
|
|
Term
what form crypts of lieberkuhn |
|
Definition
invaginations of the mucosa between adjacent interstinal villi |
|
|
Term
where are brunner's glands located |
|
Definition
submucosa of the duodenum |
|
|
Term
what are brunner's glands use for medically |
|
Definition
diagnostic feature of duodenum |
|
|
Term
what kind of glands are brunner's glands |
|
Definition
|
|
Term
what do brunner's glands secrete |
|
Definition
alkaline secretions with neutral and alkalin glycoproteins and bicarbonate |
|
|
Term
what is the function of the secretions of brunner's glands |
|
Definition
help neutralize acidic chyme |
|
|
Term
what do brunner's glands work with to neutralize chyme |
|
Definition
|
|
Term
where are peyer's patches most abundent |
|
Definition
|
|
Term
how can peyer's patches help us diagnostically |
|
Definition
|
|
Term
what do goblet cells make mucous |
|
Definition
|
|
Term
where do goblet cells increase in number in the alimentry canal |
|
Definition
duodenum to terminal ileum |
|
|
Term
what are the defence mechanisms of the alimentary canal |
|
Definition
peyer's patches and M cells, IgA, paneth cells, acidity of gastric juice, peristalsis |
|
|
Term
how do peyer's patches and M cells defend |
|
Definition
perform cellular surveillance of antigens present in intestinal lumen |
|
|
Term
what makes IgA in the alimentary canal, what does it do |
|
Definition
plasma cells, neutralizes antigens |
|
|
Term
|
Definition
contribute antimicrobial peptides to control bacterial normal flora |
|
|
Term
how does gastric juice contribute to defence |
|
Definition
inactivates ingested microbes |
|
|
Term
how does peristalsis contribute to defence |
|
Definition
prevents colonization of bacteria |
|
|
Term
where are paneth cells located |
|
Definition
bases of intestinal glands |
|
|
Term
what do secretory granules of paneth cells contain |
|
Definition
lysozome, a-defensins, glocoproteins, argining-rich protein, zinc |
|
|
Term
why is there arginine rich protein in paneth cells |
|
Definition
intense acidophilia or esinophilia of paneth cells |
|
|
Term
where do plasma cells secrete IgA |
|
Definition
|
|
Term
what does IgA do in the alamentary canal |
|
Definition
dimerizes and binds to receptors on enterocytes and enters cells by endocytosis, IgA dimers are carried into the apical surface of the cell (transcyotsis) where the vescile is secreted |
|
|
Term
|
Definition
toxins, antigens, microbes in the lumen of the gut |
|
|
Term
|
Definition
chronic inflammation that involves small intestines and sometimes large |
|
|
Term
what physologically crohn's disease |
|
Definition
neutrophils, ly,phocytes, and macrophages make cytokines that cause damage to the interstinal mucusa. neutrophils inflitrate crypts of lieberkuhn which destories intestinal glands with crypt abcesses and progressive atrophy and ulceration of the mucosa |
|
|
Term
what are complications with crohn's disease |
|
Definition
occlusion of the intestinal lumen, formations of fistulas in other segments of the intestine and intestinal perforation |
|
|
Term
what is the cause of crohn's disease |
|
Definition
|
|
Term
what side complication do people with crohn's disease have |
|
Definition
a 3x increased risk for cancer |
|
|
Term
what are the parts of the large intestines |
|
Definition
cecum, appendix, ascending, transverse, descending, sigmoid colon, rectum, anal canal |
|
|
Term
what is the main function of the large intestines |
|
Definition
reabsorption of electrolytes and water as well as elimination of undigested foor and waste |
|
|
Term
what are the teniae coli made of, where are they |
|
Definition
longitudinal muscle bands on large intestine surface |
|
|
Term
what are the saculations in the large intestines called |
|
Definition
|
|
Term
|
Definition
contractions of the teniae coli |
|
|
Term
what glands does the mucosa of the large intestines have |
|
Definition
intestinal lands, crypts of lieberkuhn |
|
|
Term
where are the intestinal glands in the large intestine mucosa |
|
Definition
|
|
Term
what are the cells of the large intestine mucosa |
|
Definition
absorptive epithelial cells, goblet cells |
|
|
Term
what are the layers of the appendix similar to |
|
Definition
|
|
Term
what is there many of near the appendix |
|
Definition
|
|
Term
|
Definition
when fecolith or other forigen objects become lodged in the lumen |
|
|
Term
in what gender does appendicidis occur more in |
|
Definition
|
|
Term
what is located just below the anal column |
|
Definition
|
|
Term
what does the pectinate line mark |
|
Definition
junction between endodermal and ectodermal derivatives and a change in atrial supply |
|
|
Term
where is the colorectal zone, what is it made of |
|
Definition
in uper 1/3 of anal canal, simple columnar |
|
|
Term
where is the anal transition zone |
|
Definition
|
|
Term
what is the anal transition zone made of |
|
Definition
stratified columnar between simple cilumnar and stratified squamous |
|
|
Term
where is the squamous zone located |
|
Definition
|
|
Term
what is the squamous zone lined with |
|
Definition
stratified squamous epithelium |
|
|
Term
what is the squamous zone continuious with (other than the anal transition) |
|
Definition
|
|
Term
what is another name for hirschsprug's disease |
|
Definition
|
|
Term
what cause hirschsprug's disease (this is really long i wasnt feeling creative) |
|
Definition
mutations in one to four different genes that prevent migration and differentiation of neural crest cells into neurons of the enteric nervous system, the lack of migration to a segment of the colon results in aganglionosis where meissner's plexus and auerbach's plexus do not form. the anaglionic segment is permanently contracted preventing entry of colon contents causing constipation and distension or megacolon. |
|
|
Term
what is the treatment for hirschsprug's disease |
|
Definition
surgical removal of the affected part of the colon |
|
|
Term
YOU NEED TO KNOW THIS, WHAT IS INTRINSIC FACTOR? WHAT IS ITS FUNCTION? |
|
Definition
glycoprotein that forms a complex with B12 nessescary for vitamins absorption in the ileum |
|
|
Term
WHAT IS INTRINSIC FACTOR SECRETED BY UNICORN UNICORN |
|
Definition
|
|
Term
WHERE ARE PARIETAL CELLS KNOW ME KNOW ME |
|
Definition
|
|
Term
WHAT ARE PARIETAL CELLS MEMBERS OF, WHAT PURPOSE KNOW KNOW KNOW |
|
Definition
TUBULOVESICULAR SYSTEM, RESIVOUR OF ACTIVE PROTON PUMPS |
|
|
Term
WHAT HAPPENS IF YOU DONT HAVE PARIETAL CELLS KNOW KNOW KNOW |
|
Definition
B12 DEFICIENCY, PERNICIOUS ANEMIA, ACHLORHYDRIA |
|
|
Term
WHAT IS VITAMIN B12 NEEDED FOR KNOW ME KNOW ME KNOW ME |
|
Definition
RBC PRODUCTION AND MAINTIENCE OF CNS |
|
|
Term
what is a diagnostic feature of the ileum KNOW ME |
|
Definition
|
|
Term
what are peyer's patches a diagnostic feature of KNOW ME |
|
Definition
|
|
Term
what is the only immunoglobin that can be selectively passed across mucosa to lumen |
|
Definition
|
|
Term
what is the large intestine covered by |
|
Definition
thin connective tissue (glisson's capsule) that is thicker at the hilum |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
what are the functions of the liver |
|
Definition
makes plasma proteins, storest and converts vitamins and iron, degrades toxins and drugs |
|
|
Term
what plasma proteins does the liver make |
|
Definition
labumin, lipoproteins, fibrinogen, clotting proteins, alpha and beta globuins |
|
|
Term
what vitamins does the liver store and convert |
|
Definition
vitamin A, vitamin d, vitamin K |
|
|
Term
what does the liver do the drugs and toxins |
|
Definition
converts them to more soluble forms |
|
|
Term
what glucose metabolic pathways is the liver involved in |
|
Definition
glycogen synthesis, glycogenolysis, glycolysis |
|
|
Term
what lipid metabolic pathways is the liver involved in |
|
Definition
beta oxidation of FA, ketone body synthesis, cholesterol |
|
|
Term
what cholesterol compounds does the liver have a role in |
|
Definition
bile salts, VLDL, organells |
|
|
Term
what role does the liver have in amino acid metabolism |
|
Definition
non-essential amino acid synthesis, urea synthesis |
|
|
Term
what are the exocrine functions of the liver |
|
Definition
phospholipids, cholesterol, bile salts |
|
|
Term
what are the functions of bile |
|
Definition
aid in absorption of lipids from the intestine, dispose of conjugated and degraded waste products |
|
|
Term
what are the endocrine functions of the liver |
|
Definition
modify structure and function of many hormones |
|
|
Term
what hormones does the liver modify |
|
Definition
vitamin D, thyroxine, growth hormone, insulin, glucagon |
|
|
Term
describe the dual blood supply of the liver |
|
Definition
venous (portal) supply via hepatic portal vein and arterial supply via hepatic artery |
|
|
Term
how much of the blood supply to the liver is venous portal blood |
|
Definition
|
|
Term
where does venous portal blood come from |
|
Definition
intestines, pancreas, spleen |
|
|
Term
what does the venous portal blood carry to the liver |
|
Definition
nutrients and toxic materials absorbed in the intestines, blood cells and breakdown products of blood cells from the spleen, endocrine secretions from the pancreas and enteroendocrine cells of the GI tract |
|
|
Term
where does the venous and arterial blood of the liver mix |
|
Definition
before perfusing the hepatocytes |
|
|
Term
what are the components of the liver in regard to structural organization |
|
Definition
parenchyma, connective tissue stroma, sinusoidal capillaries, perisinusoidal spaces |
|
|
Term
|
Definition
organized plates of hepatocytes |
|
|
Term
what is the connective tissue stroma continous with |
|
Definition
|
|
Term
what is within the connective tissue stroma of the liver |
|
Definition
blood vessels, nerves, lymphatic vessels, bile ducts |
|
|
Term
what are sinusoidal capillaries (hepatic sinudoids) |
|
Definition
vascular channels between plates of hepatocytes |
|
|
Term
where are perisinusoidal spaces (spaces of Disse) |
|
Definition
between sinusoidal endothelium and hepatocytes |
|
|
Term
what are the thiree ways to describe the structure of the liver |
|
Definition
classic lobule, portal lobule, liver acinus |
|
|
Term
what is the classic lobule based on |
|
Definition
distribution of branches of the portal vein and heptaic artery and the path of blood flowing through hepatocytes |
|
|
Term
what is the main component of hte classic lobule |
|
Definition
stacks of anastomosing plates of hepatocytes seperated by sinusoidal capillaries |
|
|
Term
what is in the center of the classic lobule |
|
Definition
terminal hepatic venule (central vein) |
|
|
Term
what are around the edges of the classic lobule |
|
Definition
portal areas of canals containing portal triads |
|
|
Term
what does the portal lobule emphasize |
|
Definition
exocrine function of the liver, bile production and secretion |
|
|
Term
what is the portal lobule shaped like |
|
Definition
|
|
Term
what is in the center of the portal lobule |
|
Definition
|
|
Term
what are around the corners of the portal lobule |
|
Definition
central vein / terminal hepatic venule |
|
|
Term
how does bile flow in the portal lobule |
|
Definition
within hepatic plates to the bild duct in the portal area |
|
|
Term
|
Definition
structural unit that gives best correlation between blood perfusion, metabolic activity, and liver pathology |
|
|
Term
describe the shape of the liver acinus |
|
Definition
short axis extends between two adjacent portal areas, long axis extends between two terminal hepatic venules |
|
|
Term
what is zonation, where does it occur |
|
Definition
in the liver acinus zonation describes the interpertation of patterns of degeneration, regeneration, and specific toxic effects |
|
|
Term
what is the benifits of being in zone 1 |
|
Definition
first to recieve oxygen, nutrients, and toxins from the blood |
|
|
Term
what are the risks of being in zone 1 |
|
Definition
first to show effects of bile duct obstruction |
|
|
Term
what are the benifits of being in zone 3 |
|
Definition
last to respond dto toxins and bile stasis |
|
|
Term
what are the risks of being in zone 3 |
|
Definition
first to show effects of reduced perfusion |
|
|
Term
other than avability to nutrients, what else is different between the zones |
|
Definition
variation of enzyme activity and number and size of organelles and size of glycogen deposits across zones |
|
|
Term
what type of capillaries are the hepatic sinusoids |
|
Definition
|
|
Term
what makes the heptaic sinusoids so leaky |
|
Definition
large fenestrae without diaphragms within the endothelium, large gaps between neighbopring endothelial cells, discontinous lamina absent over large areas |
|
|
Term
|
Definition
stellate sinusoidal macrophages that are a part of hepatic sinusoid lining |
|
|
Term
where is the perisinusoidal space |
|
Definition
between basal surfaces of the hepatocytes and basal surfaces of the endothelial and kupuffer cells that line sinusoids |
|
|
Term
what occurs in the perisinusoidal space |
|
Definition
exchange of materials between blood and liver cells |
|
|
Term
describe the significant barrier between blood plasma and hepatocytes |
|
Definition
|
|
Term
in the fetal liver what is located in the perisinusoidal space |
|
Definition
islands of blood forming cells |
|
|
Term
what cells are in the perisinusoidal space |
|
Definition
blood forming in fetus, hepatic stellate cells (Ito cells) |
|
|
Term
|
Definition
store hepatic vitamin A withing cytoplasmic lipid droplets |
|
|
Term
what happens to Ito cells in pathologic conditions |
|
Definition
they loose their lipid and vitamin A storage capability and differentiate into myofibroblasts, seem to play a role in hepatic fibrogenesis resulting in liver fibrosis |
|
|
Term
where does plasma from perisinusoidal space drain into |
|
Definition
periportal area into small area called space of Mall |
|
|
Term
where does the fluid in the space of Mall go |
|
Definition
lymphatic capillaries in the portal canals |
|
|
Term
where does a major portion of thoracic duct lymph come from |
|
Definition
|
|
Term
what is the only thing that stays in the sinusoidal capillaries, what leaks into the perisinosal space |
|
Definition
cells stay in plasma leaks out |
|
|
Term
describe the normal turn over rate of hepatocytes |
|
Definition
|
|
Term
describe the turn over rate for hepatocytes when killed by toxins, disease, or surgery |
|
Definition
|
|
Term
what are the prodominate organells of hepatocytes |
|
Definition
RER, golgi, SER, lysosomes, peroxisomes |
|
|
Term
what does the SER of a hepatocyte do |
|
Definition
oxidation, methlyation, and conjugation required for inactivation and detoxification of various substances before excretion |
|
|
Term
what do peroxisomes of hepatocytes fo |
|
Definition
oxidation of FA, breakdown of purines, synthesis of cholesterol, bile acids, some myelin lipids |
|
|
Term
what is a bile caniculus, formed by, location |
|
Definition
a small canal formed by apposed groves in the surface of adjavent hepatocytes |
|
|
Term
describe the flow of bile ina hepatocytes |
|
Definition
flows from region of central vein to portal canal |
|
|
Term
what do hepatocytes secrete bile into |
|
Definition
|
|
Term
what is a intrahepatic ductule |
|
Definition
near portal canals bile canaliculi join to form interhepatic ductules (canals of Hering) |
|
|
Term
what partially lines canals of Hering |
|
Definition
hepatocytes and cholangiocytes |
|
|
Term
where do interhepatic ductules drain into |
|
Definition
interlobular bile ducts in portal canals |
|
|
Term
what do interlobular bile ducts of portal canals lead to |
|
Definition
extrahepatic bile ducts that deliver bile to the gall bladder and duodenum |
|
|
Term
what are the cells of the gallbladder mucosa |
|
Definition
somple columnar epithelium |
|
|
Term
what does the gallbladder wall have a layer of |
|
Definition
|
|
Term
describe the mucosa texture of the gallbladder, what special feature does this have histologically |
|
Definition
mucosa has folds and the epithelial cells have many mitochondria |
|
|
Term
what is the main function of the gallbladder |
|
Definition
store bile, concentrate it, and release it when necessary to the digestive tract |
|
|
Term
what induces contraction of the gallbladder |
|
Definition
|
|
Term
|
Definition
enteroendocrine cells of small intestine |
|
|
Term
what stimulates CCK release |
|
Definition
presence of dietary fats in small intestine |
|
|
Term
what does the pancreas produce in general |
|
Definition
digestive enzymes, hormones |
|
|
Term
where is the exocrine portion of the pancreas located |
|
Definition
|
|
Term
where is the endocrine portion of the pancreas located |
|
Definition
in masses called islets of langerhans dispersed through out the organ |
|
|
Term
hat kind of gland is the exocrine glands of the pancreas |
|
Definition
|
|
Term
describe the serous cells of the exocrine pancreas |
|
Definition
highly polarized with spherical nucleus, typical protein secreting cells |
|
|
Term
what do acinar cells of the exocrine pancreas store and release |
|
Definition
|
|
Term
describe the number of zygomen granules in the exocrine pancreas |
|
Definition
varies with digestive phase |
|
|
Term
what do pancreas exocrine acini empty into |
|
Definition
|
|
Term
what is the function of the initial portion of the intercalated ducts of exocrine pancreas |
|
Definition
penetrate lumen of acini and are made of centroacinal cells which are the interacinal portion of hte intercalated duct |
|
|
Term
what are intercalated ducts tributaries of |
|
Definition
|
|
Term
what are interlobular ducts lined with, where |
|
Definition
columnar epithelium within connective tissue septum |
|
|
Term
what are the exocrine products of the pancreas |
|
Definition
proteolytic enzymes, amylase, lipases, nucleases |
|
|
Term
what proteolytc enzymes does th epancreas make |
|
Definition
|
|
Term
where are proenzymes activated |
|
Definition
in lumen of small intestines after secretion |
|
|
Term
where are proenzymes stored |
|
Definition
secretory granules of acinar cells |
|
|
Term
what does enterokinase do |
|
Definition
cleave trypsinogen to form trypsin |
|
|
Term
|
Definition
activates proteolytic enzymes 9not enterokinase) in cascade |
|
|
Term
what protects the pancreas from active enzymes |
|
Definition
trypsin needs to be activated to activate other enzymes, protease inhibitors made by acinal cells |
|
|
Term
what is pancreatic secretion controlled by |
|
Definition
|
|
Term
what makes secretin and CCK |
|
Definition
enteroendocrine cells of intestinal mucosa in duodenum and jejunum |
|
|
Term
what stimulates secretin release |
|
Definition
gastric acid, low pH in intestinal lumen |
|
|
Term
|
Definition
causes duct cells to secrete large volume of fluid that is rich in barcobinate but has little or noenzyme content that neutralizes acid which allows pancreatic enzymes to function at optiomal ph |
|
|
Term
what triggers CCK release |
|
Definition
long chain FA, gastric acid, some AA in intestinal lumen |
|
|
Term
|
Definition
causes acinar cells to secrete proenzymes |
|
|
Term
together, what do secretin and CCK do |
|
Definition
cause secretion of large volume of protein rich alkaline pancreatic fluid |
|
|
Term
what do the islets of langerhands consist of |
|
Definition
cords of polygonal cells invested in a network of fenestrated capillaries |
|
|
Term
what are the major islets of langerhans cell types |
|
Definition
|
|
Term
where are B cells located |
|
Definition
central endocrine pancreas |
|
|
Term
which is the most abundent islet of langerhan cells |
|
Definition
|
|
Term
|
Definition
|
|
Term
where are A cells located |
|
Definition
peripherial endocrine pancreas |
|
|
Term
|
Definition
|
|
Term
where are D cells located |
|
Definition
peripherial endocrine pancreas |
|
|
Term
|
Definition
|
|
Term
what are the minor cells of endocrine pancrease |
|
Definition
|
|
Term
|
Definition
|
|
Term
what do D-1 cells secrete |
|
Definition
vasoactive intestinal peptide (VIP) |
|
|
Term
|
Definition
secretin, motilin, substance P |
|
|
Term
what is the major function of the endocrine pancreas |
|
Definition
|
|
Term
what does somatostatin do |
|
Definition
inhibits insulin and glucagon |
|
|
Term
as the embryo grows how does it fold |
|
Definition
cephalocaudal (head to tail) |
|
|
Term
as a result of folding, what happens to the endoderm lined yolk sac |
|
Definition
cavity becomes incorporated into embryo forming primitive gut |
|
|
Term
after the foregut is formed what remains outside the embryo |
|
Definition
|
|
Term
what does the primitive gut tube extend to and fron |
|
Definition
buccopharyngeal membrane to cloacal membrane |
|
|
Term
what do the buccopharyngeal and cloacal membranes consist of |
|
Definition
tighrly adherent ectodermal and endodermal cells |
|
|
Term
what end of the gut tube is the foregut on |
|
Definition
|
|
Term
what end of the gut tube is the hindgut |
|
Definition
|
|
Term
what does the vitilline duct attach |
|
Definition
|
|
Term
what are the divisions of the gut tube |
|
Definition
pharyngeal gut, foregut, midgut, hindgut |
|
|
Term
what are the boundries of the pharyngeal gut |
|
Definition
extendf from bubbopharyngeal membrane to the tracheobronchial diverticulum |
|
|
Term
what are the boundries of the foregut |
|
Definition
|
|
Term
what are the boundries of the midgut |
|
Definition
liver bud to the point between the right 2/3 of the transverse colon to the left 1/3 of the transverse colon |
|
|
Term
what are the boundries of the hind gut |
|
Definition
left 1/3 of the transverse colon tot he cloacal membrane |
|
|
Term
what forms the epithelial lining of the digestive tract |
|
Definition
|
|
Term
what forms hepatocytes of liver and endocrine cells of pancreas |
|
Definition
|
|
Term
what forms stroma (CT) of glands of the gut tube |
|
Definition
|
|
Term
what forms muscle, CT, peritoneal components of the gut wall |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
remaining small intestines |
|
|
Term
|
Definition
large intestines and rectum |
|
|
Term
what does initial partitioning of the gut tube depend on |
|
Definition
trciprocal interactions between endoderm and splanchnic mesoderm adjacent to gut tube |
|
|
Term
what regulates mesoderm endoderm interaction in the gut tube |
|
Definition
|
|
Term
where is sonic hedge hog expressed |
|
Definition
|
|
Term
what does sonic hedge hog do |
|
Definition
upregulates factors in the mesoderm that determine type of structure that forms |
|
|
Term
what does mesoderm dictate in the gut tube |
|
Definition
determines type of structure that forms |
|
|
Term
what do cells of somatic mesoderm that line intraembryonic cavity become |
|
Definition
|
|
Term
what does the mesothelium of the gut tube form |
|
Definition
parietal layer of the serous membranes that line outside of the peritoneal, pleural, and pericardial cavities |
|
|
Term
what do cells of the splanchnic mesoderm layer in the gut tube form |
|
Definition
visceral layer of serious membranes covering abdominal organs, lungs, heart |
|
|
Term
what is the dorsal mesentary |
|
Definition
the area where visceral and parietal layers of the serous membrane are continous and suspend the gut tube in the peritoneal cavity |
|
|
Term
|
Definition
double layers of peritonieum |
|
|
Term
what is the function of mesentaries |
|
Definition
path for bessels, nerves, and lymphatics to organs. suspend portions of gut from body |
|
|
Term
what does intraperitoneal mean |
|
Definition
organs suspended by mesentaries |
|
|
Term
what does retroperitoneal mean |
|
Definition
organs against posterior body wall covered by peritonieym on anterior surface |
|
|
Term
what is a peritoneal ligament |
|
Definition
double layer of peritoneum that passes from one organ to another or to the body wall |
|
|
Term
when does the respiratory diverticulum appear |
|
Definition
|
|
Term
where does the respiratory diverticulum appear |
|
Definition
at border with pharyngeal gut |
|
|
Term
what is another name for respiratory diverticulum |
|
Definition
|
|
Term
what does the foregut divide into |
|
Definition
ventral respiratory primordium and distal esophagus |
|
|
Term
what causes the esophagus to lengthen |
|
Definition
|
|
Term
what is the muscular coat of the esophagus derived from |
|
Definition
|
|
Term
what is the upper 2/3 of the esophagus innervated by, why |
|
Definition
vagus it is skeletal and smooth |
|
|
Term
what is the lower 1/3 of the esophagus innervated by, why |
|
Definition
splanchnic plexus, smooth m |
|
|
Term
what does the stomach first appear as |
|
Definition
fusiform dilation of foregut |
|
|
Term
when does the stomach appear |
|
Definition
|
|
Term
how does the stomach move during development |
|
Definition
rotates 90 deg: left side is now anterior, right is now posterior, origional posterior side grows faster becoming greater curve, origional anterior side is lesser curve |
|
|
Term
what is the duodenum formed from |
|
Definition
terminal part of foregut and cephalic part of midgut |
|
|
Term
where is the junction of the duodenal parts in development in relation to the liver bud |
|
Definition
|
|
Term
what forms the C shape of the duodenum |
|
Definition
|
|
Term
what happens do the duodenum in month 2 |
|
Definition
lumen proliferates, fills, and is obliterated, it the recanlilzes |
|
|
Term
why does the duodenum blood supply come from different vessels |
|
Definition
because it is of foregut and midgut origin |
|
|
Term
what artery supplies the foregut |
|
Definition
branches of the celiac trunk |
|
|
Term
what artery supplies the midgut |
|
Definition
branches of superior mesenteric |
|
|
Term
when does liver primodrium appear |
|
Definition
|
|
Term
what does the liver bud grow from |
|
Definition
|
|
Term
what does the liver bud penetrate |
|
Definition
|
|
Term
what is the septum transversum |
|
Definition
mesodermal plate inbetween pericardial cavity and yolk stalk |
|
|
Term
what does the septum transversum form |
|
Definition
|
|
Term
when does the bild duct form |
|
Definition
penetration of septum transversum and connection with foregut narrows |
|
|
Term
what does the gallbladder and cystic duct form from |
|
Definition
ventral outgrowth of bile duct |
|
|
Term
what forms hepatic sinusoids |
|
Definition
epithelial liver cords mingle with vitelline veins and umbilical veins |
|
|
Term
what does the liver cord differentiate into |
|
Definition
liver parenchyma, lining of bile duct |
|
|
Term
what does the mesoderm of the septum transversum turn into |
|
Definition
hematopoietic stem cells (kpuffer cells) and connective tissue |
|
|
Term
why ini the 10th week of development is the liver 10% of the total body weight |
|
Definition
many sinusoids and hematopoietic gunction |
|
|
Term
what areas of the liver make RBC and WBC |
|
Definition
large clusters of proliferating hematopoietic stem cells between hepatic cells and vesel walls |
|
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Term
when does hematopoietic activy slow down in the liver, what does this cause |
|
Definition
2 months, but some tissue still remains at birth, 5% body weight drop |
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Term
in what week do hepatic cells begin to form bile |
|
Definition
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Term
explain the molecular regulation of the liver |
|
Definition
the entire foregut has the potential to make the liver but it is constantly blocked by factors in the surrounding tissues (endoderm, non-cardiac mesoderm, notochord), in the area it is made the blocking factors are blocked |
|
|
Term
what blocks the blocking factors stopping liver production |
|
Definition
FGF2 from the cardiac mesoderm |
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|
Term
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Definition
|
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Term
|
Definition
enhance competence of the prospective liver endoderm to respond to FGF2 |
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Term
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Definition
cells in liver field differentiate into hepatocytes and biliary cell lineages |
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Term
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Definition
two buds from endoderm: dorsal and ventral |
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|
Term
what does the rotation of the duodenum do to the pancreas |
|
Definition
ventral duct moves to liw below dorsal pancreatic dub |
|
|
Term
what does the main pancratic duct form from |
|
Definition
distal dorsal pancratic duct and all of the ventral duct |
|
|
Term
what happens to the proximal portion of the dorsal pancreatic duct |
|
Definition
it is either obliterated or is the accessory duct |
|
|
Term
where are the FGF2 and activin made in pancreas development |
|
Definition
notochord and epithelium of dorsal aorta |
|
|
Term
what do FGF2 and acrivin do |
|
Definition
repress SHH expression in gut endoderm destined to form dorsal pancreatic dud |
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|
Term
what is the ventral pancreatic bud induced by |
|
Definition
|
|
Term
what does the PDX gene do |
|
Definition
master gene for pancreas development |
|
|
Term
what specifies the endocrine cell lineage of the pancreas |
|
Definition
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|
Term
what do cells expressing PAX4 and 6 become |
|
Definition
beta cells, delta cells, gamma cells |
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Term
what does cells expressing PAX6 become |
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Definition
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|
Term
as the gut tube elongates what forms, in general |
|
Definition
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|
Term
where does the vitiline duct appear |
|
Definition
at the apex of the primary loop |
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|
Term
what does the vitiline duct connect |
|
Definition
yolk sac to intestinal loop |
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|
Term
which side of the primary intestinal loop grows faster |
|
Definition
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|
Term
what are the limbs of the intestinal loop |
|
Definition
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|
Term
what does the cephalic limb of intestinal loop make |
|
Definition
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|
Term
what does the caudal limb of the intestinal loop make |
|
Definition
ileum, cecum, ascending colon, 2/3 of transverse colon, appendix |
|
|
Term
what occurs in physiological herniation, why |
|
Definition
rapid growth of gut tube, abdominal cavity is too small, loop goes into extra embryonic cavity in the umbilical cord |
|
|
Term
approx when does physiological herniation ocur |
|
Definition
|
|
Term
what is the axis the gut tube rotates around during development |
|
Definition
superior mesenteric artery |
|
|
Term
total, what is the rotation of the gut tube |
|
Definition
270 deg counter clockwise |
|
|
Term
why do loops form in the small intestines |
|
Definition
elongation continues and loops form so it will fit |
|
|
Term
the gut tube rotates 270 deg in development: what are the components of this rotation, where do they happen |
|
Definition
90 deg is during herniation, 180 deg is during intestinal loop formation |
|
|
Term
why do the intestines go back into the abdominal cavity |
|
Definition
room has been made: liver is smaller, kidney regreses, the cavity is bigger |
|
|
Term
about when do the intestines move back into the abdominal cavity |
|
Definition
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|
Term
what re-enters the abdominal cavity first after herniation, where does it go, what does this do to its shape |
|
Definition
jejunum comes in an makes diagional coils due to its diagonal descent |
|
|
Term
what re-enters the abdomination cavity second after herniation, where does it go |
|
Definition
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|
Term
what is the last thing to re-enter the abdominal cavity after herniation |
|
Definition
|
|
Term
when does the cecal bud begin to form |
|
Definition
|
|
Term
describe the formation of the cecal bud and its descent from re-enterence into the abdominal cavity |
|
Definition
conical dilation in caudal loop, it starts on the upper right and descends to iliac fossa over time as appendix forms |
|
|
Term
what are the common locations of the appendix |
|
Definition
|
|
Term
why is the appendix commonly retrocecal or retrocolic |
|
Definition
because it forms as the cecum is descending and is dragged up behind it |
|
|
Term
what develops from the hind gut |
|
Definition
distal 1/3 of transverse colon, descending colon, rectum, upper anal canal |
|
|
Term
what does the endoderm from the hindgut form |
|
Definition
bladder lining and urethra |
|
|
Term
what forms the primitive anorectal canal |
|
Definition
cloacal part of the hindgut entering the posterior cloaca |
|
|
Term
what forms the primitive urogenital sinus |
|
Definition
allantos part of the hindgut entering the anterior cloaca |
|
|
Term
|
Definition
endoderm lined cavity, bound at enterence by endoderm (cloacal membrane). forms urogenital and hindgut place to empty |
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|
Term
what forms the urorectal septa |
|
Definition
mesothelium of allentos and yolk sac |
|
|
Term
what does the urorectal septa seperate |
|
Definition
|
|
Term
when does the urorectal septa form, what events are happening |
|
Definition
during growth and caudal folding |
|
|
Term
what does the urorectal septa come close to and never touch? what then happens to this structure? when? |
|
Definition
cloacal membrane. week 7 it reupures |
|
|
Term
what does the cloacal membrane form when it ruptures |
|
Definition
anal canal and ventral urogenital sinus |
|
|
Term
what closes off the anal canal, when |
|
Definition
week 7, proliferation of ECTODERM |
|
|
Term
what does prolieration of ECTODERM CLOSE OFF IN DIGESTIVE DEVELOPMENT KNOW THIS |
|
Definition
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|
Term
where does the caudal end of the anal canal come from |
|
Definition
|
|
Term
where does the crainial end of the anal canal come from |
|
Definition
|
|
Term
what supplies blood to the caudal anal canal, where does it come from |
|
Definition
internal pudendial gives inferior rectal a |
|
|
Term
what type of tissue is the caudal end of the anal canal |
|
Definition
|
|
Term
where does blood supply for the cranial end of the anal canal come from, what is it a branch of |
|
Definition
inferior mesenteric gives superior rectal a |
|
|
Term
what type of tissue is the cranial anal canal |
|
Definition
|
|
Term
what does the pectinate line seperate |
|
Definition
ectoderm and endoderm origin in the anal canal, blood supply and tissue changes |
|
|
Term
what happens after the ectoderm closes off the anal canal, when |
|
Definition
|
|
Term
what causes gastroschisis |
|
Definition
herniation of abdominal viscera into abdominal cavity lateral to umbilicus |
|
|
Term
what is a dangerous possibility when someone has gastroschisis |
|
Definition
the organs out in the amniotic fluid could be damaged by the fluid |
|
|
Term
how can you tell if someone has gastroschisis |
|
Definition
a-fetoprotein will show in amniotic fluid |
|
|
Term
what situation or description of people would indicate increased risk for gastroschisis |
|
Definition
males, children of a mother who did cocaine |
|
|
Term
|
Definition
NOT a chromosome abnormaility |
|
|
Term
how can gastroschisis be treated |
|
Definition
|
|
Term
|
Definition
herniation of the abdominal viscera through enlarged umbilical ring |
|
|
Term
how is omphalocele different from gastroschisis |
|
Definition
the abdominal organs have amnion covering and it is caused by the bowl not returning properlly due to a chromosome abnormaility |
|
|
Term
what are the symptoms of omphalocele |
|
Definition
high mortality, cardiac and neural tube defects, malformation |
|
|
Term
what causes meckel's diverticulum KNOW ME |
|
Definition
vitiline duct stays forming ileum outpocket called ileal diverticulum |
|
|
Term
what are the normal symptoms of meckel's diverticulum KNOW ME |
|
Definition
|
|
Term
what are the rare symtpoms of meckel's diverticulum, what causes them KNOW ME KNOW ME |
|
Definition
it has heterotrphic pancreatic tissue or gastric mucosa in it that can cause ulceration, bleeding, perforation |
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|
Term
|
Definition
|
|
Term
|
Definition
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|
Term
where can atresia and stenosis occur KNOW KNOW KNOW |
|
Definition
anywhere in gut but MOSTLY IN THE DUODENUM |
|
|
Term
WHAT OCCURS MOSTLY IN THE DUODENUM KNOW KNOW KNOW |
|
Definition
|
|
Term
why does atresia or stenosis occur in the upper duodenum |
|
Definition
because of poor recanalization |
|
|
Term
why does atresia or stenosis occur in the middle and lower duodenum |
|
Definition
vessel occlusion or decrease so segment dies and causes narrowing or loss or segment |
|
|
Term
what cause retrotrthreal and rectovaginal fistulas |
|
Definition
abnormal cloacal or urorectal septum formation because cloaca is too small, rectum is not caudal enough, hindgut shifts, etc |
|
|
Term
what causes rectoanal atresia |
|
Definition
usually vascular issue, loss of rectum or anus |
|
|
Term
what cause imperforate anus |
|
Definition
anal membrane does not break down |
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