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
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|
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 |
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|
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
|
|