Term
What are the 3 functions of the digestive system? |
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Definition
1. Break down large molecules into smaller one for easy absorption. 2. Absorb water, vitamins and minerals from food. 3. To provide a barrier for rest of the body from the contents of the lumen. |
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Term
What are the main layers ans sublayers of the digestive tract? |
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Definition
1. Mucosa (epithelial lining, lamina propria and muscularis mucosae) 2. Submucosa 3. Muscularis Externa 4. Serosa |
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Term
Describe the Mucosa layer (mucous membrane)? |
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Definition
1. Epithilial lining - StratSE to Simple Cub. Epithelium. 2. Lamina propria - Areolar CT, very vascular, lymphatics, smooth muscle, lymph tissue and sometimes glands. 3. Muscularis Mucosae - usually inner circular and outer longitudinal layers of smooth muscle. |
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Term
Describe the Submucosa layer? |
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Definition
Dense Irregular CT, vasculature, Meissner's nerve plexis |
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Term
Describe the Muscularis externa layer? |
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Definition
Usually 2 layers of smooth muscle (stomach has 3). Inner circular, outer longitudinal. Auerbach's myenteric nerve plexus. |
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Term
Describe the Serosa layer? |
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Definition
Areolar CT, vasculature, adipose, covered by mesothelium (simple SE). Esophagus has NONE. |
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Term
What type of epithelium lines the esophagus? |
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Definition
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Term
The Submucosa in the esophagus contain what type of glands? |
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Definition
Tubuloacinar esophageal glands that secrete mucous. |
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Term
Where are esophageal cardiac glands located? |
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Definition
In the esophagus within the lamina propria near the stomach and mouth |
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Term
What are the 3 types of muscle with in the muscularis depending on location? |
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Definition
Proximal (mouth) - Striated Middle - Striated and Smooth Distal - Smooth (this is where some serosa is found, after passing through diaphram) |
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Term
What replaces a serosa layer for most of the esophagus? |
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Definition
Adventitia, which is a type of CT that combines with CT in other areas. |
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Term
What are the main functions of the stomach? |
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Definition
1. Secretes hormones (neuroendocrine cells) 2. Continues breakdown of carbs 3. introduce acidic fluid to food 4. Process food into chyme with muscular action |
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Term
What are the 4 major regions of the stomach? |
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Definition
1. Cardia 2. Fundus 3. Body 4. Pylorus |
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Term
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Definition
The longitudinal folds of the relaxed stomach |
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Term
Describe the mucosa of the stomach |
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Definition
-Simple Colum. Ep. forms gastric pits -Barned tubular glands empty into pits -All Ep. cells secrete mucous to protect from acid |
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Term
What is the cardia region? |
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Definition
-Transition zone from esophagus to stomach. -Cariac glands in lamina propria secrete mucous, lysozyme and some HCL |
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Term
Where are gastric glands located? |
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Definition
In fundus and body. Empty into shallow gastric pits and contain many cell types. |
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Term
What type of cells are in the neck of gastric glands? |
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Definition
Stem cells, mucous neck cells and parietal cells. |
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Term
What type of cells are in the base of gastric glands? |
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Definition
Parietal, chief and enteroendocrine |
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Term
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Definition
-Rare -Actively dividing -Can replace surface or pit cells or differentiate into mucous neck, parietal, chief or enteroendocrine |
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Term
Describe mucous neck cells |
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Definition
-Irregually shaped and secrete mucous -Trap bicarbonate to neutrilize pH near epithelium -Stimulated by vagus nerve, stomach distention and HCL |
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Term
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Definition
-Mainly in upper portion of gastric gland -Round/triangular with centrally placed nucleus -Secrete HCL, KCL and gastric intrinsic factor (B12 absorbtion) -Stimulated by histamine and gastrin |
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Term
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Definition
-Near base of gastric glands -Basophilic, granules contain Pepsinogen (pepsin ->protein digestion) - Secrete lipase for fat |
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Term
Decribe enteroendocrine cells |
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Definition
-Near base of gastric gland -part of Diffuse Neuroendocrine System DNES -hormones released: 1. regulate water and electrolyte met. and enzyme secretion 2. regulat GI motility and mucosal growth 3. stimulate release of other hormones |
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Term
Describe the Pylorus region of the stomach |
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Definition
-Many DEEP gastric pits that empy into simple tubular glands -Contain mucous, gastrin and D cells -Glands secrete lysozyme |
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Term
What do gastrin (G) cells do? |
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Definition
Secrete gastrin, which stimulates parietal cells |
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Term
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Definition
-Type of enteroendocrine cell -release somatostatin whihc inhibits gastrin release |
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Term
How many layers is the muscularis externa in the stomach? |
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Definition
3: 1. External longitudinal 2. Middle circular 3. Inner oblique Middle layer becomes thickened to form pyloric sphincter |
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Term
What are the main functions of the small intestine? |
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Definition
-Most food undergoes final digestion -Nutrients are absorbed -Hormones are secreted -Have very long villi for absorbtion |
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Term
What are the 3 divisions of the small intestine? |
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Definition
1. Duodenum 2. Jejunum 3. Ileum |
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Term
What division of the small intestine has the most prominent folds? |
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Definition
Jejunum. Known as Plicae Circulares |
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Term
What are the layers of the intestinal wall? |
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Definition
1. Mucosa 2. Submucosa (separated from mucosa by the muscularis mucosa) 3. Muscularis Externa (2 layers) 4. Serosa (covered by mesothelium of the visceral peritoneum) |
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Term
Describe Absorptive cells |
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Definition
-Tall columnar cells with oval nucleus near base -Brush border at apex -Border consists of microvilli and glycocalyx -Nutrient absorbtion as well as enzyme breakdown of carbs and proteins occurrs here (lipids are digested via pancreatic lipase and bile) |
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Term
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Definition
-Stuck between absorptive cells -Increase in number toward distal end of intestine -Secrete mucous |
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Term
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Definition
-Pyramid shaped exocrine cells located in basal area of intestinal glands -Secrete lysozyme, tumor necrosis factor (promotes inflammation) and defensins (increase perm. of bacteria and parasites) |
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Term
Descirbe M (microfold) cells |
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Definition
-Special epithelial cell -Holds macropahges and lymphocytes, keeps them readily available -Can bring antigens to them for destruction |
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Term
What are the glands of the small intestine? |
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Definition
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Term
What are the functions of the crypts of Leiberkuhn? |
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Definition
1. Provide a pool of cells tomigrate to villi and replace lost cells 2. Secrete mucous 3. Produce alkaline fluid to neutralize stomach acid |
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Term
What do the neuroendocrine cell in the small intestine produce? |
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Definition
1. Secretin - enhances insulin and pancreatic bicarbonate secretion 2. Cholecystokinin - slows down gastric emptying, stimulate bile and pancreatic enzyme secretion |
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Term
What is the lymphatic vessel contained within each villus? |
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Definition
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Term
What is the ANS intrinsic component of intestinal motility (peristalsis)? |
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Definition
-Comprised of Meissner's plexus within the submucosa -Aurbach's plexus between the 2 smooth muscle layers -These integrate info about intestinal contents and degree of distention in the wall |
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Term
What is the ANS extrinsic component of intestinal motility? |
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Definition
-Parasympatheic nerves that stimulate activity -Sympathetic nerves that depress activity |
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Term
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Definition
-Submucosal Brunner's glands (coiled tubuloacinar glands that secrete alakiline mucous, empy into crypts) -Short leaf-like villi -Occasional Paneth cells at crypt base, enteroendocrine cells in villi |
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Term
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Definition
-Long finger-like villi, prominet lacteals -NO brunner's glands -Possible peyer's patches -Crypts have paneth cells |
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Term
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Definition
-Lots of Peyer's patches (all immune tissue) -Villi finger-like but short -Paneth cells in crypt base |
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Term
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Definition
-Lymphoid follicle within the mucosa and submucosa of parts of the small intestine -Comprise most of the gut associated lymph tissue GALT |
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Term
What are the 2 parts of a Peyer's patch? |
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Definition
1. Dome - between peyer's patch and suface epithelium. Contains B lymphocytes, macropages and plasma cells 2. Germinal center - contains B lymphocytes expressin IgA, CD4+ T lymphocytes, and antigen presenting cells |
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Term
Plasma cells found in the peyer's patch produce what? |
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Definition
Secretory IgA. Inhibits attachment of bacteria and toxins to epithelium |
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Term
What are the segments of the large intestine? |
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Definition
1. Cecum (with appendix) 2. Acending colon 3. Transverse colon 4. Descening colon 5. Sigmoid colon 6. Rectum |
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Term
What are the 3 main functions of the Large intestine? |
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Definition
1. Absorb water, minerals, sodium, and vitamins 2. Secrete mucous 3. Form feces |
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Term
The Large intestine contains mumerous folds (plicae). True or False? |
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Definition
False. The large intestine has no folds or villi (except in the rectum). There are numerous glands of Leiberkuhn. |
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Term
What are the 4 cell types found in the large intestine? |
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Definition
1. Absorptive 2. Goblet 3. Stem 4. Enteroendocrine |
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Term
There are no paneth cells in the large intestine. True or False? |
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Definition
True. Can sometimes be found in the Cecum though. |
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Term
Glands in the large intestine are not found below what level? |
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Definition
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Term
GALT in the large intestine is found where? |
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Definition
Lamina propria and submucosa |
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Term
The outer longitudinal smooth muscle of the large intestine is gathered into 3 bands called what? |
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Definition
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Term
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Definition
-Stems from the cecum -Has some folds -Very large amounts of lymphiod tissue (possibly important early in life) |
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