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Digestive 2 & 3
Gastric Motility, Saliva, Vomiting
32
Veterinary Medicine
Not Applicable
04/08/2017

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Cards

Term
Functions of GI movements (4)
Definition
Propel ingesta
Retain ingesta
Break up material
Circulate material
Term
What is electric coupling?
Definition
smooth muscle cells are linked via gap junctions, so that depolarizations can be transmitted from cell to cell
Term
What are interstitial cells of Cajal?
Definition
pacemaker cells of the GIT
Term
What are slow waves?
Definition
intrinsically rhythmic depolarization/repolarization of cells of cajal
Term
True or False

As slow waves are propagated through GI smooth muscle, APs do not fire, and there is no contraction that occcurs
Definition
True!

they operate at 'subthreshold' depolarization levels
Term
What is required for contraction of smooth muscle to take place?
Definition
-slow wave determines pattern of contraction
-neurotransmitter is required (ACh) for an action potential to be generated & contraction to occur
Term
How doe NE, NO, VIP and ATP make AP's less likely?
Definition
they hyperpolarize the membrane, so an even larger change in membrane potential is required for generation of an action potential
Term
Where are interstitial cell of cajal found?
Definition
smooth muscle of:

stomach
duodenum
colon
Term
How does the peristaltic reflex work?
Definition
-food bolus creates a stretch in the smooth muscle
-proximal to the bolus, the stretch will stimulate motor neurons promoting contraction of circular muscle (longitudinal is relaxed)

-distal to bolus, stretch will promote relaxation of circular muscle and contraction of longitudinal

-pushes food bolus aborally (forward)
Term
The main nerve involved with prehension...
Definition
trigeminal nerve
Term
What are the phases of deglutition?
Definition
(deglutition = swallowing)

1. Voluntary - tongue forms bolus, food pushed into oropharynx by tongue

2. Involuntary - swallowing reflex moves food into pharynx

3. Cricopharyngeal - opening of upper esophageal sphincter, food enters esophagus, sphincter contracs, tracheal entrance opens
Term
True or False

With segmental contractions, there is no net forward movement of the bolus
Definition
true

(splits in half, one portion goes 'upstream' and one goes 'downstream'
Term
Inhibition/promotion of gut motility is modulated by the _____ nervous system
Definition
autonomic
Term
Individual patterns of contraction are regulated by the ___ nervous system
Definition
enteric
Term
____ digest starches
Definition
amylases
Term
What antibacterial enzyme is found in saliva
Definition
lysozome
Term
True or False

Thermoregulation is a role of saliva
Definition
true
Term
Major salivary glands
Definition
sublingual
mandibular
parotid
zygomatic (carnivores only)
Term
Composition of saliva
Definition
mucus
enzymes
water
electrolytes (Na, Cl)
Term
What phenomenon is resonsible for saliva being hypotonic, relatively neutral pH despite the fact that Na and Cl are secreted in saliva?
Definition
collecting duct cells absorb the Na and Cl (return them to the bloodstream), and secrete K+ and HCO3-
Term
How does ydration status affect saliva composition
Definition
aldosterone is released when dehydrated, will promote reabsorption of Na+ from salivary glands
Term
Most salivary glands secrete a primarily (serous/mucus) product
Definition
mucous, or mixed

(except for parotid which is more serous)
Term
What salivary gland is especially important in ruminants, and why?
Definition
Parotid gland

-secretes lots!
-secretion is more alkaline
-buffers rumen contents (counters the acidity of VFAs produced during fermentation)
Term
What is chyme
Definition
ingesta once it's been broken down by the stomach and enters the duodenum
Term
What are the two functional parts of the stomach? What does each do?
Definition
1. Proximal part (fundus, body)
-mostly for storage, salivary enzymes will partially digest here, some fermentation (for horses, pigs)

2. Distal Part (antrum, plylorus)
-mixing, grinding, liquifying
-chyme pushed out of pylorus in small amounts
Term
How is emptying of the stomach regulated?
Definition
Promotion of emptying: gastric factors
-gastrin secreted in response to stretching, food composition

Inhibition of emptying: duodenal factors
-low pH, high osmolality, fat contents
-CCK & somatostatin inhibit emptying
-important bc duodenum is sensitive to acidity, if too much chyme is released at once, damage will occur
Term
What is the Interdigestive Motility Complex? How often does this occur?
Definition
-clearing indigestible material from stomach
-pylorus relaxes while a strong peristaltic wave moves across the antrum
-forces a mass movement of material into the duodenum

-roughly once an hour, when there is no digestible material in stomach
Term
What triggers the interdigestive motility complex?
Definition
motilin released from proximal SI
Term
What is the CTZ?
Definition
chemoreceptor trigger zone in brainstem
Term
Explain the phrase "vomiting is a non-specific sign of disease"
Definition
-can be triggered by stimulating the inner ear, mechanoreceptors in pharynx, receptors in gastric & duodenal mucosa, stimulation of CTZ etc
Term
What happens during vomiting?
Definition
-salivation increases
-cardiac sphincter & stomach muscles relax
-pylorus closes
-glottis closes
-upper esophageal sphincter opens
-abdominal muscles contract
-retrograde peristalsis in duodenum prevents movements of contents into SI
Term
Compare vomiting to regurgitation
Definition
Vomiting
-active
-contains semi digested food, bile, blood (from lower stomach)
-pH <5

Regurgitation
-passive
-undigesed food (from upper stomach)
-pH >7
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