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digestive system
Tutor notes and Patton, K. T., & Thibodeau. (2014). The human body in health and disease......
62
Nursing
Undergraduate 2
07/29/2014

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Cards

Term
describe what happens in the structure of the mouth when  swallowing and why
Definition
muscles draw the soft palate and uvula upward to close to opening between the nasal cavity and the pharynx, thus preventing entry of food into the nasal cavity
Term
The four types of teeth and function
Definition

Incisors

Canines

Premolars (bicuspids)

Molars (tricuspids)

Term
The three pairs of salivary glands
Definition

parotid

sublingual

submandibular

Term
Describe the process of mastication
Definition

1) teeth- cut, mash, tear, shred food

 

2) mandibular muscle movement and bones

 

3) mixing with saliva and enzymes to food and turn to bolus

Term
Constitutes of saliva
Definition
mostly water with mucus, also Na, bicarbonate, Cl, and K
Term
saliva pH
Definition
7.4. The bicarbonate concntratin make saliva alkaline.
Term
Function of saliva (4)
Definition

Turn broken down food into bolus

 

Neutralises bactericidal effects

 

Antimicrobial substance prevent infection

 

Keep mouth moist

 

Term
Where is exogenous fluoride secreted and what is its function?
Definition

Secreted by salivary glands

 

Function is to protect teeth from decay

Term
Why is it important that the mouth s moist (2)
Definition
Facillate speech and alow swallowing
Term
Which part of the brain controls vital body functionings (eg. respiratory rate, pulse)?
Definition
Medulla oblongata of the brainstem
Term
Which type of nervous system controls gastric functioning
Definition
Autonomic, parasympathtic nervous system
Term
Which body parts does the autonomic nervous system innervate
Definition
smooth muscles, internal organs, blood vessels and other parts of the body that is not controlled by concious thought
Term
Which parts of the nervous system does the peripheral nervous system innervate
Definition
skeletal muscles
Term
main organ control to increase salivary function
Definition
parasympathetic nervous system
Term
Three types of signals contributing to action potential (input) to increase saliva
Definition

chemoreceptors- sense taste in mouth

 

mechanoreceptors- sense pressure and touch in mouth

 

cerebral cortex- thought, smell or sight of food

Term
another term for swallowing
Definition
deglutition
Term
Three stages of deglutition
Definition

1) oral

2) pharangeal

3) oesophageal

Term
2 types of motility in digestive system
Definition
peristalsis and segmentation
Term
describe how muscles work to propel food in peristalsis
Definition

circular muscles contract immediatly after food

 

circular muscles ahead of food relaxes to allow a wider diameter to travel through

 

longitudinal muscles contract as food enters the region, which decreases length food has to travel through and propelling food forward

Term
Why does thee food move back and forth during segmentation (2)
Definition
to adequatly allow for the mixing of digestive secretions and assist with mechanical digestion
Term
Location of pharynx
Definition
Posterior to mouth and nose. Leads to oesophagus
Term
3 parts of the pharynx
Definition
nasopharynx, oropharnyx and laryngopharnyx
Term
Function of stomach (3)
Definition

stores food

 

secretes digestive juices (turn bolus to chyme)

 

propels partially digestive food

 

 

Term
passage which food passes into stomach from oesophugus
Definition
lower oesophageal sphinter
Term
Structures of stomach that relax to propel food into the duodenum of the small intestines
Definition
lesser and greater curvatures and pyloric sphinter
Term
Three muscularis layers of stomach
Definition
longitudinal, circular and obique
Term
Three factors influencing gastric emptying
Definition
volume, osmotic pressure and chemical composition of gastric contents
Term

gastrin and cholecystokinin

 
Definition

 

two polypeptide hormones that are secreted by the gastrointestinal mucosa to facillitate relaxation of fundus when swallowing occurs

Term
increase contractions
Definition
gastrin (intestinal hormone) and nervous parasympathetic system
Term
decrease contractions
Definition
sympathetic nervous system and secretin
Term
How is rate of peristalsis mediated
Definition
by pacemaker cells that initiate a wave of depolarisation. This moves from the upper part of stomach to pylorus
Term
part of stomach where mixing occurs
Definition
as food is propelled to the antrum of stomach by peristalsis
Term
Describe retopulsion
Definition
when food approaches towards the pylorus of stomach, the peristaltic wave velocity increases the velocity and forces the contents of the food back into the stomach
Term
what are the reasons for retropulsion (2)
Definition
Effectively mix food with digestive juices and break down large food particles
Term
How long does food remain in stomach
Definition
4 hours, add 2 for fatty meals
Term
why is cholecystokinin needed to slow gastric motility and decrease gastric emptying in stomach
Definition
so that fats are not being emptied into the duodenum at a rate exceeding the production of bile (from liver) and enzyme (from pancreas) secretion needed to break down fats
Term
where is HCl produced in stomach
Definition
parietal cells of gastric glands
Term
function of pepsin is stomach
Definition
break down protein into amino acids
Term
Location of villi
Definition
Cover mucosal folds of small intestines
Term
two functions of villus
Definition

secrete enzyme to break down food and

 

absorbs nutrients, electrolytes, vitamins, amino acids, fatty acids, water and simple sugare

Term
Areas where chyme can come from and empty into the duodenum
Definition
stomach and accessary organs: liver, gallbladder and pancreas
Term
ileogastric reflex function
Definition
inhibits gastric motility when ilieum becomes distended. Prevents continued movement of chyme into an already full ilieum
Term
intestinointestinal reflex
Definition
inhibits intestinal motility when one part of small intestines is overdistended.
Term
control and function of gastroileal reflex
Definition

activated by increase in gastric motility and secretion

 

function is to stimulate an increase in ileal motility and relaxation of ileocaecal sphinter. This empties the ilieum and prepare it to recieve more chyme

Term
reflexes inhibitng gastric motility
Definition
ileogastric and intestinointestinal reflexes
Term
percentage of water reabsorbed in small intestines
Definition
90%
Term
percentage of water reabsorbed in large intestines
Definition
9%
Term
absorption percentange of organs for alchol
Definition

20% stomach

80% small intestines

Term
What is absorbed in the large intestines
Definition
Na, K, H2O, acids and bases
Term
five +four componants of large intestine in order
Definition

caecum

appendix

colon- ascending, transversing, descending & sigmoid

rectum 

anus

Term
When is the defacation reflex stimulated
Definition
feces movement into the sigmoid colon
Term
What happens when defecation reflex is stimulated
Definition

Rectal wall stretches and constricted internal relaxes

= urge to defecate

Term
crohn's disease
Definition
autoimmune disease. Inflammatory response attacks own cells in digestive tract
Term
diverticulosis
Definition
formation of divercula (pouches) in colon
Term
diverticulitis
Definition
divercula become inflamed
Term
diverticular disease
Definition
made up of two conditions- diverticulitis and diverticulosis
Term
hepatitis
Definition
inflammation of liver caused by virus
Term
mode of transmission: hepatitis A
Definition
primarily through food or water contaminated be faeces from an infected person, May spread by blood (rare)
Term
mode of transmission: hepatitis B
Definition
Contact with infected blood, sex, mother to child during childbirth (vaginal or cesarean)
Term
mode of transmission: hepatitis C
Definition
Contact with infected blood, less commonly by childbirth or sexual contact
Term
mode of transmission: hepatitis D
Definition
Infected blood, only occurs with hepatitis B infection
Term
mode of transmission: hepatitis E
Definition
through food or water contaminated from an nfected person
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