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Digestive System Part 3
starts at pancreas ends at gallbladder
67
Anatomy
Undergraduate 1
11/20/2012

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Cards

Term
The Pancreas location
Definition
Lies posterior to stomach
* encircles duodenum toward spleen


Is bound to posterior wall of abdominal cavity
\
Term
Histological Organization
each Lobule of the pancreas
is seperated by:

contains (2):
ducts branch repeatedly & end in
Definition
1.septa

2• blood vessels & tributaries of pancreatic ducts


3.blind pockets (pancreatic acini)
Term
Regions of the Pancreas (4)
Definition
1.Uncinate Process
2.Head
3Body

4•Tail
Term
Uncinate Process of pancreas: lies deep to
Definition
superior mesenteric vessels
Term
Head of pancreas located
branches from
Definition
loop pf duodenum
superior mesenteric
Term
superior mesenteric runs
Definition
btwn head of pancreas & duodenum to supply the head
Term
body of pancreas located
Definition
lies behind the stomach; extends toward spleen
Term
body of pancreas is Supplied by
Definition
branches of the splenic artery
Term
tail of pancreas located
supplied by
Definition
1.left end of the pancreas
2.branches of the splenic artery
Term

The exocrine portion of the pancreas are the ______ 

(name & give aka)

Definition
blind pockets called (pancreatic acini)
Term
pancreatic acini are lined with & contain what endocrine structure of the pancreas
Definition
1. simple cuboidal epithelium

2.scattered pancreatic islets
Term
what % of pancreatic cells are the islets
Definition
1%

(scattered)
Term
Endocrine cells of the pancreatic islets secrete
Definition
hormones such as insulin & glucagon into bloodstream
Term
blind pockets (pancreatic acini) are composed of (2)
Definition

acinar cells & epithelial cells

 

 

Term
Acinar cells and epithelial cells of duct system secrete
Definition
pancreatic juice
Term
how much gastric juice is secreted per day?
Definition
•1000 mL (1 qt)
Term
pancreatic juice fcn
Definition
Enzymes that breakdown carbs, lipids, and proteins
Term
production of pancreatic juice is controlled by
Definition

hormones from duodenum

(cck, secretin etc)

Term
the largest visceral organ is the
Definition
liver
Term
Anatomy of the Liver
Wrapped in:
Covered by:
Divided into ________ lobes
Definition
Anatomy of the Liver
1. tough fibrous capsule
2. visceral peritoneum
3.4
Term
3 important veins located in the liver are
Definition
1inferior vena cava
branches to form (2.left hepatic vein)
3.hepatic portal vein
Term
The basic functional units of the liver is
Definition
liver lobules (100,000 total
1 mm diameter each
Hexagonal shape)
Term
1/3 of liver's blood supply is from
Definition
Arterial blood from hepatic artery proper
Term
2/3 of liver's blood supply is from
Definition
venous blood from hepatic portal vein, originating at:
•Esophagus
•Stomach
• pt of Small intestine
•Most of large intestine
Term
at each of the 6 corners of liver lobules what can be found
Definition
(hepatic / portal triads)
Term
components of hepatic triad (3)
Definition
1.Branch of hepatic portal vein
2.Branch of hepatic artery proper
3.3.Small branch of bile duct
Term
Branch of hepatic portal vein

comes from:
contains what kind of blood
Definition
1. capillary beds in the gut
2. Deoxygenated and nutrient rich blood
Term
Branch of hepatic artery proper carries what kind of blood?
Definition

 

Carries oxygenated blood&

 deoxygeinated blood from sinusoids

Term
Small branch of bile duct fcn
Definition
Where bile leaves the liver
Term
central vein fnc
Definition

recieves blood from sinusoids

 

and eventually merges to form the hepatic veins which drain to inf vena cava

Term
liver cells are called
Definition
hepatocytes
Term
name the endothelial cells of the sinusoids that act as phagocytes
Definition
Kupffer cells
Term
kupffer cells aka
Definition
stellate reticuloendothethial cells
Term
kupffer cells fcn
Definition
storage of iron,
lipids,
heavy metals
Term
In a liver lobule form a series of irregular plates arranged like wheel spokes converging on the central vein
Definition
the hepatocytes
Term
hepatocyte fcn
Definition
Adjust circulating levels of nutrients
by selective absorption & secretion
Term
As blood flows through sinusoids , the hepatocytes ______________
Definition
absorb solutes from plasma and secrete materials such as plasma proteins
Term
Phagocytic __________ cells destroy old RBCs, bacteria, and present antigens
Definition
Kupffer
Term
bile fluid contains (2)
Definition

mix of waste products

and bile salts

Term
Describe how liver secretes bile fluid to intestine (1)
Definition

1.Liver secretes bile fluid Into channels called bile canaliculi.

 

(located Between opposing membranes of adjacent liver cells )

2.Eventually secreted into the intestine

Term
Bile salts fcn
Definition
act like detergent-like molecules to break up fats.
Term
juandice is caused by
Definition
Accumulation of Bilirubin (from breakdown of Hb) secreted in bile
Term
Right and Left Hepatic Ducts fcn (1)
Definition
Collect bile from all bile ducts of liver lobes
Term
Right and Left Hepatic Ducts unite form
Definition
common hepatic duct that leaves the liver
Term
Bile Flow:From common hepatic duct to either ____which empties to the ______

or
_______duct which leads to the _______

or
Definition
common bile duct
which empties to duodenal ampulla of Vater

or
cystic duct which leads to gallbladder
Term
which duct also receives secretions from the pancreatic duct , where does this secretion go?
Definition
common bile duct

goes to duodenal ampulla of Vater
Term
the common bile duct is formed by the union of
Definition
•Cystic duct
•Common hepatic duct
Term
the common bile duct
passes through the _______ of the stomach

pentrates the wall of the ______

meets the ______duct at the duodenal ampulla
Definition
1. lesser omentum toward stomach
2. duodenum
3.pancreatic duct
Term
3 fcns of the liver
Definition
1. Metabolic regulation
2. monitor blood
3. Bile production
Term
Metabolic Activities of the Liver include(4)
Definition
1.Carbohydrate &Lipid &Amino acid metablosim

2.Remove wastes
3.Storage of:
•Vitamin &Minerals
4.Drug inactivation
Term
All blood leaving absorptive surfaces of digestive tract enters the
Definition
Enters hepatic portal system which Flows into the liver
Term
when blood Enters the hepatic portal system how is blood processed?(3)
Definition

1.Liver cells extract nutrients or toxins from blood

(Before they reach systemic circulation through hepatic veins)

 

2•Liver stores excess nutrients 3•Corrects nutrient deficiencies by mobilizing stored reserves or performing synthetic activities

Term
Largest blood reservoir in the body is the
Definition
liver
Term
the liver recieves what % of cardiac output
Definition
Receives 25%
Term
how does the liver monitor the blood (5)
Definition

1.Phagocytosis & antigen presentation 

2. makes plasma proteins&.bile 

3Removal: circulating hormones & antibodies

5.storage of toxins

Term
why are bile salt needed to break down fats (think polarity )(2)
Definition
1.Dietary lipids are not water soluble

2.Pancreatic lipase is not lipid soluble
it can only Interactonly at surface of lipid droplet
Term
therefore the bile salts fcn is to
Definition
break droplets apart (emulsification)
in order to increases surface area exposed to enzymatic attack



Creates tiny emulsion droplets coated with bile salts
Term
a hollow, pear-shaped, muscular sac is the
Definition
gallbladder
Term
gallbladder fcn
Definition
Stores and concentrates bile prior to excretion into small intestine
Term
regions of gallbladder (3)
Definition
Fundus,
Body, &
Neck
Term
name the duct that Extends from gallbladder
Definition
cystic duct
Term
again how is common bile duct forms
Definition
cystic duct & common hepatic duct
Term
the Releases of bile into duodenum by the gallbladder is only done under stimulation by
Definition
intestinal hormone cholecystokinin (CCK)
Term
describe how bile leaves the liver & goes into the gallbladder

what hormone is released
what ducts are open/closed
Definition
1.CCK is released

2. Closed: Hepatopancreatic sphincter
(Bile exiting liver in common hepatic duct CANNOT flow through common bile duct into duodenum)

3.Bile enters cystic duct and is stored in gallbladder
Term
•Physiology of the Gallbladder
Definition
Full gallbladder contains 40–70 mL bile
•Bile composition gradually changes in gallbladder
•Water is absorbed
•Bile salts and solutes become concentrated
Term
damage to the myenteric plexus would result in(1)
Definition
decreased stomach motility
Term
would damage to the myenteric plexus rssult in decreased glandular secretions?
Definition
no, myenteric plexus is located btwn oblique & longitudinal muslces and only does physical stuff.
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