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Histology test 4
digestive system thru reproductive system
144
Science
Undergraduate 4
04/27/2010

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Term
Digestive System/ Alimentary Canal
Definition
-a continuation of the oral cavity
-Tubular portion of entire tract about 9 inches long
Term
4 Main Regions of the Alimentary Canal
Definition
Esophagus
Stomach
Small Intestine
Large Intestine
Term
3 parts of the small intestine
Definition
duodenum, jejunum, ileum
Term
5 parts of the large intestine
Definition
cecum, colon, rectum, anal canal, appendix
Term
4 Histological Layers of the Alimentary Canal(from closest to furthest from lumen)
Definition
mucosa, submucosa, muscularis externa, serosa
Term
what is the mucosa?
Definition
-Lined by epithelium
-Just deep to epithelium is loose CT called [lamina propria]
-surrounded by a small area of smooth muscle called [muscularis mucosae] aka lamina muscularis mucosa
Term
what is the lamina propria?
Definition
-loose CT
-richly vascularized
-houses glands, lymph vessels, some lymph nodes
Term
what is the muscularis mucosaes' purpose?
Definition
-generate gentle agitation of cells and glands to expel contents into lumen
Term
what is the submucosa?
Definition
-surrounds mucosa
-made of dense CT
-houses glands in esophagus & duodenum
Term
what is the muscularis externa?
Definition
-smooth muscle arranged in circular & longitudinal fashion
-peristalsis
Term
what is the serosa?
Definition
-thin CT w/ occasional epithelium
Term
what is the esophagus?
Definition
-Muscular tube about 25 cm long
-Conveys "bolus" of food from oral pharynx to stomach
Term
what does the mucosa of the esophagus do?
Definition
-usually collapsed except when swallowing
-lamina propria houses "esophageal glands" --> secrete mucus to protect epithelium
Term
cc of esophagus
Definition
-As esophagus passes through diaphragm, its reinforced by muscle
-If development is abnormal a gap occurs allowing the stomach to herniate into the thoracic cavity
-Called hiatal hernia
--> weakens gastroesophageal sphincter and allows reflux of acid into esophagus
Term
what are some important features of the stomach?
Definition
-Most dialated region of alimentary canal
-Sac-like; food bolus converted to viscous fluid = chyme
-Intermittently, stomach, releases small aliquots of chyme into duodenum
Term
what are the 4 regions of the stomach and what do they display?
Definition
-cardiac, fundus, body(corpus), pyloris
-All regions display [rugae]
-Epithelium invaginates to form [gastric pits] (aka foveolae)
Term
what are rugae?
Definition
-longitudinal folds that disappear when the stomach is distended
Term
what are gastric pits(foveolae)?
Definition
-they increase S.A.
-5-7 gastric glands that empty into each gastric pit
Term
where is the cardiac region of the stomach?
Definition
-At gastroesophageal esophageal junction
Term
what and where is the fundus?
Definition
-dome-shaped & left of esophagus
-epithelium there is surface lining cells that manufacture mucus --> much of lamina propria houses fundic (oxynctic) glands
Term
what is the body(corpus)?
Definition
-largest area; where chyme formed
*fundus and body (corpus) are grouped
Term
what is the Pyloris?
Definition
-funnel shaped; has sphincter
Term
what are the three regions of the fundic glands?
Definition
-isthmus, neck, base
-Has simple columnar epithelium w/
[6 cell types]
Term
what are the 6 cell types of fundic glands?
Definition
surface lining cells, parietal (oxyntic) cells, regenerative (stem) cells, mucous neck cells, chief (zymogenic) cells, enteroendocrine cells
Term
what are surface lining cells?
Definition
-line stomach & secrete mucus
Term
what are parietal (oxyntic) cells?
Definition
-HCl & GIF (gastricintrinsic factor)=bile formation
Term
what are regenerative (stem) cells?
Definition
-replace all of specialized cells
Term
what are mucous neck cells?
Definition
-secrete mucus
Term
what are chief (zymogenic) cells
Definition
-secrete pepsinogen, renin, gastric lipase
Term
what are enteroendocrine cells?
Definition
-APUD cells(old)DNES cells(new)--> secrete low molecular weight polypeptides;ex:hormones, neurotransmitters, paracrine factors
Term
what is the small intestine?
Definition
-About 7 m long(longest part of alimentary tract)
-has 3 regions
Term
what are the 3 regions and what do they do?
Definition
-duodenum(receives enzymes & buffers from liver & pancreas [also bile], jejunum, ileum
-epithelial cells & mucosal glands that contribute buffers/enzymes
-luminal surfaces are modified to increase surface area
Term
what are some structures of the small intestine?
Definition

-plicae circulares, villi, microvilli, crypts of lieberkuhn, lacteals

[image]

Term
what is the plicae circularis?
Definition
-folds of mucosa & submucosa = forms helical elevations
Term
what are villi?
Definition
-finger-like, covered by epithelium - protrusions of lamina propria
Term
what are microvilli?
Definition
-modifications of apical plasmalemma of intestinal epith
Term
what are Crypts of Lieberkuhn?
Definition
-intestinal glands formed by invaginations of epith. = project into lamina propria between villi
Term
what are Lacteals?
Definition
-blindly ending lympthatic channels in villi
Term
what are 3 parts of the Eptihelium of Small Intestine?
Definition
-Surface absorptive cells, Goblet cells, Enteroendocrine cells
Term
what are surface-absorptive cells?
Definition
-tall, numerous, basically located nucleus
-apical surface has microvilli
-function: absorption & digestion of water/nutrients
Term
what are goblet cells?
Definition
-unicellular glands
-dispersal in epithelium
-manufacture mucinogen which is a precursor to mucus --> mucus protects lumen of small intestine
Term
what are Enteroendocrine cells?
Definition
-produce endocrine & paracrine hormones:
glucagon, somatostatin, seratonin, substance P, gastrin
Term
what does glucagon do?
Definition
-increases blood glucose
Term
what does somatostatin do?
Definition
-inhibits hormone release
Term
what does serotonin & substance P do?
Definition
-increase peristalsis
Term
what does gastrin do?
Definition
-stimulate HCl production
Term
what are some other cells of the mucosa?
Definition
-Regenerative cells(stems) and Paneth cells
Term
what are paneth cells?
Definition
-large, granular, pyramid-shaped
-bottom of crypts
-produce lysozyme (antibacterial)
Term
what are some glands in the submucosa of the SI?
Definition
-Brunner's glands
Term
what are Brunner's glands?
Definition
-branched; resemble mucous acini -pierce crypts of Lieburkuhn to deliver product - fluid produced neutralizes chyme-also produce urogastrone (aka EGF)
Term
what does urogastrone do?
Definition
-inhibits HCl production & amplifies mitosis rate of epithelium
Term
what are some regional differences of the duodenum of the SI?
Definition
-shortest segment(cant see)
-villi broad, tall, more numerous
-fewer goblets; has Brunners
Term
what are some regional differences of the Jejunum of the SI?
Definition
-villi narrow, short & more sparse
-increases goblets
Term
what are some regional differences of the ileum of the SI?
Definition
-villi shortest, sparsest, narrowest
-presence of Peyers patches
Term
CC of the SI-peristaltic rush
Definition
-if exposed to profound irritation the muscularis externa has swift contractions of long duration called peristaltic rush
--> propels chyme into colon w/ in minutes==diarrhea
--> diarrhea
Term
CC of the SI-sprue
Definition
Sprue=various types of SI malabsorptions
Term
what is one type of Sprue?
Definition
- gluten enteropathy which is present in wheat and rye and destroys microvilli & villi resulting in inflammatory response --> decrease surface area for absorption(gluten-free diet)
- gluten free diet
Term
what is the function of Large Intestine?
Definition
-absorb water/ ions from chyme received from SI & compact
Term
what is the Colon?
Definition
-no villi, rich in crypts of L.
-has goblets & surface absorptive cells increase
-epithelium has rapid mitosis - replaces every 6-7 days
Term
what are 4 Glands of Digestive System?
Definition
-salivary glands, Pancreas, Liver, Gall bladder
Term
what are the salivary glands?
Definition
-Facilitate taste, initiate digestion, permit swallowing, secret antimicrobials
Term
what is the pancreas?
Definition
-secretes buffers to neutral chyme
-produces enzymes for digestion of carbs, fats, protein
-secretes endocrine hormones
Term
what is the Liver?
Definition
-secretes bile - necessary for proper absorption of lipids
-metabolism of protein, lipids, carbs.
-synthesis of blood proteins & detoxification of blood - borne toxins
Term
what is the Gall bladder?
Definition
-concentrates & stores bile then releases it into duodenum
Term
what are 4 regions of the pancreas?
Definition
Uncinate process, Head, Body, Tail

-Has flimsy CT capsule & forms septa dividing pancreas to lobules
Term
what is the Endocrine Pancreas?
Definition
- made up of ~a million Islets of Langerhans
Term
what is the Exocrine Pancreas?
Definition
- tubulo-acinar gland
- produces 1200 mLs of proenzymes daily
- 40-50 acinar cells in each acinus; 3-4 centroacinar cells
- in acinar cells, granules containing proenzymes that diminish after meals
Term
CC of the Pancreas-Acute Pancreatitis?
Definition
- proenzymes become active before release from acini
- necrosis of blood vessels, proteolysis of parenchyma, destruction of adipose & destruction of that area of body cavity; often fatal
Term
CC of Pancreas-Pancreatic Cancer
Definition
- 5th leading mortality of all cancers < 50% survive > 1 year
5% survive > 5 years
- men are more susceptible
- smokers 70% greater chance
Term
what are some key features of the endocrine pancreas?
Definition
- has islets of langerhans
- produces Beta- insulin, delta somatostatin, Gastrin, Pancreatic polypeptide (PPF)
Term
what are the islets of langerhans?
Definition
- richly vascularized
- sperical conglomeration of ~ 3000 cells; ~ 1 million islets
Term
what is Beta- insulin?
Definition
- decreases blood sugar
Alpha-glucagon - increases blood sugar
Term
what is Delta - somatostatin?
Definition
- inhibits hormone release & reduces amilentary canal contractions
Term
what is Gastrin?
Definition
- stimulates HCl production in stomach
Term
what is Pancreatic polypeptide (PPF)?
Definition
- inhibits exocrine secretions of pancreas
Term
CC of Endrocrine Pancreas
Definition
[Diabetes mellitus] - hyperglycemic metabolic disorder
Results from:
1. lack of insulin
2. defective insulin receptors on cells
2 forms = type I, II(5-6 X more common) Uncontrolled = circulatory disorders, renal failure, blindness, gangrene, stroke, heart attack
Term
what are some key points of Type I diabetes?
Definition
- insulin dependent - affects juveniles
3 symptoms:
1. polydipsia - constant thirst
2. polyphagia - constant hunger
3. polyuria - excessive urination
Term
what are some key points of Type II?
Definition
- insulin independent
- usually affects age > 40
Term
what is the liver?
Definition
-Largest gland in body
-4 lobes:
right, left, quadrate, caudate
*Right & left: constitute bulk of liver*
-Endocrine & exocrine from same cell type = hepatocytes --> formation of bile
- enveloped by peritoneum with simple squamous epithelium & dense CT = Glisson's capsule
- bulk = hepatocytes called parenchyma
Nutrients converted by hepatocytes into storage products (i.e. glycogen)
Term
what are hepatocytes?
Definition
- Hexagonal shaped lobules
- Where lobules connect are called portal area (aka portal triad)
(hepatic artery, large portal vein, bile ducts), contains lymph vessels
- Hepatocytes radiate out like wheel spokes --> separated by sinusoids where blood enters
- macrophages (Kipffer cells) - associated w/ sinusoids scavengers of antigens & defunctional RBCs
Term
what is the limiting plate?
Definition
- modified hepatocytes that separates parenchyma
Term
what is the Perisinusoidal Space of Disse?
Definition
- Hepatic microvilli that do not contact w/ bloodstream
- Acts like a compartment
- Contains type II collagen (reticular fibers for structure)
Term
what is some more info on hepatocytes?
Definition
- polygonal; ~20-30 micrometer diameter Plates are 1-2 cells thick
- Lateral domains-face other cells - Sinusoidal domains - face the space of Disse
Term
what is Bilirubin?
Definition
- Toxic degradation product of hemoglobin
-Endocytosed by hepatocytes & converted to water-soluble form
- Some is released in blood but most in bile for excretion w/ feces
Term
what is jaundice?
Definition
- Yellowing of the skin by excessive bilrubin
Term
what are 2 types of jaundice?
Definition
1. Obstructive - bile ducts obstructed form decreased conversion to water-soluble form - indicates hepatitis 2. Hemolytic - increase hemolysis of RBCs, big increase in bilrubin that hepatocytes cannot eliminate bilrubin
Term
what is the Gallbladder?
Definition
- Small, pear-shaped - on inferior aspect of liver
- Stores ~ 70 mLs of bile
- Function is to store, release bile to duodenum
Term
what are 3 layers of the gall bladder?
Definition
3 layers- from lumen-outward --> epithelium, lamina propria, serosa (adventitia)
- Folded when empty
- Epithelium has interspersed clear & brush cells
Term
CC to Gallbladder
Definition
Gall stones (Choleolithiasis)
- More common in women
- Usually occurs in 40's
- Usually small enough to pass; if trapped in hepatic duct --> excruciating pain
Term
what are 2 segments of the Respiratory System?
Definition
1. Conducting - conveys air externally to lungs
2. Respiratory - within lungs; exchange of O2 & CO2
Term
how is the Conducting of the resp. sys. carried out?
Definition
Nasal cavity --> mouth --> nasopharynx --> pharynx --> larynx --> trachea --> 1* bronchi --> 2 * bronchi --> 3* bronchi --> bronchioles --> terminal bronchioles
- Structure maintained by bone, cartilage, fibrous elements
Term
what is the Nasal Cavity?
Definition
- Divided in halves by a cartilagenous & bony septum
- Communicates with outside via nares = nostrils
Term
what is projecting from the bony area of the nasal cavity?
Definition
- 3 scroll-like shelves
nasal conchae
superior(anterior)
middle
inferior(posterior)
(stacked)
Term
what does the Posterior Portion do?
Definition
- Lined w/ pseudostratified ciliated columnar epithelium (aka respiratory epithelium)
- Many goblet cells
- CT - vessels, glands, lymph nodes which function to rid inhaled pathogens
Term
what does the anterior portion do?
Definition
- Vicinity of nares & dilated (vestibule)
- Lined w/ skin & has vibrissae - short stiff hairs (sensory)
- Dermis has sweat & sebaceous glands
Term
what is the Olfactory Region of Nasal Cavity?
Definition
- Roof covered by 60 micrometers thick olfactory epithelium --> underlying epithelium are Bowman's glands which are serous like secretions - lysozyme
Term
what are 3 cell types of olfactory epithelium?
Definition
1. olfactory cells
2. sustentacular cells
3. basal cells
Term
what are Olfactory cells?
Definition
- smell signal transduction
- bipolar neurons - distal portion forms olfactory bulb vesicle
Term
what is an olfactory bulb vesicle?
Definition
- modified dendrite
- 6-8 cilia protruding
Term
what are Sustentacular cells?
Definition
-tall columnar cells with border of microvilli
- provide support, nourishment, electrical in solutions for olfactory cells
Term
what are Basal cells?
Definition
- short, basophilic, pyramidal shaped
- do not reach surface
- proliferative & replace olfactory & sustentacular cells
Term
CC of nasal cavity?
Definition
- Nasal mucosa protected from dehydration from blood flow
- Seepage of plasma & also mucous secretions <-- rehydrate every 1/2 hour - Irritants & particulates are removed by the sneeze reflex
Term
what is the larynx?
Definition
B/w pharynx & trachea
- Rigid, short, cylindrical
- Responsible for sound production & prevents entry of liquids/ food into resp. system during swallowing
- Supported by hyaline cartilage
Term
what are the 2 folds of the lumen of the larynx?
Definition
1. Superior vestibular fold - glands, lymphoid elements
2. Inferior vocal fold - modulate sound; not speech
- movement of pharynx, soft palate, tongue, lips
- more relaxed = deeper pitch; males have a larger pharynx = deeper voice
Term
what is the trachea and what are its 3 layers?
Definition
- a tube that begins at larynx and ends at 1* bronchus
- it is reinforced by 10-12 cartilage rings (horseshoe shaped c-rings are hyaline cart. and smooth m.)
1. mucosa
2. submucosa
3. adventitia
Term
what is the mucosa?
Definition
- lined by "respiratory epithelium" = pseudo. strat. columnar/ ciliated
- has cells w/ goblets, basals, brush, serous DNES
- same cells contact w/ basal membrane/ not cell contact w/ lumen
Term
CC of larynx-laryngitis
Definition
- inflammation of laryngeal tissue
- specifically vocal folds(prevents from vibrating)
- horseness/whisper
Term
what are brush cells?
Definition
- narrow, columnar microvilli - function unknown
-theory is sensory, goblets that have released contents
Term
what are serous cells?
Definition
- columnar, microvilli, secrete serous fluid
- theory = proteoglycans
Term
what are Diffuse Neuroendocrine cellS?
Definition
- contain granules
- secrete substances that controls the function of cells
Term
what is a Bronchial Tree?
Definition
- 1* bronchi --> 2* & 3* (intrapulmonary bronchi) --> bronchioles --> terminal bronchioles(respiratory bronch.):
- branches that decrease in size towards lungs
- decrease in cells, increase in smooth muscle & elastic tissue
Term
what is some more info on the respiratory portion of the bronchial tree?
Definition
- Respiratory Bronchioles have a wall that is interrupted by thin-walled-pouch-like alveoli <-- where gas exchange occurs
- Alveoli --> small alveolar sacs <-- are in clusters
- Gas exchange = between lumen & small capillaries
- ~300 million sacs = spongy consistancy = increase surface area for exchange
Term
what are 2 types of cells in the Walls of Alveolar Sacs?
Definition
1. Type I Pneumocytes - simple squamous epithelium 95%
2. Type II --> cuboidal, 5%; secrete surfactant
Term
what are 2 types of cells in the Walls of Alveolar Sacs?
Definition
1. Type I Pneumocytes - simple squamous epithelium 95%
2. Type II --> cuboidal, 5%; secrete surfactant
Term
what are 2 types of cells in the Walls of Alveolar Sacs?
Definition
1. Type I Pneumocytes - simple squamous epithelium 95%
2. Type II --> cuboidal, 5%; secrete surfactant
Term
what are 2 types of cells in the Walls of Alveolar Sacs?
Definition
1. Type I Pneumocytes - simple squamous epithelium 95%
2. Type II --> cuboidal, 5%; secrete surfactant
Term
CC of the respiratory portion-resp. distress/newborns
Definition
- at Birth the lungs expand w/ 1st breath
- surfactants keep lungs expanded - In those prior to 7 months gestation do not produce enough surfactant - Give artificial surfactant/ glucocorticoids which stimulate type II pneumo.
Term
what is the Endocrine System?
Definition
regulates metabolism & maintain homeostasis Via hormones
Term
what are glands of the endocrine system?`
Definition
adrenal (suprarenal), pituitary, pineal, thyroid, parathyroid
Term
what is the Pituitary (Hypophysis)?
Definition
- responsible for growth, reproduction, metabolism
- below hypothalamus (controls pituitary gland) of brain in a bony pocket
Term
what are the subdivisions of the pituitary?
Definition
1. Adenohypophysis: (Anterior)
- pars distalis
- pars intermedia
- pars tuberalis

2. Neurohypophysis: (Posterior)
- median eminence
- infundibulum
- pars nervosa
Term
what is the pars distalis?
Definition
- covered by capsule
- parenchymal cells & sinusoidal capillaries
Term
what are 2 classes of parenchymal cells?
Definition
chromophils, chromophobes - classified according to dye affinity
Term
how are chromophils classified?
Definition
- as acidophils and basophils
Term
what are acidophils?
Definition
- stain dark red to orange
- somatotrophs (secrete somatotrophin [growth hormone]) and mammotrophs (secrete prolactin [a lactation hormone])
Term
what are basophils?
Definition
- mostly at periphery of pars distalis
3 subtypes:
corticotrophs - secrete ACTH, LPH, CRH
thyratrophs - TSH
gonadotrophs - FSH, LH
Term
what are Chromophobes?
Definition
- non-specific stem cells
- theory-degranulated chromophils
Term
what is the P. intermedia?
Definition
- cuboidal cell-lined crypts = Rathke's cysts
- contains basophils --> produce prohormone to MSH
Term
what is the P. tuberalis?
Definition
- surrounds hypophyseal stalk
- cotnains basophils - no known secretion
Term
what is the Post. Pituitary?
Definition
- Dev. from down growth of hypothalamus - Axons from hypothalamus extend into post.-pit.
- Secretions from the axons are oxytocin & vasopressin (ADH) (Antidiuretic Hormone)
Term
what is the Pars Nervosa?
Definition
- Receives terminal ends of axon
- Axons are supported by glial-like cells (pituicytes)
- Herring bodies - store secretions - When oxytocin/ ADH released - into capillaries to blood
Term
what is the Thyroid Gland?
Definition
- In anterior neck - Lobular, surrounded by dense CT - Embedded in capsule are parathyroid glands
- Secretes, thyroxine (T4), triodothronine (T3), (T4 & T3 control metabolic rate) - Calcitonin - controls blood Ca levels & bone Ca storage - Product is stored in follicles = colloid follicles
- Surrounding cells are called Follicular cells or Principle cells
- Parafollicular cells (aka Clear or C cells)
Term
CC of Thyroid-Graves Disease
Definition
- Hyperplasia of follicular cells
- Size of thyroid increases 2-3 x in size
- Secretions increases 5-15 X hyperthyroidism
- Ophthalmopathy - protrusion of eyeballs
- Autoimmune disease - stimulation of TSH receptors which inturn stimulates growth of follicular cells
Term
CC of thyroid-Hypothyroidism
Definition
- Fatigue, sleeping 14-16 hours day, muscular sluggishness
--> cardiac output, vol.; mental slowness, failure of body functions Loss of hair; myxedema - bagginess of eyes & swollen face
Term
CC of thyroid-Clinical Correlation: Cretinism
Definition
- Extreme hypothyroidism
- Fetal --> childhood (cogenital)
- Failure of growth & mental retardation
Term
what is the Parathyroid?
Definition
- 4 present on posterior aspect of thyroid CT capsule
- Produces PTH (Parathyroid hormone) - bone, kidneys, GI, to maintain intestinal Ca levels
- Parenchyma composed of chief (PTH) & oxyphil (unknown) cells
Term
what is the Adrenal (Suprarenal)?
Definition
- Superior to kidneys
- Cortex & medulla
Term
what are the three cortex zones of the adrenal?
Definition
1. Zona glomerulosa
2. Zona fasciculata
3. Zona reticularis
Term
what is the Zona glomerulosa?
Definition
- makes glucorticoids (aldosterone) --> controls fluid balance & electrolyte balance in kidney tubules
Term
what is the Zona fasciculata?
Definition
- largest layer
- has sinusoidal capillaries
- cells have vacuoles of lipids --> spongiocytes
- control & corticosterone <-- carb., fat, metabolism
Term
what is the Zona reticularis?
Definition
- cells arranged in anastomosing cords --> secrete androgens
Term
CC of adrenal-cushings disease
Definition
- Excess ACTH from tumors
- Causes enlargement of adrenal/ over production of cortisol
- Obesity - mostly in face, swelling of neck, trunk
- Males = impotent;
- Females = amenorrhea (abnormal menstral cycle)
Term
what is the Adrenal Medulla?
Definition
- 2 populations of parenchymal cells - Chromaffin cells - produce epinephrine & norepinephrine
- Sympathetic ganglion cells
Term
what is the Pineal Gland?
Definition
- Secretions influence by light/dark periods - Encapsulated/ lobulated - Parenchymal cells: a. pinealocytes - produce melatonin/ serotonin b. interstitial cells - astrocytes - scattered around pinealocytes - Also has - corpora arenacea (brain sand) - mineral deposits - in rings - function unknown
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