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Organ Histology Unit 3
Final Unit for Palmer PCC Organ Histology
238
Histology
Graduate
01/31/2011

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Cards

Term
Three major luminal wall layers of blood vessels
Definition
Tunica Intima
Tunica Media
Tunica Adventitia
Term
Tunica Intima is a continuation of...
Definition
The endocardium
Term
Tunica Media is a continuation of...
Definition
The Myocardium
Term
Tunica adventitia is a continuation of...
Definition
The Epicardium
Term
Elastic Arteries
Definition
AKA Conducting arteries
Ex. Aorta, Common Iliacs, Carotid, Brachiocephalic, Subclavian
Term
Elastic A.Tunica Intima
Structure
Definition
Thicker CT
Collogen I, Fibroblasts, Smooth muscle cells
Thin (incomplete internal elastic lamina)
Term
Elastic A. Tunica media
structure
Definition
Thickest
Primarily fenestrated sheets of elastic fibers
Some collogen I and smooth muscle
Thin external elastic lamina
Vasa Vasorium in outer parts
Term
Vasa Vasorium
Definition
small blood vessels of the larger blood vessels
Term
Elastic A. Tunica Adventitia
Structure
Definition
Loose fibroelastic CT
Vasa Vasorum
Term
Muscular Arteries
Definition
Distributing arteries
Ex. Brachial, Radial, Renal, Femoral
Term
Tunica intima of Muscular Arteries
Structure
Definition
Endothelium
Some CT - a few smooth muscle cells possible
Internal elastic lamina
Term
Tunica Media of Distributing arteries
Structure
Definition
Primary circular smooth muscle
Gap junctions between smooth muscle cells
Elastic and reticular fibers, chondroitin sulfate
External elastic lamina possible
Richly innervated with sympathetics-control lumen size, strong specific contractions- decrease lumen size
Term
Tunica adventitia of distributing arteries
structure
Definition
Fibroelastic CT with sulfated GAG's
Fibroblasts
Vasa Vasorum
Term
Arterioles
Definition
Lumen size about the same as wall width
Tunica structures similar to muscular arteries
Term
Aging Vs. elastic arteries
Definition
Width increases into your 20's
# of elastic lamina increasing in that time.
Term
Aging vs. Muscular Arteries
Definition
Collagen and various protioglycans increase after middle age: flexibility of wall decreases (coronary vessels are greatly affected)
Term
Aging and Hypertension
Definition
At 50 elastic fibers will break down and some are replaced with Collogen I.
Increase in SYSTOLIC pressure (Coll I does not stretch)
Term
Arteriosclerosis
Definition
AKA Atherosclerosis
Hardening of the arteries
Primarily in largest of the arteries
Tunica intima becomes infiltrated with soft lipids causing lumen diameter to decrease.
Tunica media can often be affected - collagen I and sulfated GAG's can accumulate in the tunica media.
Term
Elastic Arteries and Atherosclerosis
Definition
Blood moving very fast, cell in tunica intima have trouble surviving.
Tunica intima is prone to injury, irritation and infection.
Degeneratice changes may occur in tunica intima; i.e. Accumulation of macrophages, platelets and smooth muscle cells and collagen, proteoglycans and lipids.
Increase in tunica intima width therefore a decrease in lumen size.
Term
Metarterioles
Definition
Overflow prevention system
Present with all capillary beds (usually 2+)
Wider lumen than capillaries.
Term
AVA
Definition
Arteriovenous Anastomosis / AV shunt
"Bypass System"
Wide lumen
thick tunica media
not found everywhere, In skin and stomach
Term
Blood flow into capillaries is controlled/influenced by:
Definition
Lumen size of terminal arteriole
Metarterioles
AVA
Precapillary sphincters
Term
Capillary Structure
Cells
Definition
Single layer of flattened endothelial cells.
Term
Capillary Structure
Pinocytotic Vesicles
Definition
Form transient channels through cytoplasm.
Function: movement of the larger macromolecules. Ex. many proteins, hormones
Term
Capillary structure
Cell Junctions
Definition
Fasciae (spotty) occludens between endothelial cells
Function: A. Exchange of macromolecules
B. Allow cell movement b/w fasciae occludens
Term
Continuous capillaries
Definition
Most common capillary type
Term
Continuous Capillaries
Location
Definition
Muscle, CT, Many organs
Term
Continuous capillaries
Structure
Definition
General Capillary structure
Cells- Single layer of flattened endothelial cells
Pinocytotic vesicle
Fasciae occludens between endothelial cells
Term
Pericytes
Definition
Residual mesenchyme cells
Numerous on capillaries and venules
Secrete basement membrane and matrix components
Can divide
Can change into endothelial cells, smooth muscles, and fibroblasts
Contain contractile fillaments
Term
Pericytes
Functions
Definition
Healing small blood vessels
Regulate blood flow (theory/potential)
Term
Modified continuous capillary
Definition
In CNS
Zonula occludens instead of fasciae occludens
Barrier regulation by endothelium but influenced by astrocytes
Term
Fenestrated capillaries
Location
Definition
Pancreas, intestines, endocrine organs
Term
Fenestrated capillaries
Structure
Definition
pores with thin protein diaphragm containing 8 fibrils
Fibrils have gaps
Term
Fenestrated capillaries
Function
Definition
Allow greater movement of macromolecules and cells
Term
Sinusoidal capillaries
Locations
Definition
Bone marrow, liver, spleen, lymphatic organs and certain endocrine organs
Term
Sinusoidal capillaries
Structure
Definition
Enlarged diameter
Large fenestrae (gaps with no diaphragms)
Term
Sinusoidal capillaries
Function
Definition
Enhance the exchange between blood and cells.
Form of open circulation
Term
Similarities between Veins and Arteries
Definition
Have 3 tunics
Term
Differences between arteries and veins
Definition
Veins:
are not as uniform
There are greater in number
Larger in diameter
Term
Valves
Structure
Definition
2 Flaps of tunica intima
Extra fibroelastic CT
Term
Valves
Function
Definition
Prevent backflow
Works with skeletal muscle to keep blood moving
Term
Venules determined by...
Definition
tunics, not diameter
Term
Postcapillary venules
Tunica Intima
Definition
Endothelium
Small amounts of CT
Numerous Pericytes
Term
Postcapillary venules
Tunica media
Definition
none
Term
Postcapillary venules
Tunica Adventitia
Definition
None
Term
Collecting venules
Tunica Intima
Definition
Endothelium
Small amounts of CT
Term
Collecting venules
Tunica media
Definition
none
Term
Collecting Venules
Tunica adventitia
Definition
CT
Fibroblasts
Pericytes
Term
Muscular venules
Tunica intima
Definition
Endothelium
CT
Term
Muscular venules
Tunica media
Definition
incomplete
smooth muscle present
Term
Muscular venules
Tunica adventitia
Definition
Present
Fewer pericytes
Term
Venules and inflamation
Definition
Products of inflamation loosen junction between endothelial cells and tunica intima- leaky vessels
Term
Small veins
Structure
Definition
Similar to venules, except they have a complete tunica media
Term
Medium Veins
Tunica intima
Definition
Endothelium
Basal lamina
CT with reticular fibers
Sometimes elastic fiber network (but no IEL)
Term
Medium Veins
Tunica media
Definition
Smooth muscle
collagen
fibroblasts
Term
Medium Veins
Tunica adventitia
Definition
CT with collagen and elastic fibers
Few smooth muscle cells
Vasa vasorium possible
Term
Large veins
Tunica intima
Definition
Similar to medium veins
Thicker CT with fibroblasts and elastic fiber network
Term
Large veins
Tunica media
Definition
complete but thin
Term
Large veins
Tunica adventitia
Definition
thickest tunic in the large veins
Much fibroelastic CT
Vasa vasorum
Term
Superficial veins of legs
Tunica media
Definition
well developed
Term
Pulmonary veins
Tunica media
Definition
well developed
Term
Pulmonary veins
Tunica adventitia
Definition
Some cardiac muscle close to heart
Term
Vena Cava
Definition
Tunica adventitia has cardiac ms. close to heart
Term
Inferior Vena Cava
Definition
Thunica adventitia is smooth muscle
Term
Varicose veins
Possible causes
Definition
Valve incompetence
Degeneration of vein walls
Loss of muscle tone
Term
Esophageal verices
Definition
Varicose veins in lower esophagus
Common in alchoholics
Caused by portal hypertension
Term
Hemorrhoids
Definition
Varicose veins at the end of the anal canal
Term
Functions of the Respiratory System
Definition
C02 exchange*
Air Condition
Phonection
Olfaction
Provide Defense

*Respiratory, no* conductive
Term
3 tiers of Filtration system
Definition
Large Particle
Medium Particle
Small Particle
Term
Vestibule
Surface Epithelium
Definition
Continuous with the skin, keritonized squamous epitheliem.
Term
Vestibule
Glands
Definition
Sebaceous and Sweat
Term
Vestibule
Support
Definition
Hyaline Cartilage
Term

Vestibule

Additional Features

Definition
Vibrissae=large particle filter
Term
Functions of respiratory region
Definition
Warming air
Cleaning air
Humidifying air
Provide defense
Term
Respiratory Region
Surface epithelium (and cells)
Definition
Respiratory Epithelium
Ciliated Pseudostratified epithelium
Cells: Basal, goblet, sustentacular
Term
Mucociliary apparatus
Definition
Accomplish mucociliary clearance. Related to sustentacular cells.
Medium particle filter
Term
Respiratory regions
Glands
Definition
Found in lamina propria of mucossa
Seromucus Glands
Term
Seromucus glands
Mucus portion
Definition
Contibute mucus for mucocilliary clearance and to humidify air.
Term
Serromucus Glands
Serous Products
Definition
Lysosyme: antibacterial
Interfurons: antiviral
Cytokines: Chemical messengers, stimulate deffensive cells
Term
Cavernous plexus
Location
Structure
Definition
In lamina propria of respiratory region.
Many large venules, typically partially filled
Term
Functions of cavernous plexus
Definition
Warm the air
Humidify the air
Provide defense~Inflamation process (side effect)
Term
Inflamation process in cavernous plexus
Definition
Increase blood flow into region venules enlarge
Increase Lamina Propria size~Decrease lumen size (stuffy nose)
Increase blood~Increase O2~Stimulate seromucos secretion~runny nose
Term
Olfactory region
Surface epithelium
Definition
Olfactory epithelium with sustentacular, basal, and olfactory cells.
Term
Olfactory cells
Definition
Bipolar nuerons with olfactory cilia extending onto the epithelial surface.
Term
Basal axon
Definition
unmyelinated with a sheath of Schwann cells
Passes through cribriform plate to connect to olfactory bulb
Term
Olfactory region
Glands
Definition
Bowman's glands
Produces a serous product to "cleanse" olfactory cilia
Term
Olfactory region
support
Definition
Bone
Term
Paranasal Sinuses
Where found
Definition
Ethmoid, Sphenoid, frontal, and maxilla bones
Term
Paranasal Sinuses
Epithelium
Definition
Respiratory
Term
Paranasal Sinuses
Lamina Propria
Definition
Thin
Seromucus glands
Quite vascular
Term
Paranasal Sinuses
Possible problem
Definition
some have extra small ostia
LP can swell and block ostia, increasing sinus infections.
Term
Three subdivisions of the Pharynx
Definition
Nasopharynx
Oropharynx
Laryngopharynx
Term
Nasopharynx,Oropharynx,Laryngopharynx
Mucosa, Surface epithelium
Definition
Nasopharynx: respiratory epithelium w/ mucocilliary clearance
Oropharynx: Stratified Squamous
Laryngopharynx: Stratified Squamous
Term
Nasopharynx,Oropharynx,Laryngopharynx
LP:
Definition
Nasopharynx: Pharyngel tonsils (adenoids), Tubal tonsils
Oropharynx: Palantine tonsils, lingual tonsils
Laryngopharynx: None, no tonsils!
Term
Nasopharynx, Oropharynx, Laryngopharynx
MM
Definition
Absent
Term
Nasopharynx, Oropharynx, Laryngopharynx
Submucosa
Definition
Pharyngobasilar fascia
Collagen in periosteum of basilar portion of the occiput blending into submucosa of the pharynx.
Term
Nasopharynx, Oropharynx, Laryngopharynx
Muscularis Externus
Definition
All skeletal muscle (control swallowing)
Reverse pattern (also in ureters)
Inner longitudinal
Outer circular
Term
Nasopharynx, Oropharynx, Laryngopharynx
Adventitia
Definition
CT, Buccopharyngeal fascia
Epimysium ofthe buccinator blends with adventitia of the pharynx
Term
Trachea
Mucosa
Definition
Surface epithelium
Lamina propria
Muscularis mucosa
Term
Trachea
Surface epithelium
Definition
Respiratory Epithelium
Cells:
Goblet 30%
Sustentacular 30%
Basal 30%
Brush cells 3%
Serous Cells 3%
DNES 4$
Term
Trachea
Brush cells
Definition
used up goblet cells
Term
Trachea
Serous cells
Definition
Secretion into lumen
Term
DNES
Definition
small granule, secrete into LP
Diffuse Neuro Endocrine System
Term
Trachea
Lamina Propria
Definition
Loose CT
quite vascular
seromucous glands~small particle filter
Term
Trachea
Muscularis Mucosa
Definition
Absent
Term
Trachea
Submucosa
Definition
Modified
Cartilage (hyaline) C ring found here
Blends with LP
Term
Trachea
Muscularis Externus
Definition
Modified
Individual trachealis muscles that connect ends of cartilage C ring
Term
Trachea
Adventitia
Definition
Outside of trachea
Vertical organ
Term
Extrapulmonary Bronchi
Strucrural trends
Definition
(includes primary bronchi)
Structurally similar to trachea
Decreases in cartilage, glands, goblet cells, and the height of epithelial cells
Increases in smooth muscle and elastic cartilage
Term
Intrapulmonary Bronchi
Definition
Includes secondary tertiary bronchi
Trends form extrapulmonary bronchi continue
Term
Bronchioles
Characteristics
Definition
Less than 1mm
No cartilage in wall
No seromucus glands
Complete layer of smooth muscle
Simple epithelial type:varies by location
Clara cells (only found in bronchials)
Term
Clara Cells
Definition
Secretory cells only found in the surface epithelium of the bronchioles
Secrete product to protect epithelium
Produce enzymes that degrade toxins
Regenerate bronchiolar epithelium
May produce Pulmonary like surfactant
Term
Terminal Bronchioles
Definition
Last part of the conducting portion of the resperatory system
Term
Terminal Bronchioles
Structure epithelium
Definition
Shift from simple columnar to simple cuboidal with clara cells
Term
Terminal Bronchioles
LP
Definition
Fibroelastic cartilage
Term
Terminal Bronchioles
Muscle
Definition
1-2 layers of smooth muscle
Term
Respiratory Bronchioles
Definition
First region of respiratory portion of respiratory system.
Term
Respiratory Bronchioles
Structure
Definition
Similar to bronchioles but with some simple squamous epithelium
Term
Alveolar ducts
Definition
Function: gas exchange
Structure: Alveolar type I and II cells, and Alveolar macrophages
Term
Alveoli
Definition
Function: gas exchange
Structure: Alveolar type I and II cells, and Alveolar macrophages
Term
Alveolar Sacs
Definition
General function: gas exchange
Structure: Alveolar type I and II cells, and Alveolar macrophages
Term
Alveolar Type I cells
Definition
Pneumonocyte
Squamous cells with tight junctions between. Flat.
95% of alveolar surface
Function: gas exchange
Term
Alveolar type II cells
Definition
Cuboid cells
5% of alveolar surface
Produce pulmonary surfactant, so they don't stick together
Stem cell for Alveolar type I/II
Term
Alveolar Macrophage
Definition
Develop from monocytes
Clean interalveolar septum, phagocytize particles not yet dealt with.
Term
Interalveolar Septum
Definition
Continuous capillary in CT
Thin basale lamina
Small amount of CT, many elastic fibers
Term
Blood Gas Barrier
Definition
Region where oxygen and carbon dioxide pass between the air and the blood.
Minimum Diffusion Barrier
Term
Parts of the Blood gas barrier
Definition
Air
1. Surfactant layer
2. Alveolar type I cells
3. Fused basale lamina b/w Alveolar type I and endothelial capillary cell
4. Endothelium cell of capillary
Blood
Term
Chronic exposure to irritants in upper respiratory tract
Definition
Increase goblet cell
Increase Mucus
Decrease sustentacular cells
Increase seromucus gland
Increase fluid
Respiratory epithelium can change to stratified squamous
Term
Thoracic sympathetic Chain ganglion
Definition
Provide fibers which will relax bronchial smooth muscle = Bronchiodiolation
Paradoxically also causes constriction of pulmonary blood vessels by stimulating smooth muscle in TM
Term
Vagus Nerve
Definition
Provides parasympathetic fibers
Contract bronchial smooth muscle = bronchioconstriction
Term
Respiratory Distress of the Newborn
Definition
RDS
Hyaline membrane disease
Caused by shortage of pulmonary surfactant due to lack of mature alveolar type II cells
Premature infants most susceptable
Term
Emphysema
Definition
Decrease in elastin~ Decrease in alveolar elasticity
Ruduces surface for gas exchange
Irreversable
Term
Emphysema
Inflamatory causes
Definition
From smoking, infection, irritants
Attracts macrophages and neutrophils which secrete elastase and damage elastic fibers
Alpha AT protein in lugs that protects from elastase is inactivated by free radicals
Term
Emphysema
Genetic Condition
Definition
Influences hepatocytes and their ability to release Alpha AT
Likely to develop regardless of irritants.
Term
Functions of the digestive system
Definition
Nutrient breakdown (physical & chemical)
Absorption of nutrients
Elimination of wastes
Term
Parotid Gland
Definition
Largest salivary gland
Produces 30% of salivary output
100% serous producing
Filled with adipose with age
Term
Serous products
Definition
Salivary amylase: breakdown carbs
Lysozymes: antibacterial
Secretory IGA: foreign antigen
Term
Submandibular gland
Definition
Produces 60% of salivary output
Fatty infiltration possible
Mixed-produces mucus and serous
80-90% serous products
Term
Sublingual Gland
Definition
Smallest salivary gland
5% salivary output
Mixed gland, 80% mucus
All serous comes from serous demilunes; no seperate serous acini
Term
Esophagus function
Definition
Transfer Bolus from oral cavity to stomach
Term
Esophagus
Surface epithelium
Definition
(mucus membrane)
Stratified Squamous
Contains Langerhans cells
Term
Langerhans cells
Definition
antigen presenting cells, associated with food allergies.
Term
Esophagus
Lamina Propria
Definition
Loose areolar CT
Can have esophageal cardiac glands
Term
Esophogeal Cardiac glands
Definition
Produce mucus to protect epithelium
Located Near pharynx (1st inch) and near stomach (last inch)
Term
Esophagus
Muscularis Mucosa
Definition
Discontinuous layer of longitudinal smooth muscle
Thinner by pharynx, thicker by stomach
Term
Esophagus
Submucosa
Definition
Dense fibroelastic CT
Containrs esophageal proper glands
Term
Esophageal Proper Glands
Definition
Produce mucus to moisten bolus
Produce lysozymes
Produce pepsinogens
Term
Esophagus
Muscularis Exturnus
Definition
Normal patern of inner circular and outer longitudinal layers
Upper 1/3 Skeletal muscle
Middle 1/3 Mixture
Lower 1/3 Smooth muscle
Term
Esophagus
Adventitia/Serosa
Definition
Primarily adventitia except last 1-2 inches (becomes serosa)
Term
Pharygoesophageal sphincter
Definition
between oropharynx and esophagus
Term
Gastroesophageal Sphincter
Definition
Between esophagus and stomach
Term
Characteristics for Physiological sphincters
Definition
No thickening of circular muscle in Muscularis Externis
Pressure Grandient aids movement.
Term
Functions of the stomach
Definition
Primary storage
Some breakdown (mostly chemical)
Term
Rugae
Definition
Longitudinal folds that allow for distension of stomach.
Term
Gastric Pits
Definition
Tiny depressions in the stomach's surface;
1 pit leads to more than 1 gland
Term
Stomach
Surface epithelium
Definition
Simple columnar (in pits also)
Term
Stomach
Mucosa Cells
Definition
Surfface mucus cells: Produce pH7 mucus
Regenerative Cells: primarily in base of gastric pits.
Term
Stomach
Lamina propria
Definition
loose vascular CT present in small amounts between glands
Term
stomach
Muscularis mucosa
Definition
3 layers
Inner circular
Outer longitudinal
Outermost circular (sometimes)
Term
Stomach
Submucosa
Definition
Highly vascular
Location of AVA (AV shunts)
Submucosal (Meissner's plexus) next to inner circular layer of muscle
Term
Stomach
Muscularis Externus
Definition
Three layers
Innermost oblique (may be absent)
Middle circular (well developed)
Outer longitudinal (thing
Term
Myenteric (Aurbach's) plexus
Definition
Between circular and longituddinal layers of stomach ME
Stimulates ME
Term
Stomach
Serosa
Definition
All around stomach
Term
Stomach
Cardiac region
Definition
Shorter pits leading to cardiac glands
Cells: Surface mucus, neck mucus, DNES, parietal cells.
No Cheif Cells
Term
Stomach
Gastric region
Definition
Gastric gland
Term
Gastric Gland
Isthmus Cells
Definition
Surface mucus
DNES TYPE D: produces somatostatin and inhibits release of hormones by DNES cells
DNES type EC: seratonin and substance P, Increases peristalsis
DNES type G: produces gasstrin, stimulates HCL secretion, gastric motility, regenerative cells
Term
Stomach
Neck Cells
Definition
Neck mucus cells (ph 5)
Regenerative cells
Parietal cells: odd shaped columnar, Produce HCL pH .8, immediately buffered to 2, Produces Gastric Intrinsic factor (neccissary for Vit B digestion
DNES cells
Term
Chronic gastridis
Definition
Inflamation of stomach wall
Can lead to peraicious Anemia
Decrease parietal cells and Gastric Intrinsic Factor
Decrease vit B absorption for RBC
Term
Stomach
Base cells
Definition
Cheif Cells: produce primarily pepsinogen (breakdown protiens) and some gastric lypase (break down fat)
Parietal cells
DNES cells
Term
Stomach
Pyloric region
Definition
Deeper pits, twisted and branched pyloric glands
Cells: some surface mucase, DNES, and parietal cells. Primarily neck mucus cells (Also produce some lysozyme)
Term
Pyloric Sphincter
Definition
Anatomical sphincter between pylorus of stomach and duodenum.
Well developed inner circular layer of muscle (which can be independently controlled) in ME
Term
Small intestines
General functions
Definition
Absorption of nutrients
Digestion
Produce intestinal hormones
Term
Small intestines
surface adaptations
Definition
increase surface area by 400X
Plicae circulares (valves of Kerckring)
Villi
Microvilli (on the luminal cell surface)
Term
Plicae Circulares
Definition
Permanent folds affecting the mucosa and submucosa, found in duodenum, jejunum, and proximal ilium
Term
Intestines
Surface epithelium
Definition
Simple columnar
Term
Intestines
Cell types
Definition
Surface absorptive cells
Goblet cells
DNES cells
Regenerative cells
Paneth cells
Term
Intestines
Surface absorptive cells
Definition
Contain microvilli
Absorb water and nutrients
Terminal digestion in glycocalyx
Term
Intestines
Goblet cells
Definition
fewest in duodenum, most in ileum
Term
Intestines
DNES Cells
Definition
Type 1: produce cholecystokinin (stimulates gallbladder contraction/pancreas secretion)
Type K: produces GIP, inhibits HCL
Type S: produces secretin: stimulates pancreas secretion
Type VIP: produces vasoactive intestinal peptide (increases peristalsis in intestines)
Term
Regenerative cells
Definition
found in crypts
Term
Paneth cells
Definition
Long lived (20 days)
Found at base of cryps
Produces lysozymes
Term
Intestines
Lamina propria
Definition
Loose areolar CT
Vascular components
Some lingitudinal smooth muscle
Term
Intestines
Lamina propria
Lacteals
Definition
Lymphatic capillaries
Function in lipid absorption
Term
Intestines
Lamina propria
Definition
Term
Intestines
Muscularis Mucosa
Definition
thin, but present
Connects to smooth muscle in villi
Term
Intestines
Submucosa
Definition
Dense fibroelastic CT
Very vascular
Term
Duodenum
Brunner's Glands
Definition
Seromucus glands
Produce:
Alkaline mucus (buffers chyme as it leaves stomach)
Verogastron (epidermal growth hormone) increases mitosis for hormone epi cells.
Inhibit HCL
Term
Jejunum
Submucosa
Definition
No structures of significance
Term
Ileum
Submucossa
Definition
location of peyers patches (groups of extra large lymph nodules)
Term
Submucosal (Meissner'sP plexus
Definition
Parasympathetic innervation
Close to circular muscle in ME
Term
Intestines
Muscularis Externus
Definition
Normal Patern
Myenteric (Auerbach's) plexus: stimulates ME for peristalsis, found between circular and longitudinal layers of muscle in ME
Term
Intestines
Serosa/Adventitia
Definition
Serosa: all of jejunum and ileum, first and last cm of duodenum
Adventitia: vertical portion of duodenum
Term
Ileocecal Valve
Definition
found between ileum and caecum of colon
Physiological and anotomical sphincter
Term
Appendix
Definition
blind pouch extending from cecum
Term
Appendix
Surface epithelium
Definition
Simple columnar with surface absorptive cells, goblets, regenerative cells, and DNES cells
Short crypts, no Villi
Term
Appendix
Lamina Propria?
Definition
Yes
Term
Appendix
Muscularis Mucosa
Definition
poorly developed
Term
Appendix
Submucosa
Definition
Thick layer with large blood vessels
numerous large lymph nodules
Term
Appendix
Muscularis externus
Definition
Normal patern but thin
Term
Appendix
Function
Definition
Humoral immunity (abdominal tonsil)
Reservoir for "good bacteria"
Term
Colon
General functions
Definition
Absorption of water
Compaction of feces (lubrication and elimination)
Production of some vitamins by "good bacteria"
Term
Colon
Surface epithelium
Definition
Simple columnar
Many goblets and surface absorptive cells, some regenerative cells and very few DNES cells
Term
Colon
Lamina propria
Definition
typical
Term
Colon
Muscularis Mucosa
Definition
Typical
Term
Colon Lacks
Definition
villi
Paneth cells
Term
Colon
Submucosa
Definition
Typical
Term
Colon
Muscularis Externus
Definition
Not normal!
Outer longitudinal ms is gathered into teniae coli and is discontinuous
Term
Haustra coli
Definition
Sacculations caused by constant tonus of teniae coli
Term
Colon
Adventitia/Serosa
Definition
Ascending and Decending: adventitia (vertical)
Transverse and Sigmoid: Serosa (horizontal)
Term
Appendices epiploicae
Definition
fat filled pouches created by serosa
Term
Peptic Ulcer Disease
Causes
Definition
1) Insufficient protection from HCL and pepsin
2) Helicobacter pylori: a bacteria

Damaged tissue can repair in 1-2 months if acidity is decreased
Term
Factors delaying healing of ulcers
Definition
cigarettes
alchohol
coffee/caffine
Calcium (stimulates parietal cells)
Asprin
Term
Gastroesophageal reflux
Causes
Definition
Chronic gastritis (inflamation of stomach lining)
Hiatial hernia
Pregnancy
Incompetent lower esophageal sphincter
Subluxations (myenteric plexus)
Term
Barrett's esophagus
Definition
Stratified squamous epithelium replaced by mucus secreting simple columnar epithelium in distal esophagus. Metaplasia
Term
Gallbladder
Functions
Definition
store bile (70ml)
Concentrate bile
Term
Bile release controlled by...
Definition
Cholexystokinin and the vagus nerve
Term
Gallbladder
Mucosa
Definition
Surface epithelium: simple columnar
Lamina propria: loose vascular ct
Muscularis mucosa: absent
Term
Gallbladder
Submucosa
Definition
Absent!
Term
Gallbladder
Muscularis externus
Definition
Not normal pattern!
thin smooth muscle layer with disorganized arangement
Term
Gallbladder
Serosa/adventitia
Definition
Mostly serosa
Term
Pancreas
Definition
Surrounded by thin ct capsule
Divided into lobules by septa
Term
Exocrine portion of pancreas
Definition
Largest portion of pancreas
islets of Langerhans
Term
Exocrine pancreas
Definition
Serous acini and pancreatic ducts
Term
Serous acini
Definition
secretion controlled by cholestocytokinin and acetylcholine from parasympathetic nerves
Term
Centroacinar cells
Definition
located next to acinar cells (in pancreatic ducts)
produce alkaline fluid with bicarbonate ions
Term
Collagen rich ct
Definition
wraps pancreatic ducts
Provides extra protection from digestive enzymes
Term
Buffers for chyme
Definition
Brunners gland: alkaline mucus
Centroacinar cells: alkaline fluid
Term
Liver
Definition
largest gland in the body
Endocrine and exocrine functions
Term
Liver
Functions
Definition
Metabolism of fats, carbs, proteins
Production of blood proteins, factors, vitamins
Detoxify blood
Produce hepatic bile
Store vitamins
Term
Hepatocytes
Definition
microvilliated cuboidal cells
Lateral bile canaliculi are between ajacent hepatocytes
Term
Bile canaliculi
Definition
collect bile
bile moves from hepatocytes toward bile duct branch in portal triad
Term
Kupffer cells
Definition
Macrofages in liver. Develop from monocytes
Term
Liver
Lipocytes
Definition
Store lipids for immediate use
Not associated with cirrhosis
May store fat soluable vitamins
Term
Liver
Pit cells
Definition
natural killer cells
Term
Portal triads include
Definition
hepatic artery
portal vein
bile duct
lymph vessels
Term
Hepatic sinusoids
Definition
dilated, fenestrated thin walled vessels found between the rows of hepatocytes
75% venous 25% arterial blood
Term
Liver
Central vein
Definition
fenestrated thin walled vessel that collects blood from the hepatic sinusoids.
Blood flows from the portal triad to the central vein
Term
Space of disse
Definition
(perisunusoidal space)
Space between hepatocytes and fenestrated hepatic sinusoids where blood can directly contact the microvillated surfaces of the hepatocytes
Blood flow very slow here
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