Ch. 23 PPT Notes Flashcards
understanding the process of digestion will help in properly assessing patients with digestive disorders such as … and …
acid reflux; heartburn
main functions of the digestive system: take in ... break it down into ... ... molecules into the bloodstream rid body of any ...
food;
nutrient molecules;
absorb;
indigestible remains
Organs of the digestive system fall into two groups:
1. … (… or … or …)
alimentary canal; gastrointestinal; GI tract; gut
Organs of the digestive system fall into two groups:
alimentary canal/GI tract:
continuous muscular tube that runs from the … to the …
…: breaks down into smaller fragments
mouth; anus;
digests food
Organs of the digestive system fall into two groups:
alimentary canal/GI tract:
absorbs fragments through … into …
lining; blood
Organs of the digestive system fall into two groups: alimentary canal organs: ... ... ... ... ... ... ...
mouth; pharynx; esophagus; stomach; small intestine; large intestine; anus
Organs of the digestive system fall into two groups:
2. accessory digestive organs:
…
…
…
….: produce secretions that help break down foodstuffs
teeth;
tongue;
gallbladder;
digestive glands
Organs of the digestive system fall into two groups:
2. accessory digestive organs:
digestive glands: …, …, and …
salivary glands; liver; pancreas
Processing of food involves six essential activities:
- …: eating
- …: movement of food through the alimentary canal
ingestion;
propulsion
Processing of food involves six essential activities:
propulsion includes:
…
…: major means of propulsion of food that involves alternating waves of … and …
swallowing;
peristalsis;
contraction; relaxation
Peristalsis:
adjacent segments of the alimentary canal organs alternately … and …:
food is moved … along the tract
primarily …; some … may occur
contract; relax;
distally;
propulsive; mixing
segmentation:
… segments of the alimentary canal organs contract and relax:
food is moved …, then …
primarily … food and breaks it down …; some … may occur
nonadjacent;
forward; backward;
mixes;
mechanically; propulsion
(digestive processes) mechanical breakdown: includes …, mixing food with …, … food in stomach, and …
chewing;
saliva;
churning;
segmentation
(digestive processes) digestion: series of … steps that involves enzymes that break down complex food molecules into chemical building blocks
absorption: passage of digested fragments from … into … or …
catabolic;
lumen of GI tract;
blood; lymph
(digestive processes)
defecation: elimination of … substances via … in form of feces
indigestible; anus
(relationship of digestive organs to peritoneum) peritoneum: … membranes of abdominal cavity that consists of:
…: membrane on external surface of most digestive organs
…: membrane that lines body wall
serous;
visceral peritoneum;
parietal peritoneum
(relationship of digestive organs to peritoneum) …: fluid-filled space between two peritoneums; fluid … mobile organs
peritoneal cavity;
lubricates
(relationship of digestive organs to peritoneum) …: double layer of peritoneum; layers are … back to back
mesentery; fused
(relationship of digestive organs to peritoneum) mesentery:
extends from … to …
provides routes for …, …, and …
body wall; digestive organs;
blood vessels; lymphatics; nerves
(relationship of digestive organs to peritoneum)
mesentery … and also stores …
organs in place; fat
(relationship of digestive organs to peritoneum) … (…) organs: organs that are located within the peritoneum
intraperitoneal; peritoneal
(relationship of digestive organs to peritoneum) … organs: located outside, or posterior to, the peritoneum
includes most of …, …, and parts of …
retroperitoneal; pancreas; duodenum; large intestine
…: inflammation of peritoneum
peritonitis
peritonitis:
can be caused by …, …, or …
piercing abdominal wound; perforating ulcer;
ruptured appendix
peritonitis:
peritoneal coverings …, which helps … infection
dangerous and lethal if it becomes widespread
stick together; localize
peritonitis:
treatment- … and megadoses of …
debris removal; antibiotics
(histology of the alimentary canal) all digestive organs have the same four basic layers, or tunics:
- …
- …
- …
- …
mucosa;
submucosa;
muscularis externa;
serosa
(histology of the alimentary canal) 1. mucosa: tunic layer that lines ... functions: different layers perform one or all three- secretes ..., ..., and ... ... end products of digestion protects against ...
lumen;
mucus; digestive enzymes; hormones;
absorbs;
infectious disease
(histology of the alimentary canal) 1. mucosa made up of three sublayers: ... ... ...
epithelium;
lamina propria;
muscularis mucosae
(histology of the alimentary canal) 1. mucosa- epithelium: … epithelium and … cells in most of tract
simple columnar;
mucus-secreting
(histology of the alimentary canal) 1. mucosa-epithelium:
…, …, and … are made up of … epithelium (NOT simple columnar)
mouth; esophagus; anus;
stratified squamous
(histology of the alimentary canal) 1. mucosa-epithelium:
secretes … –> … digestive organs from … and … food passage
mucus;
protects; enzymes;
eases
(histology of the alimentary canal) 1. mucosa-epithelium:
may secrete … and … (e.g. in … and …)
enzymes; hormones; stomach; small intestine
(histology of the alimentary canal) 2. lamina propria: made up of … tissue
rich supply of … located there –> needed for nourishment and absorption
loose areolar connective;
capillaries
(histology of the alimentary canal)
2. lamina propria
also contains … that help defend against microorganisms. these are part of … (… tissue)
lymphoid follicles; MALT; mucosa-associated lymphoid tissue
(histology of the alimentary canal) muscularis mucosae:
… that produces … movements of …
smooth muscle; local; mucosa
(histology of the alimentary canal) 2. submucosa:
consists of … tissue
contains … and … vessels, …, and … that supply surrounding GI tract tissues
areolar connective;
blood; lymphatic;
lymphoid follicles;
submucosal nerve plexus
(histology of the alimentary canal) 2. submucosa:
has abundant amount of … tissues that help organs to … after storing large meal
elastic tissues;
regain shape
(histology of the alimentary canal) 3. muscularis externa:
muscle layer responsible for … and …
contains … muscle layer and outer … layers
segmentation; peristalsis;
inner circular;
longitudinal
(histology of the alimentary canal) 3. muscularis externa:
circular layer thickens in some areas to form …
sphincters
(histology of the alimentary canal) 4. serosa:
… layer, which is made up of the …
outermost; visceral peritoneum
(histology of the alimentary canal) 4. serosa:
formed from … tissue covered with … (single layer of … epithelium) in most organs
areolar connective;
mesothelium;
squamous
(histology of the alimentary canal) 4. serosa:
replaced by … in … –> … connective tissue that holds this structure to surrounding structures
fibrous adventitia; esophagus;
dense
(blood supply: splanchnic circulation) splanchnic circulation includes:
arteries that branch off … to serve digestive organs –>
…, …, and … arteries
… and…. arteries
aorta;
hepatic; splenic; left gastric;
inferior and superior mesenteric
(blood supply: splanchnic circulation) splanchnic circulation includes:
… circulation:
drains … blood from digestive organs
delivers blood to … for processing
hepatic portal;
nutrient-rich blood;
liver
GI tract has its own nervous system, referred to as the … nervous system
also called the …
contains more neurons than …
enteric nervous system;
gut brain;
spinal cord
(enteric nervous system) gut brain is made up of … that communicate extensively with each other –> major nerve supply to GI tract wall that controls …
enteric neurons; motility
(enteric nervous system)
enteric neurons make up bulk of two main interconnecting … nerve plexuses:
… nerve plexus and … nerve plexus
intrinsic;
submucosal;
myenteric
(enteric nervous system)
submucosal nerve plexus: regulates … and … in …
myenteric nerve plexus: controls GI tract …
glands; smooth muscle; mucosa;
motility
(enteric nervous system)
enteric nervous system participates in both … and …
short and long reflex arcs
(enteric nervous system) enteric NS participates in both short and long reflex arcs:
short reflexes: mediated by … (…); respond to stimuli …
enteric nerve plexuses; gut brain; in GI tract
(enteric nervous system)
enteric NS participates in both short and long reflex arcs:
long reflexes: respond to stimuli arising … or …, such as from … nervous system
inside; outside of gut; autonomic
(enteric nervous system)
long refluxes:
parasympathetic system … digestive process
sympathetic system … digestion
enhances;
inhibits
(enteric nervous system) external stimuli (sight, smell, taste, thought of food) goes to … to local (intrinsic) nerve plexus via … and then goes to effectors (smooth muscle/glands), yielding a response (change in … or … activity)
CNS; extrinsic visceral (autonomic) efferents;
contractile; secretory
(enteric nervous system) internal stimuli picked up by …, …, or … and travel to CNS and then to local nerve plexus through extrinsic visceral efferents, to effectors to yield a response
chemoreceptors;
osmoreceptors;
mechanoreceptors;
(enteric nervous system)
internal stimuli go to receptors and by … to local nerve plexus, to effectors, to yield response
short reflexes
(enteric nervous system) … is the site of short reflexes
gastrointestinal wall
3 key concepts regulate GI activity:
1. digestive activity is provoked by a range of … and … stimuli:
… located in walls of GI tract organs
mechanical; chemical;
receptors
3 key concepts regulate GI activity:
1. digestive activity provoked by mechanical/chemical stimuli:
respond to …, changes in … and …, and presence of … and … of digestion
stretch;
osmolarity;
pH;
substrate; end products
3 key concepts regulate GI activity:
2. effectors of digestive activity are … and …
smooth muscle; glands
3 key concepts regulate GI activity:
2. effectors of digestive activity:
when stimulated, receptors initiate reflexes that stimulate smooth muscle to … and … lumen contents
reflexes can also activate/inhibit digestive glands that secrete … or …
mix; move;
digestive juices; hormones
3 key concepts regulate GI activity:
3. … (intrinsic and extrinsic) and … control digestive activity
neurons; hormones
3 key concepts regulate GI activity:
3. neurons and hormones control digestive activity:
nervous system control
intrinsic controls: involve … (… NS)
extrinsic controls: involve … (… NS)
short reflexes; enteric;
long reflexes; autonomic
3 key concepts regulate GI activity:
3. neurons and hormones control digestive activity:
hormonal controls:
hormones from cells in … and … stimulate target cells in same/different organs to … or …
stomach; small intestine;
secrete; contract
mouth is where food is … and mixed with … that begins process of digestion, and … process is initiated
chewed;
enzyme-containing saliva;
swallowing
mouth and associated organs associated organs include: ... ... ... ...
mouth;
tongue;
salivary glands;
teeth
mouth and associated organs
mouth:
also called the … (…) cavity
bounded by … anteriorly, … laterally, … superiorly, and … inferiorly
oral; buccal; lips; cheeks; palate; tongue
mouth and associated organs
mouth:
… is the anterior opening
walls of mouth lined with … epithelium
oral orifice;
stratified squamous
mouth and associated organs
mouth:
walls of mouth lined with stratified squamous epithelium:
tough cells that resist …
cells of gums, hard palate, and part of tongue are … for extra protection
abrasion;
keratinized
mouth and associated organs
lips and cheeks:
lips (…): composed of fleshy … muscle
cheeks: composed of … muscles
oral vestibule: recess … to lips and cheeks, … to teeth and gums
labia; orbicularis oris;
buccinator;
internal; external
mouth and associated organs
lips and cheeks:
oral cavity proper: lies within … and …
…: median attachment of each lip to gum
teeth; gums;
labial frenulum
mouth and associated organs
tongue:
tongue occupies .. of mouth
composed of interlacing bundles of … muscle
floor; skeletal
mouth and associated organs
tongue:
functions include: …, …, and … of food during chewing
formation of …, mixture of food and saliva
initiation of …, …, and …
gripping; repositioning; mixing;
bolus;
swallowing; speech; taste
mouth and associated organs tongue: intrinsic muscles change ... of tongue extrinsic muscles alter tongue's ... ...: attachment for tongue to the floor of the mouth
shape;
position;
lingual frenulum
…: congenital condition in which children are born with an extremely short lingual frenulum:
often referred to as “…” or “…”
restricted tongue movement …
treatment: surgical … of …
ankyloglossia;
tongue-tied; fused tongue;
distorts speech;
snipping; frenulum
(salivary glands) functions of saliva: ... mouth ... food chemicals for ... ... food; compacts into ... begins breakdown of starch with enzyme ...
cleanses;
dissolves; taste;
moistens; bolus;
amylase
(salivary glands) most saliva produced by … (…) salivary glands located outside oral cavity
… salivary glands are scattered throughout oral cavity; augment slightly
major (extrinsic);
minor
(salivary glands) major salivary glands include:
…: anterior to ear and external to masseter muscle
…: medial to body of mandible
…: anterior to submandibular gland under tongue
parotid;
submandibular;
sublingual
(salivary glands) parotid duct opens into … next to second upper molar
submandibular duct opens at base of …
sublingual opens via … into … of mouth
oral vestibule;
lingual frenulum;
10-12 ducts; floor
(salivary glands) salivary glands are composed of two types of secretory cells:
… cells: and … cells
serous; mucous
(salivary glands) serous cells: produce … secretion, …, …, bit of …
mucous cells: produce …
watery; enzymes; ions; mucin;
mucus
(salivary glands) parotid and submandibular glands contain mostly … cells, but sublingual gland consists mostly of … cells
serous; mucous
(salivary glands) mumps: inflammation of … caused by the mumps virus (…)
parotid gland; myxovirus
(salivary glands) mumps:
common … disease
can spread from person to person via …
children’s;
saliva
(salivary glands) mumps:
symptoms- pain upon trying to … or …, moderate … and pain when swallowing … foods like pickles, grapefruit, or juice
open mouth; chew;
fever;
acidic;
(salivary glands) mumps in adult males carries a … risk of infecting … too, which could lead to …
25%;
testes;
sterility