Chapter 24 - The Digestive System Flashcards
What are the Organs of the Digestive System?
1- Mouth (Oral Cavity)
Contains Teeth and Tongue
2- Parotid Gland (Salivary Gland)
3-Sublingual Gland (Salivary Gland)
4- Submandibular Gland (Salivary Gland)
5- Pharynx
6- Esophagus
7- Liver
8- Gallbladder
9- Stomach
10- Pancreas
11- Duodenum
12- Jejunum
13- Ileum
14- Cecum
15- Appendix
16- Ascending Colon
17- Transverse Colon
18- Descending Colon
19- Sigmoid Colon
20- Rectum
21- Anal Canal
22- Anus
What are Named Portions of the GI Tract?
1- Esophagus
2- Stomach
3- Small Intestine
4- Large Intestine
5- Rectum
What are Accessory Structures of the GI Tract?
1- Teeth
2- Tongue
3- Salivary Glands (Parotid, Sublingual, Submandibular)
4- Liver
5- Gallbladder
6- Pancreas
What are the 6 Basic Processes in Digestion?
1- Ingestion
2- Secretion
3- Motility
4- Digestion
5- Absorption
6- Defecation
What are the Layers of the GI Tract?
From deep to superficial:
1- Mucosa:
Lumen
Epithelium (with Glands in Mucosa)
Lamina Propria (has MALT)
Muscularis Mucosae
Ducts of Glands outside GI Tract (Like from Pancreas)
2- Submucosa:
Glands in Submucosa
Submucosal Plexus (Plexus of Meissner)
3- Muscularis:
Circular Muscle
Longitudinal Muscle
Myenteric Plexus (Plexus of Auerbach)
4- Serosa:
Areolar Connective Tissue
Epithelium
Arteries
Nerves
Veins
Mesentery
What is Enteric Nervous System?
For Digestion:
1- Submucosal Plexus
2- Myenteric Plexus
What is ANS for Gut?
1- Parasympathetic:
Relaxed
Energy on food
2- Sympathetic:
Fight-or-flight
Energy on something else
What is GI Reflex Pathway?
GI Reflex Pathways regulate GI secretion and motility in response to stimuli within the GI Tract
1- Mucosal Epithelium send nerve impulse to ANS, CNS, and Enteric Nervous System
2- In Enteric Nervous System, Submucosal Plexus sends sensory nerve impulse to Myenteric Plexus and motor nerve impulse back to Mucosal Epithelium
3- In Enteric Nervous System, Myenteric Plexus sends motor nerve impulse to Longitudinal and Circular smooth muscle layers of Muscularis
What is Peritoneum?
Peritoneum:
Largest serous membrane in body
1- Lesser Omentum:
Posteroinferior to Liver
Posterosuperior to Stomach
Connects Liver and Stomach
2- Mesocolon:
Inferior to Pancreas and Stomach
Posterosuperior to Transverse Colon
Holds Pancreas to Transverse Colon
3- Mesentery:
Between Duodenum and Jejunum
Holds Duodenum to Jejunum
4- Greater Omentum:
Anterior to most GI Tract
Connected to Stomach and Transverse Colon
What is the Mouth?
Mouth:
Formed by Cheeks, Hard Palate, Soft Palate
1- Superior Labial Frenulum:
Attaches superior lip to gum
2- Gingivae:
Gums
Cover tooth sockets
Help anchor teeth
3- Hard Palate:
Bony
Forms most of the roof of the mouth
4- Soft Palate:
Muscular
Forms the rest of the mouth’s roof
5- Uvula:
Prevents swallowed food from entering Nasal Cavity
6- Fauces:
Opening between Oral Cavity and Oropharynx
7- Tongue:
Forms floor of mouth
Manipulates food for chewing and swallowing
Shapes food
Senses taste
8- Lingual Frenulum:
Limits movements of Tongue posteriorly
9- Inferior Labial Frenulum:
Attaches inferior lip to gum
10- Cheek:
Forms lateral wall of Oral Cavity
11- Molars:
3 Last teeth on each side (12 total)
Grind food
12- Premolars:
2 Teeth on each side (8 total)
Crush and grind food
13- Canines
1 Tooth on each side (4 total)
Tears food
14- Incisors:
4 Teeth up and down (8 total)
Cut food
15- Oral Vestibule:
Space between Cheeks, Lips, Gums, and Teeth
What are Salivary Glands?
Salivary Glands:
Outside mouth
Empty contents into ducts which deliver saliva to Oral Cavity
3 Pairs:
1- Parotids Glands
2- Submandibular Glands
3- Sublingual Glands
What is the Tongue?
Together with associated muscles, forms floor of Oral Cavity
Composed of skeletal muscle covered with mucous membrane
Participates in chewing, swallowing, and speech
Upper and Lateral surfaces on Tongue are covered with Papillae, some of which contain Taste Buds
What are Teeth?
Teeth:
Project into mouth and adapted for mechanical digestion
From Superficial to Deep:
a- Crown:
1- Enamel:
Made of calcium salts
Protects the tooth from wear and tear
2- Dentin:
Calcified connective tissue
Makes majority of tooth
b- Neck:
1- Gingival Sulcus
2- Gingiva
3- Pulp Cavity:
Contains Pulp (connective tissues containing nerves and blood vessels)
c- Root:
1- Pulp Cavity
2- Cementum:
Bone-like substance that attaches Root to Periodontal Ligament
3- Root Canal:
Extension of the Pulp Cavity that contains nerves and blood vessels
4- Alveolar Bone
5- Periodontal Ligament:
Helps anchor tooth to underlying bone
6- Apical Foramen:
Opening at base of a Root Canal through which blood vessels, Lymphatic vessels, and nerves enter the tooth
What is Mechanical Digestion in Mouth?
Chewing mixes food with saliva and forms Bolus which is easily swallowed
What is Chemical Digestion in Mouth?
Salivary Amylase converts polysaccharides to disaccharides
What does Cheek and Lips do?
Keep food between teeth
What does Salivary Glands do?
Secrete Saliva
What does Extrinsic Tongue Muscles do?
Move tongue from side to side and in and out
What does Intrinsic Tongue Muscles do?
Alter shape of tongue
What does Taste Buds do?
Serve as receptors for Gustation and presence of food in mouth
What does Lingual Glands do?
Secrete Lingual Lipase
Breaks down Triglycerides into fatty acids and Diglycerides
What does Teeth do?
Cut, tear, and pulverize food
What is Pharynx?
Pharynx:
Funnel-shaped tube that extends from Internal Nares to Esophagus posteriorly and to Larynx anteriorly
Composed of skeletal muscles and lined with mucous membrane
What is Esophagus?
Esophagus:
Collapsible, muscular tube that lies posterior to Trachea and connects Pharynx to Stomach
1- Lumen of Esophagus
2- Mucosa:
Nonkeratinized stratified squamous epithelium
Lamina Propria
Muscularis Mucosae
2- Submucosa
3- Muscularis:
Circular layer
Longitudinal layer
4- Adventitia
What is Deglutition?
1- Tongue shapes the chewed, lubricated food (Bolus) and moves it to the back of the mouth cavity
2- Tongue rises against the Palate and closes the Nasopharynx
3- Uvula and Palate seal off the Nasal Cavity
4- Epiglottis covers the Trachea
Breathing is temporarily interrupted
What is Stomach?
J-shaped enlargement of GI Tract
Esophagus goes to Stomach
1- Esophageal Sphincter
2- Cardia
3- Body
4- Pyloric Antrum
5- Pyloric Canal
6- Pyloric Sphincter
7- Pylorus
8- Duodenum
Fundus:
Top part of Stomach
Lesser Curvature:
Top part
Greater Curvature:
Bottom part
Serosa
Muscularis:
1- Longitudinal layer
2- Circular layer
3- Oblique layer
Rugae of Mucosa
What are the Functions of the Stomach?
1- Mixes saliva, food, and gastric juice to form Chyme
2- Serve as reservoir for food before release into Small Intestine
3- Secrete gastric juice, which contains HCL, Pepsin, Intrinsic Factor, and Gastric Lipase
4- Secretes Gastrin into blood
What are the Cells of the Stomach?
1- Surface Mucous Cell:
Secretes mucus
2- Mucous Neck Cell:
Secretes mucus
3- Parietal Cell:
Secretes HCL - Kills microbes in food, denatures proteins, converts Pepsinogen inti Pepsin
Secretes Intrinsic Factor - Needed for absorption of vitamin B12 for Erythropoiesis
4- Chief Cell:
Secretes Pepsinogen - Pepsin (activated form) breaks down proteins into peptides
Secretes Gastric Lipase - Splits Triglycerides into fatty acids and Monoglycerides
5- G Cell:
Secretes the hormone Gastrin - Stimulates Parietal Cells to secrete HCL and Chief Cells to secrete Pepsinogen, and increase motility of stomach, and relaxes Pyloric Sphincter
What is Pancreas?
Pancreas is a Gland that:
Lies posteriorly to Stomach
Produce enzymes that digest carbs, proteins, fats, and nucleic acids
Produces Sodium Bicarbonate which buffers Stomach Acid
Empties its contents into the Duodenum
Head
Body
Tail
Pancreatic Duct (Duct of Wirsung)
Common Bile Duct
Major Duodenal Papilla
What is Liver and Gallbladder?
Liver:
Makes Bile, which is important in the emulsification of fats
Right Lobe
Left Lobe
Right Hepatic Duct
Left Hepatic Duct
Common Hepatic Duct
Gallbladder:
Stores Bile until it is needed
Fundus
Body
Neck
Cystic Duct
Right and Left Hepatic Ducts merge into Common Hepatic Duct
Common Hepatic Duct and Cystic Duct merge into Common Bile Duct
Common Bile Duct merges with Pancreatic Duct into Hepatopancreatic Ampulla (Ampulla of Vater) and goes inot Duodenum
What is Histology of Liver?
Liver composed of:
Hepatocytes
Bile Canaliculi
Hepatic Sinusoids
1- Portal Triad:
Bile Duct
Branch of Hepatic Artery
Branch of Hepatic Portal Vein
2- Central Vein
3- Bile Canaliculi:
(Canals leading to Bile Duct from between Hepatic Laminae)
4- Hepatocytes
5- Hepatic Laminae:
(Rooms for Hepatocytes)
6- Hepatic Sinusoids:
(Between Hepatic Laminae)
7- Stellate Reticuloendothelial Cell (Kupffer Cell)
8- Connective Tissue
What is Blood Supply of the Liver?
1- Oxygenated blood from Hepatic Artery
Nutrient-rich deoxygenated blood form Hepatic Portal Vein
2- Hepatic Sinusoids
3- Central Vein
4- Hepatic Vein
5- Inferior Vena Cava
6- Right Atrium
What is Functions of Liver and Gallbladder?
1- Carbohydrate, lipid, and protein metabolism
2- Processing of drugs and hormones
3- Bilirubin excretion
4- Bile Salts synthesis
5- Storage
6- Phagocytosis
7- Vitamin D activation
What is Small Intestine?
Small Intestine:
Majority of Digestion and Absorption occurs in Small Intestine
Duodenum
Jejunum
Ileum
What is Functions of Small Intestine?
1- Segmentations mix Chyme with Digestive Juices and brings food into contact with Mucosa for Absorption
Peristalsis propels Chyme through Small Intestine
2- Completes Digestion of carbohydrates, proteins, lipids
Begins and completes digestion of nucleic acids
3- Absorbs about 90% of nutrients and water that pass through Digestive System
What is Circular Folds in Small Intestine?
Circular Folds:
Plicae Circulares
Increase surface area for digestion and absorption
What is Histology of Small Intestine?
1- Serosa
2- Muscularis:
Longitudinal layer
Myenteric Plexus
Circular layer
3- Submucosa:
Lymphatic vessel
Arteriole
Venule
4- Mucosa:
Muscularis Mucosae
Lamina Propria
Lymphatic Nodule
Paneth Cell
Opening of Intestinal Gland
Enteroendocrine Cell
Lacteal
Goblet Cell
Blood Capillaries
Villi
Absorptive Cell (with Microvilli)
What are Cells of Small Intestine?
1- Paneth Cell:
Secretes Lysozyme
Capable of Phagocytosis
2- Enteroendocrine Cell:
Secrete the hormone Secretin, Cholecystokinin (CCK), or GIP
3- Goblet Cell:
Secrete Mucus
4- Absorptive Cell:
Digests and absorbs nutrients