defecation Flashcards

1
Q

What systems are involved in defecation?

A

GIT
nervous
muscoskeletal

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2
Q

What does the right colon do?

A

reservoir that mixes and stores contents

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3
Q

What does the left colon do?

A

conduit - transmits water and fluid

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4
Q

What does the colon do?

A
  • delays passage to allow for water absorption
  • mixing of contents with mucosa
  • storing before defecation
  • propel towards rectum
  • begin urge
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5
Q

what 2 sphincters control defecation?

A

internal anal sphincter

external anal sphincter

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6
Q

internal anal sphincter (muscles and voluntary/involuntary)

A

smooth muscle cells

involuntary control

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7
Q

external anal sphincter

A

striated muscle cells

voluntary control

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8
Q

What nerve controls voluntary motor control of fecal/urinary continence?

A

pudendal nerve

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9
Q

Where does pudendal nerve come from?

A

sacral spinal cord

S2 - S4

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10
Q

Where does pudendal nerve go to?

A

anus
vagina
bladder

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11
Q

What nerve regulates emptying of bladder and opening/closing of urethral sphincter?

A

pelvic nerve

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12
Q

Where does the pelvic nerve go to?

A

rectum

bladder

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13
Q

What nerve for proprioception and functioning of urethral/anal sphincters?

A

hypogastric nerve

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14
Q

What dos the pudendal nerve do?

A

voluntary motor control of fecal/urinary contenince

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15
Q

What dos the hypogastric nerve do?

A

proprioception and proper functioning of urethral and anal sphincters

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16
Q

What dos the pelvic nerve do?

A

regulates emptying of bladder

open/closes urethral sphincter

17
Q

When is the pre-defecatory phase?

A

1hr before defecation

18
Q

What happens in pre-defecatory phase?

A

colon experiences an increase in peristaltic waves

mass movement from intestine into rectum

19
Q

Recto-anal inhibitory reflex?

A

determines whether contents are gaseous/liquid/solid

20
Q

What does contact of the stool with receptors in upper anal canal affect?

A

relaxation of the inner anal sphincter

21
Q

What contracts during excretion?

A

abdominal muscles

22
Q

What relaxes during excretion? (2)

A

external anal sphincter

puborectalis muscle

23
Q

What causes steatorrhea?

A

lack of adequate amounts of pancreatic enzymes
lack of bile acids
intestinal malabsorption

24
Q

When is steatorrhea common?

A

after gallbladder removal

25
Q

Symptoms of clostridioides infection?

A

watery diarrhoea
fever
nausea
abdominal pain