Digestive Accessory Glands 1 Flashcards

1
Q

the connective tissue capsule entends into the liver as ___

A

septa. these create the hepatic lobules.

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2
Q

what is the basic functional unit of the liver organ

A

hepatic lobule.

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3
Q

What is this? Label

A

Hepatic Portal Triad.

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4
Q

what type of connective tissue makes up the capsule of the liver

A

dense irregular fibrous connective tissue.

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5
Q

how are hepatocytes arranged?

A

radially around a central blood vessel.

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6
Q

the corner of each hepatic lobule contains a ___ ___ ___. What are the components?

A

a PORTAL HEPATIC TRIAD. there are three components:

1) heaptic portal vein branch
2) branch of hepatic artery (from descending aorta)
3) bile duct (produced by hepatocytes)

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7
Q

in the center of a hepatic lobule is a central ___. these central ___ unite to form a ____ vein.

A

central vein. central veins unite to form a hepatic vein.

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8
Q

blood flows from ____ area, through ___, to central ___

A

blood flows from PORTAL AREA, through SINUSOIDS to central vein.

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9
Q

label.difference between human and pig liver?

A

this is a hepatic lobule. the heaptic units of humans have much less connective tissue and their boundaries are more difficult to distinguish.

C= central vein

D= bile duct

V= PORTAL vein branch

A= heaptic artery branch.

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10
Q

Sinusoids deliver blood from both heaptic ___ ___ and heaptic ___ to ____.

A

►Sinusoids deliver blood from both hepatic portal vein and hepatic artery to hepatocytes.

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11
Q

specialized epithelial cells that are organized radially in liver

A

hepatocytes

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12
Q

Specialized cells of the sinusoids

A

1) kupffer cells: phagocytic cells; breaks down aged erythrocytes and removes bacteria and other decris entering from the GI tract
2) Ito cells; stores lipid droplets with vitamin A. Produces ECM components. CANNOT SEE THEM ON THE SLIDES.

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13
Q

what is this? Label.

A

Hepatic sinusoids. Nutrient—rich blood from the portal vein and oxygen—rich blood from the arteriole mix in the sinusoids running between the plates of hepatocytes from the portal areas to the central venules. Molecules in the blood are processed mainly by the hepatocytes, but other cells in or near the sinusoids are also important. Specialized macrophages, often called Kupffer cells. (a): Seen as black cells in a liver lobule from a rat injected with particulate India ink. X200. H&E.

(b): Macrophages (M) are seen in the sinusoid (S) They are larger than the flattened endothelial cells (E). Note fibroblastic fat—storing cells (F), or Ito cells. These cells are numerous but are difficult to demonstrate in routine histological preparations. X750. PT.

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14
Q

difference between hepatic portal vein and hepatic vein

A

hepatic portal vein delivers blood TO the liver

hepatic vein DRAINS the blood.

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15
Q

sinusoids are lined with ____ cells. Explain how plasma seeps out of sinusoid spaces to the hepatocytes.

A

ENDOTHELIAL cells make a holed wall in the sinusoid. Plasma seeps out of the sinusoids, through the endothelial wall holes, and into the space of Disse, which allows for exchanges between hepatocytes and plasma

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16
Q

How are bile canaliculi formed?

A

formed inbetween adjacent hepatocytes by cell membranes.

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17
Q

what types of junctions are found in between hepatocytes

A

1) gap junctions
2) tight junctions

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18
Q

What cell modifications may be found on the hepatocytes that line the perisinusoidal space of dissi?

A

microvilli.

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19
Q

what is the composition of bile?

A

1) water
2) bile saltes
3) bile pigment/ bilirubin
4) cholesterol
5) phospholipids.

20
Q

what cell produces bile?

A

hepatocytes in the liver. is released by exocytosis into bile canaliculi and later stored in the gall bladder.

21
Q

hepatocytes receives arterial blood from the ____ ____, and received blood from the GI tract via the ___ ___ ___. (Blood from GI tract flows through liver before being returned to the heart.)

the waste-containing blood from the hepatocytes are drained byt he ___ __, receives blood from multiple ___ ___, and empties into the inferior vena cava.

A

hepatocytes receives arterial blood from the HEPATIC ARTERY, and received blood from the GI tract via the HEPATIC PORTAL VEIN. (Blood from GI tract flows through liver before being returned to the heart.)

the waste-containing blood from the hepatocytes are drained byt he HEPATIC VEINS, receives blood from multiple CENTRAL VEINS, and empties into the inferior vena cava.

22
Q

Function of the gall bladder

A

1) receives bile produced by hepaticytes in lvier
2) concentrates the bile by absorbing its water.

23
Q

The mucosa of a gall bladder is lined with ___ ___ epithelium with microvilli.

A

simple columnar.

24
Q

the gall bladder receives bile from the liver via the __ ___ ___ via the ___ duct. once in the gall baldder, bile is concentrated and stored until it is needed.

A

the gall bladder receives bile from the liver via the COMMON HEPATIC DUCT via the CYSTIC duct. once in the gall baldder, bile is concentrated and stored until it is needed.

25
Q

how is bile concentrated?

A

bile is concentrated by absorbing water and electrolytes.

26
Q

T/F the gall bladder has a muscularis mucosae and submucosa

A

false. the lamina propria of the mucosal layer sits directly on the muscularis externa.

27
Q

is the gall bladder covered by serosa or adventitia?

A

serosa.

28
Q

how does bile promote fat digestion?

A

it contains lecithin and bile salts that emulsify fats and promote fat digestion.

29
Q

T/f bile is alkaline

A

true. it assists in neurtralizing the acidic chyme entering the duodenum

30
Q

how and when is bile released from the gall bladder to the small intestine?

A

the gall bladder releases bile to the DUODENUM through the COMMON BILE DUCT. it is released when enteroendocrine cytes in the duodenum secrete CCK, which causes the gall bladder to contract and eject bile out through the cystic duct, into the common bile duct, and ultimately into the duodenum.

31
Q

How many layers does the muscularis externa layer of the gall badder have?

A

has 1) oblique

2) middle circular
3) outer longitudinal

32
Q

What is this?

A

the gall bladder. you can tell that it is the gall bladder because the lamina propria layer is resting directly on a THICK muscularis externa layer. there is no submucosa with connective tissue. there is also a very thick adventitia.

33
Q

Name 4 functions of the liver

A

1) synthesis of lipids, proteins (albumin and fibrinogen)
2) exocrine gland (secretes and synthesizes bile)
3) detoxification of wastes, drugs and toxins.
4) stores material from digestion
5) removal of RBCs
6) stores fat, vitamen A and glycogen
7) filters blood
8) organelle degradation.

34
Q

Outline the endocrine and exocrine portions of the pancrease

A

endocrine: produces hormones involved in blood glucose regulation, consists of the islets of langerhans.
exocrine: produces a mixture of digestive enzmes (pancreatic juice) that are secreted into lumen of duodenum bia PANCREACTIC DUCT.

35
Q

How and when is pancreatic juice secreted into the duodenum? What are the components of pancreatic juice?

A

pancreatic juice is made by the SECRETORY ACINI and INTERCALATED DUCTS of the EXOCRINE portion of hte pancrease. Pancreatic juice is made of proenzymes (chemical digestion of all macromoleules) and alkaline secretion from the intercalated ducts.

the pancreatic juice is secreted through the pancreatic duct into the duedenum when the enteroendocrine cells release CCK (bile secretion from gall bladder) and SECRETIN, to stimulate the acinar and duct cells of the pancrease to release their secretions.

36
Q

Label the acini, islets, and a duct.

A

this is a pancreas

37
Q

Each secretory acini is drained by an ___ ___, with its initial cells, the ____ cells, inserted in to the lumen of the acinar cells. Outline how the contents of the acini move into the duodenum

A

Each secretory acini is drained by an INTERCALATED DUCT, with its initial cells, the CENTROACINAR cells, inserted in to the lumen of the acinar cells. Under the influence of secretin, the centroacinar and other cells of these small ducts secrete a copious HCO3− — rich fluid that hydrates and alkalinizes the enzymatic secretions of the acinar cells.

the centroacinar and secretory acini contents empty into the intercalated duct, which empties into the intRAlobar duct, which in turn empty into intERlobar ducts located within the glands septa. Eventrually, the pancreatic juice leaves the pancreas to the duodenum via the MAIN pancreatic duct.

38
Q

the main pancreatic duct joins the common bile duct in the wall of the duodenum at the ___ ___ ___. Together, they empty into the duodenum lumen at the __ ___ ___.

A

the main pancreatic duct joins the common bile duct in the wall of the duodenum at the HEPATO PANCREATIC AMPULLA (VATER). Together, they empty into the duodenum lumen at the MAJOR DUODENAL PAPILLA.

39
Q

name a pancreatic proenzyme

A

trypsinogen, which digests proteins and can convert other pancreatic proenzymes to their active form.

§Secretory cells produce many enzymes including proteases (70%), nucleases, lipases and amylases.

§

40
Q

Name

A

Pancreas- the exocrine system

41
Q

What is the epithelium of the ducts of the pancreas?

A

cuboidal/low columnar.

42
Q

Which hormones influence the realse of Pancreatic juice?

A

secretin (S enteroendocrine cells of duodenum) results in secretion of pancreatic juice that is rich in bicarbonate ions to neutralize acid.

CCK (I enteroendocrine cells of duodenum)causes the secretion of pancreatic juice rich in proenzymes. Also causes bile secretion.

43
Q

2 types of Islets of langerhans cells and function.

A

1) alpha cells: secretes glucagon (increase blood sugar)
2) beta cells: secretes insulin (decrease blood sugar)

44
Q

Increase in blood glucose, release of ____ from ____, increases membrane transport of glucose into cells and ____ breakdown of glycogen in liver

A

§Increase in blood glucose, release of insulin from β cells, increases membrane transport of glucose into cells and inhibits breakdown of glycogen in liver

45
Q

Decrease in blood glucose, ____ of glucagon from ___ sssssscells, increases breakdown of glycogen to glucose in liver

A

§Decrease in blood glucose, release of glucagon from alpha cells, increases breakdown of glycogen to glucose in liver

46
Q

Outline the path of oxygenated blood from heart to liver. Outline the path of de oxygenated blood

A

oxygenated: left ventricle –> aorta –> coeliac artery to liver —> hepatic artery —> sinusoid capillary –> space of disse —> hepatocyte.

de oxygenated: hepatic portal vein (GI blood) –> sinusoid —> central vein (in each lobule) —> hepatic vein –> inferior vena cava –_> right atrium.