Digestive System Flashcards

1
Q

functions of the digestive system

A
  1. ingestion - taking food in
  2. digestion - breaking food down both phys and chem
  3. absorption - movement of nutrients into blood stream
  4. defecation - waste
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

organs of digestive system

A

alimenrary canal: (gi tract)

  1. mouth
    - (salivary glands)
  2. pharynx
  3. oesophagus
    - (liver)
    - (lower esophageal sphincter)
  4. stomach
    - (pyloric sphincter)
    - (gall bladder)
    - (pancreas)
  5. small intestine (Jejunum, ileum)
  6. large intestine (appendix, cecum, ascending, transverse, descending, sigmiod, rectum, anus)
    - (sphincters lie between each region)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

mouth function

A

mastication (chewing)
mixing food and saliva
initiation of swallowing by tongue
allows sense of taste

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

salivary glands

A

3 pairs
help form food bolus
contains amylase (enzyme brakedown of starch)
dissolves chems so we can taste

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

oesophagus

A

around 25cm ling
pharynx-stomach
conducts food by peristalsis (slow rhythmic squeezing)
passage for food only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

stomach

A

LEFT side of body (like heart)
food entres caradic sphincter (top)
- empties at pyloric sphincter/valave (bottom)
middle section is acidic (hydrochloric acid; HCL)
- empties in 4–6 hours
both mech and chem happen
delivers chyme (processed food) to SI
- kills microorganisms and acivates enzymes in hydrocholric acid
protein digesting enzymes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

small intestine

A
  • most chemical digestion occurs/absorption
  • muscular tube extending from the pyloric sphincter to the ileocaecal valve and LI
  • nearly all food absoprtion here/amino acids, simple sugars, minerals, water soluble vit (B/C).
  • lined with projections that increase surface area:
    villi/microvilli
    3 major regions
    1. duodenum
    2. jejunum
    3. ileum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  1. duodenum
A

most chem digestion occurs and some absorption takes place

receives chyme from stom, bile from liver/gall and pancreatic juice.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

bile

A

made by liver
stored in gall bladder
emulsifies fat - brakedown of fat to smaller globules.
Bile is also released at the same time as pancreatic juice and acts
like a detergent to emulsify or mechanically break down large fat
globules and is also necessary for absorption of fat soluble vitamins.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

pancreatic juice

A

contain enzymes which brake down all food groups
- Pancreatic juice is released into duodenum contains enzymes that Help complete digestion of starch (pancreatic amylase)
– Carry out about half of all protein digestion
– Digest fats using lipases from the pancreas
– Digest nucleic acids using nucleases
• Pancreatic juice is alkaline and helps return pH of chyme to a level to
activate intestinal and pancreatic enzymes and protects the intestine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  1. jejunum
A

bulk of absorption.
By the time chyme has passed through the jejunum, around 90% of
all available nutrients have been absorbed
into the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  1. ileum
A

longest region of SI

any last nutrients that isnt absorbed are now done here before passing through to LI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

large intestine

A

reabsorb fluids, process waste products from the body and prepare for its elimination.
4 parts: ascending, transverse, descending, sigmoid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

pancreas

A
  • exocrine: Produces digestive enzymes (pancreatic juice) that breaks down proteins, fats and carbohydrates (chemical digestion)
    • Pancreatic juice is secreted into duodenum
    • Endocrine: hormones; Also produces insulin and glucagon which enter bloodstream and control blood glucose levels
  • Bicarbonate produce to neutralise stomach acid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

liver

A
located on right side of body.
-  Produces bile/chloestrol (emulsifies
fats by physically breaking large fat
globules into smaller ones)
• Makes important proteins
and hormones.
• Stores glucose (as glycogen) and releases it as needed.
• Stores iron/processes of haemoglobin.
• Breaks down harmful substances
• Clearance of bilirubin – by product of red blood cell breakdown (if there is a build up of bilirubin, become jaundice)
- regulate blood clotting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

gallbladder

A
  • where bile is stored.
    • When digestion of fatty food is occurring, bile is introduced into the duodenum from the gallbladder.
  • mechanically breaks down fat globules.
17
Q

Gastrin (hormone in stomach due to food presence and rising ph)

A
• Protein-digesting
enzymes
• Mucus
• Hydrochloric acid
2-3 litres of gastric juice produced every day
18
Q

• Mechanical digestion

A

– Food is physically broken down by chewing
(bile; liver > gall bladder)
(stomach action)

19
Q

• Chemical digestion

A
  • brakes down with saliva
    – Carbohydrate digestion begins by salivary amylase (enzyme; pancreas)
    (mouth, stomach, small intestine)
20
Q

• Hydrochloric acid

A

makes the stomach contents very acidic
– Activates pepsinogen to pepsin (enzyme) for protein
digestion
– Provides a hostile environment for microorganisms
• Alcohol and aspirin are the only items absorbed in the stomach

21
Q

gastric ulcers

A

• Erosion of the gastric and duodenal mucosa by acidic
digestive juices
• Causes
– Helicobacter Pylorus infection (bacteria)
(80%)
- bacteria underneath the acid, sitting in pits. it dilautes the acid. causing damage to lining.

• Aggravated by
– Smoking
– NSAIDS
– Stress
– Diet (coffee)
• Symptoms
– Epigastric pain
– Nausea & Vomiting
– Loss of appetite
- reflux , blenching 

Complications
• Perforation, Haemorrhage,
Intestinal Obstruction, Peritonitis.
• If GIT bleeding occurs > haematemesis &or
Melaena (blood in stool, thick)
• OR, if severe bleeding, signs of hypovolaemic shock

Treatment
• Antibiotic therapy ( eradicates H. Pylori and prevents recurrence to 2% - w/o relapse
is 75-90%)
• Lifestyle changes relate to decreasing stress & fatigue.
• Reduce smoking, caffeine intake, alcohol etc.
• Antacids, H2 receptor blockers (Zantac), Proton pump inhibitor (Omeprazole), mucosal
healing agents
• Smaller more frequent meals

22
Q

constipation

A
ideally in the descending colon
Reduction in frequency in bowel actions.
Causes:
Immobility, sedentary lifestyle
Medications (codeine)
Reduced fluid /fibre intake
Treatment:
• Increase fluid and fibre intake
• Medication-prophylactic (coloxyl if on codeine)
• Medication- varied actions ie Soften faeces, draw water from bowel into stools, enhance peristalsis.
23
Q

Crohn’s Disease

A

AUTOIMMUNE
• Chronic Inflammation through all layers of any part of the intestinal wall
• White blood cells invade the intestinal lining and produce inflammatory toxins causing chronic tissue swelling, injury and deep ulceration.
• Mal-absorption major problem
- blood in stools

Complications
Obstruction, fistula

Treatment
Medications, diet, surgery

- Symptoms
• anaemia (due to blood loss)
• abdominal cramps and pain
• frequent, watery diarrhoea (may be bloody)
• severe urgency to have a bowel movement
• fever during active stages of disease
• loss of appetite and weight loss
• tiredness and fatigue
24
Q

cholecystitis

A

Acute or chronic inflammation of the gallbladder commonly associated with impaction of a gallstone in the cystic duct.

Gallbladder becomes distended & filled with bile,
pus & blood.

Signs and Symptoms
Intense pain in the R) upper quadrant- radiating to the back
Jaundice (If a stone obstructs common bile duct)

- treatment
Lithotripsy
Shock wave breaks stone into fragments
Laparoscopic Surgery
• laparoscopic (85%) or open cholecystectomy
25
Q

villi

A

fingerlike projections formed by the mucosa that line the inner wall of small intestine; increase surface area.

26
Q

microvilli

A

tiny projections of the plasma membrane (form the brush border on the top of villi)