Gastrointestinal Flashcards
The main distinguishing feature of jejunum is the presence of prominent:
Plicae circulares or valves of Krecking
Produce alkaline secretions to counteract the effects of gastric acids that reach duodenum.
Brunner’s glands
Preferred site for vitamin B12 absorption
Ileum
An autoimmune disorder which attacks gastric parietal cells.
Pernicious anemia
Cholesterol stones formed in which organ that stores and concentrates the bile
Choledocholithiasis
A patient comes to the emergency room presenting with jaundice and intense pain in the upper abdominal and between the shoulder blades. The physician suspects choledocholithiasis. What organ is affected?
Gallbladder
Longitudinal smooth muscle is in the form of three thick bands known as?
Taenia coli
Sympathetic stimulation of this nerve slows motility of the small intestine
Splanchnic nerve
Parasympathetic stimulation of this nerve increases motility of the small intestine
Vagus nerve
At which level does the esophagus pierce the diaphragm?
T10
It begins at 6
Layers of esophageal wall
Mucosa
Submucosa
Muscularis
Adventitia
Stomach receives blood supply from?
Right and Left gastric artery - lesser curvature
Right and left gastro-omental artery - greater curvature
Located in fundus and body; secrete HCL and intrinsic factor
Parietal (oxyntic) cells
Secrete pepsinogen
Zymogenic (chief) cells
Present throughout the stomach; secretes gastrin
G cells
Portal triad
Hepatic artery
Portal vein
Bile duct
Heaviest and most active internal organ in the body
Liver
2 surfaces of the liver
Upper (diaphragmatic)
Lower (viscera)
Liver is attached to the diaphragm by?
Falciform
Triangular
Coronary ligaments
Blood in the liver drains into the ______ which transport the blood to the heart.
Hepatic veins
Vessels that supply blood to the liver
Hepatic portal vein
Common hepatic artery
Celiac trunk
The point where vessels and ducts enter and exit the liver - lies on the ventral surface
Porta hepatis
Is produced and excreted by hepatocytes, which are the most versatile cells in the body.
Bile
One significant difference between jejunum and ileum is that the ileum characteristically contains more of?
Peyer’s patches
Has more plicae circulares and villi, but the lower part of ileum do not contain any
Jejunum
Lining of the small intestine has permanent folds known as
Valves of krecking
Peristalsis for what organ is controlled by taenia coli?
Large intestine
Major function of the large intestine (colon)
Removal of water from the material (chyme) entering it.
Large intestine epithelium?
Simple columnar with microvilli
_____ Inner circle consisting of smooth muscle layer. Contains three bands of longitudinal muscle called ______
Muscularis externa
Taenia coli
Congenital disease caused by absence of myenteric plexus (Auerbach and meissner plexi) that leads to parasympathetic activity - decrease motility and obstruction of the intestine
Hirschsprungs’s disease
Intestinal glands
Crypts of lieberkhun
Formed from loose connective tissue that contains blood vessels, nerves, and large lymphatic vessels (site for absorption of lipids)
Lamina propria
Which cells, located in the crypts of lieberkhun, secrete and antibacterial enzyme that maintains a je gastrointestinal barrier?
Paneth cells
Commonly found in the ileum. These are specialized secretory epithelial cells located at the base of intestinal crypts.
Paneth cells
Secretes mucus. Abundant in ileum
Goblet cells
Secrete enterogastrones (secretin and cholecystokinin) into the blood stream. Abundant in duodenum
Enteroendocrine cells
Cells that are responsible for secreting glucagon?
Alpha cells (pancreatic)
Beta cells secretes what?
Insulin
Secrete somatostatin
Delta cells
Gamma cells secrete what?
Polypeptides
Secretes into blood stream: takes the form of many small clusters of cells called islets of langerhans
Endocrine portion
Secrets duct into duodenum
Exocrine portion
Secretes:
Pancreatic lipase
Amylase
Carboxypeptidase
Elastase
Chymotrypsinogen
It is produced by the duodenum and regulates pancreatic juice secretion
Cholecystokinin
Which of the following provides parasympathetic stimulation to the sigmoid colon?
S2-S4
Organs located in the foregut region
Esophagus
Stomach
Liver
Gallbladder
Pancreas
Proximal part of the duodenum
Spleen
Arterial supply of the foregut
Celiac trunk
Venous drainage of the foregut
Hepatic portal system
Sympathetic innervation of foregut
Thoracic splanchnich nerve snapping in celiac plexus
Organs located in the midgut include:
Distal part of duodenum
Jejunum
Ileum
Cecum
Appendix
Ascending colon
2/3 of transverse colon
Parasympathetic innervation of foregut and midgut
Vagus
Arterial supply of the midgut
Superior messenteric artery
Venous drainage of midgut
Hepatic portal vein ( via superior messenteric vein)
Sympath innervation of midgut
Thoracic splanchnic nerve synapsing and in superior messenteric plexus
Organs located in the hindgut
Distal 1/3 of the transverse colon
Descending colon
Sigmoid colon
Rectum
Arterial supply of hindgut
Inferior messenteric artery
Parasympathetic innervation of hindgut
S2-S4