GHM L3 Flashcards
What is the GI tract?
Passageway of the digestive system, runs from the mouth to the anus
Describe the tissue structure of the GI tract
- Mucosa
- Submucosa
- Muscularis Externa
- Serosa
- Lumen
- Mesentery
What does the mucosa consist of?
- Epithelium
- Lamina propria
- Muscularis Mocosae
What does the muscularis externa consist of?
Circular muscle
Longitudinal muscle
What does the serosa consist of?
Connective tissue
Epithelium
Different parts of mouth
- Lips + cheeks
- Palate
- Tongue
What do the lips and cheeks consist of?
Orbicularis oris muscles, buccinator muscles
Vestibule
Oral Cavity - lies between teeth + gums
Labial frenulum - median attatchment of each to each gum
What does the palate consist of?
- Hard palate
- Soft Palate
State the function of the hard palate
Made from palatine bones + palatine processes from maxillae
It is corrugated which helps it created friction between tongue + pallate
State the function of the soft palate
Fold in palate, formed by skeletal muscle
- Closes nasalpharynx when swallowing
- Downward projection off soft palate - uvula
- Anchored by palatoglossal + palotopharyngeal arches
State the functions of the tongue
- Mixing of food when chewing
- Produces bolus
- Initiates swallowing, taste, speech
What are the intrinsic muscles of the tongue responsible for?
Change in shape of tongue
What are the extrinsic muscles of tongue responsible for?
Change in position of tongue
What is the lingual frenulum responsible for?
Medial attacthment between tongue and floor of mouth
What is ankyloglossia?
Fused tongue
Tied tongue
Short frenulum
How is ankyloglossia treated?
Surgery
What are the 4 digestive processes in the mouth?
Ingestion
Mechanical digestion (mastication)
Chemical digestion
Propulsion
Name a drug which can be absorbed through the oral mucosa
Nitroglycerine - used to alleviate angina pain
Describe the process of mastication
- Cheeks + lips closed. Holds the food between the teeth, the tongue mixes food with saliva to soften it
- Teeth cut + break down solid food
- Voluntary contractions of muscles that close the jaw
- Rythm / pattern of jaw movements controlled by stretch reflexes + responses to pressure inputs from receptors in cheeks, gums, tongue
State 4 functions of the Saliva
- Dissolve + moiston food
- Contains enzymes which start breakdown of starch
- Production of bolus
- Cleans mouth
How are chemoreceptors stimulated?
By acidic substances
How are mechanoreceptors stimulated?
By mechanical stimuli
Xerostomia
Strong sympathetic stimulation
Salivation inhibited
What are the 3 extrinsic salivary glands?
- Parotid
- Submandibular
- Sublingual
What are buccal salivary glands?
Intrinsic salivary glands
Scatted across oral mucosae
Keeps mouth moist
Describe the composition of saliva
Secreted by serous cells and mucous cells
99.5% water, slighly acidic:
- Electrolytes e.g. Na+
- Metabolic waste, urea
- Salivary amylase, lingual lipase
- Lysozymes, Defensins
- Mucin
What is the role of “friendly bacteria”?
Convert nitrates from food derived into nitric oxide
How can saliva be used in medicine?
Can detect conditions
Including oral cancer, diabetes
Can detect hormones
State two patholgies related to the salivary glands
- Mumps
- Sjogrens syndrome
Describe what causes Mumps
- Inflammation of parotid gland
- Caused by myxovirus
Easily transmited through saliva
Symptoms of Mumps
- Sterelity in males
What causes Sjogrens syndrome
- Autoimmune condition