GI Flashcards
Digestive system
Made up of alimentary canal/GI tract and accessory organs
Alimentary canal/GI tract
Oral cavity to anal cavity
Mouth, pharynx, esophagus, stomach, small intestine, large intestine
Accessory organs
Pancreas
Liver
Gallbladder
Teeth
Salivary glands
PLG with small intestine
TS with mouth
Alimentary canal layers
Serosa (outer)
Muscular
Submucosal
Muscosa (inner)
Ingestion
Mouth takes in food
Begin of physical and chemical digestion
Secretion
Saliva secreted by mouth
Enzymes and acids like HCl secreted by stomach
Neutralizers secreted by small intestine
Mixing of food
Bolus to chyme
Propulsion of food along the alimentary canal
Smooth muscle contractions i.e. peristalsis
Mechanical digestion
Peristalsis physically break down
Chemical digestion
Enzymes, acids break down
Absorption of food
Mostly takes place in small inteestine
Peritoneum
Visceral layer touches organs
Parietal layer outside
Organs do not push through but against
Mesentery
2 layers of parietal tissue created as organ pushes
Beginning of digestive system
Anterior = cavities
Posterior = pharyngeal
Mouth and oral cavity
Borders = lip, soft palette, cheek, tongue, floor of mouth
Contain tongue and teeth
Form food into bolus
Secretes saliva
Salivary glands
- Parotid - posterolateral cheek
- Submandibular
- Sublingual - floor of mouth
Tongue
Muscle
Deciduous teeth
“Baby” teeth, provide guide for adult teeth
20
Permanent teeth
“Adult teeth”
32 total divided into 4 quadrants
1 starts with RUQ
2 incisiors (medial and lateral)
1 canine
2 premolars
3 molars
Wisdom teeth
1, 16, 17, 32
Esophagus
CNX
Begins with upper esophageal sphincter and ends with lower esophageal sphincter
Bolus travels from mouth to stomach
Mastication
Chewing of food into bolus
Swallowing
Involuntary - airways close to allow food down esophagus
Voluntary - food pushed back
Stomach
Top = fundus
Middle = body
Bottom = pyloric
Connected to colon
3 muscle layers
Liver
2 lobes, right > left
Separated by falciform ligaments (remnant of umbilicus vein)
Left associated with caudate and quadrate lobes
Above stomach
Connected to stomach and duodenum
Connected to diaphragm
Liver function
Secrete digestive enzymes such as bile
All blood in digestive tract passes through here
Stomach function
Convert food to chyme
Mixing waves, secretion of HCL
Absorbs water, electrolytes, aspirin, alcohol
Gall bladder
Ventral to liver
Stores bile
CCK causes release of bile
Path of bile
Hepatic duct and cystic duct = common hepatic duct
CHD + pancreatic duct = hepatopancreatic duct
Hepatopancreatic duct - Oddi - duodenum
Small intestine
3 parts = duodenum, jejunum, ilium
Villi, microvilli, circular folds increase SA for more absorption
Small intestine function
90% of absorption
Large intestine
Ileocecal to anus
4 parts = cecum, colon, rectum, anus
Large intestine function
Absorption of water and some vitamins like B12
Prepare feces
“The” Mesentery
Small intensite (ileum and jejunum) to posterior body wall
Parietal ligaments
Stomach ligaments = omentum
Greater omentum
Greater curve to colon = gastrocolic
Lesser omentum
Lesser curve to liver = hepatogastric
Liver to duodenum = hepatoduodenal
Retroperitoneal organs
SAD PUCKER
Secondary retroperitoneal organs
DPC
Outside of oral cavity
In front of teeth, oral vestibule
Arches
Palatine arch then palatoglossal arch
Myohyoid muscle
Floor of mouth
Separates submandibular and sublingual
Innervated by V3 (w/ anterior belly of digastric)
Stylohyoid muscle
Innervated by VII (w/ posterior belly of digastric)
Extrinsic muscles
Hyoglossus
Styloglossus
Genohyoid = stabilizerINNERVATED BY XII
Palatoglossus
INNERVATED BY XII
Sublingual
Afferent = lingual (V3) chorda tympani (7)
Efferent = XII
Taste buds
Filiform (most abundant, no taste)
Fungiform
Vallate
Foliate
Tongue sensory
CNX, CNV3 = general
CNIX, CN7 = special
Tongue motor
CNXII, CNX
Teeth layers
Live pulp, dentin, enamel
Innervated by CNV
Salivary glands
Produce saliva
Intrinsic salivary glands
Inside oral cavity, associated with mucosa
Extrinsic salivary glands
Parotid (CNIX)
Submandibular
Sublingual
Danger space
Prevertebral space
Spread of pathogens
Babies
Soft palate and epiglottis touch
Pharyngeal constrictors
Stacked cups, raise throat
Stylopharyngeus
CNIX
Reflux
Herniated or weak lower esophageal sphincter
Pyloric sphincter
Separates stomach and duodenum
Duodenum
4 parts
2nd part = descending, ducts for accessories
Jejenum
Larger lumen
Ileum
Longest, less folds, Peyer’s patches
Pancrease
Endocrine and exocrine
Delivers pancreatic juice to dudoenum
Cecum
Associated with appendix
Colon
4 segments
Splenic flexure on left, hepatic flexure on right
Rectum
Stores feces, stretch leads to defecation
Muscular externis
Bands of muscle for long peristalsis
Haustra
Churns chyme
Epipolic appendage
Unknown
3 shunts
Esophageal, umbilicus, inferior rectal
Tongue innervation (posterior 1/3)
Motor = vagus, X
Special = vagus, X
General (& special) = glossopharyngeal, IX
Tongue innervation (anterior 2/3)
Motor = hypoglossal
Special = facial (chord tympani), VII
General = lingual, V3
Stylopharyngeus
IX
Palatoglossus
X
Hyoglossus, styloglossus, genioglossus
XII
Maxilla
II
Mandible and teeth
V3
Parotid gland
IX
Foregut
Stomach to duodenum
Supplied by celiac trunk
Midgut
Remainder of SI to proximal LI (transverse colon)
Supplied by SMA
Hindgut
Distal LI
Supplied by IMA