GI 2 Flashcards

0
Q

Long Reflex: Inhibitory ⛔️

A

Slows transit ⛔️FB loop
⛔️overfilling of aboral segment
Organ Z➡️CNS:⬇️PSNS ⬆️SNS at Org X

Org Z:Org X
Enterogastric 
Enteroenteric: distal SI:prox SI ⛔️peristalsis
Coloileal 
Ileolgastric= "ileal brake"
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1
Q

Long reflexes: Stimulatory✳️

A

Gastrocolic Reflex: feed ⏩ loop

Full stomach➡️sig CNS:⬆️PSNS ⬇️SNS at Colon

⏫colonic motility➡️fill rectum

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2
Q

Gastrin/Cholecystokinin Family: GASTRIN

Endocrine

A

Ach/GRP/AA/pH>4✳️G-cell (antrum)➡️ Gastrin:CCK-b stomach

✳️parietal cell: HCl secr
✳️cheif cell: pepsinogen rel
⬆️gastric motility

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3
Q

Gastrin/Cholecystokinin Fam:
CCK-Pancreozymin

endocrine

A

AA/Fats in upper SI:✳️iCells➡️rel CCK:CCK-a➡️

  1. ✳️Pancr Acini: dig enz secr(ecbolic)
  2. ✳️Gallbladder: contraction
  3. ✳️Sphincter of Oddi: relaxation
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4
Q

Secretin Family: SECRETIN

endocrine

A

[H+] acid:✳️S-cells (SI)➡️rel SECRETIN
✳️Pancreatic Duct: secr HCO3

Hydrolatic-neutralize acid ⛔️FB Loop

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5
Q

Secretin Fam:GLP-1 + 2 (Incretins)

Endocrine&paracrine

A

CHO/hyperosm soln:✳️L-cells (SI)➡️ rel GLP-1&2➡️

  1. ✳️Pancr B cells: secr INSULIN
  2. ✳️Stomach:⛔️gastric motility
  3. ✳️Intestine: ✅mucosal growth
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6
Q

Secretin Fam:GIP(Incretins)

Endocrine

A

CHO:✳️K-cells (SI)➡️ rel GIP:✳️Pancr cells➡️secr INSULIN

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7
Q

Somatostatin

A

Paracrine
PH<4/[H+] acid:✳️D-cells stomach ➡️rel SOMATO➡️
1.⛔️Parietal&Chief cell secr gastric acid/pepsin
2.⛔️G-cell Gastrin rel
3.⛔️ECL: Histamine rel

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8
Q

Histamine

A

Paracrine

Ach/Gastrin:✳️ECL cells stomach➡️rel. HISTAMINE:✳️Parietal cell HCl secr

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9
Q

Guanylin

Exocrine

A

Goblet cells: rel GUANYLIN➡️✳️LI CFPR➡️intestinal secr

Receptor e.coli toxin bound

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10
Q

cAMP&cGMP

A

VIP Agonist:R➡️✳️ AC/GC convert ATP➡️cAMP/cGMP:✳️PKA➡️ ✳️fl secretion ⬆️CFTR ⬇️NaCl abs

prolonged effect

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11
Q

Intracell [Ca2+] Mobilization

A

Ach agonist:R➡️ ⏫Ca2+➡️✳️PKC or Calmodulin➡️✳️ fl. secretion

⚡️short term

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12
Q

Prostaglandin tone

A

Submucosal paracrine rel from WBC & Fibroblast & Mast cell

✳️motility & fl.secretions

Excess sensitivity: ⏫fl secr➡️ diarrhea

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13
Q

Mastication fn

A

⬇️food size,
⬆️SA,
⬇️outer cellulose plants,
& mix with saliva

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14
Q

Inorgo non-rumen saliva

A

Hypotonic at low flow

⬆️Na/Cl/HCO3 & ⬇️K

Slightly acidic

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15
Q

Inorgo rumen saliva

A

Isotonic at all flow rates

Low: ⬆️PO4
High:⬆️HCO3 ⬇️PO4

Alk saliva