GI Flashcards
Why do stem cells stain darker?
Bigger and more active nuclei
Describe the muscle of the oesophagus
Top 1/3 is voluntary muscle in fascicles
Middle 1/3 is mixed
Distal 1/3 is involuntary smooth muscle
Where are mucous glands found?
Submucosa= submucosal glands
Lamina propria= superficial glands
List the cells found in the lamina propria
Fibroblasts, lymphocytes, plasma cells, macrophages, eosinophils, mast cells
What is found in the sub mucosa?
Blood vessels, lymph vessels, nerves
What is the mucosa?
Epithelium + lamina propria+ muscularis mucosa
What is Barrett’s oesophagus?
Epithelial metaplasia of the oesophagus
Injury to the mucosa from GORD leads to a change from non keratinised strat squamous epithelia to glandular simple columnar
What is Barrett’s oesophagus?
Epithelial metaplasia of the oesophagus
Injury to the mucosa from GORD leads to a change from non keratinised strat squamous epithelia to glandular simple columnar
What are the 4 areas of the stomach called?
Cardia, fundus, body and pylorus
What cell types are found in stomach glands?
Epithelial cells, parietal cells (HCl and intrinsic factor) chief cells (pepsinogen and gastric lipase) enteroendocrine cell
How do you identify parietal cells and chief cells?
Parietal- lumpy, paler cells
Chief- look columnar like epithelium but dark with granules
How do you identify parietal cells and chief cells?
Parietal- lumpy, paler cells
Chief- look columnar like epithelium but dark
What factors can lead to ulcer formation?
Increased acidity
decreased mucous
diet
decreased prostglandins (due to NSAIDs?)
What factors can lead to ulcer formation?
Increased acidity
decreased mucous
diet
decreased prostaglandins (due to NSAIDs?)
Describe the villi of the small intestine
Duodenum- leaf like villi
Jejunum- fine tall villi
Ileum- finger like villi
What are the 3 features of the small intestine to increase absorption
Villil microvilli, circular folds (plicae circulares)
What are the intestinal crypts also called?
Crypts of Lieberkuhn
Function of paneth cells?
Contain antimicrobial granules (of defensins) and contribute to host-defence and the maintenance of the GI barrier. Found at base of crypts. Stain darkly eosinophilic
Name the cells of the epithelium of the small intestine
Goblet cells, enterocytes, enteroendocrine cells and paneth cells.
What is a Peyer’s patch?
Aggregation of lymphoid tissue, found in ileum and appendix (nodules of lymphoid follicles)
Lymphoid aggregates and the darker stained B cell aggregates
How does the pyloric region of the stomach differ from the fundic region of the stomach?
Fundus- long narrow glands Pylorus- deeper pits, shorter more branched glands, fewer parietal cells, mainly mucous secreting cells G cells (gastrin) and serotonin and somatostatin secreting cells
What are G-cells? + function
G-cells are enteroendocrine cells of the pyloric region of the stomach
Gastrin secreting cells
What are Brunner’s glands?
Submucosal glands of the proximal duodenum, secrete alkaline mucus to counteract acidity of chyme and lubricate walls
What is a Peyer’s patch?
Aggregation of lymphoid tissue, found in ileum and appendix
Lymphoid aggregates and the darker stained B cell aggregates
How does the pyloric region of the stomach differ from the fundic region of the stomach?
Fundus- long narrow glands
Pylorus- deeper pits, shorter more branched glands, fewer parietal cells
What are G-cells? + function
G-cells are enteroendocrine cells of the pyloric region of the stomach
Gastrin secreting cells