GI Salvia Flashcards

1
Q

What is saliva?

A

A mix of water, electrolytes, mucus and enzymes.

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2
Q

Where is saliva produced?

A

In the salivary glands- parotid, submandibular and sublingual.

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3
Q

Where is unstimulated saliva mainly produced?

A

The submandibular glands.

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4
Q

Where is stimulated salvia mainly produced?

A

The parotid glands.

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5
Q

What type of saliva is produced from the parotid glands?

A

A serous, watery secretion.

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6
Q

What type of saliva is produced from the submandibular glands?

A

A mixed serous and mucous secretion.

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7
Q

What type of saliva is produced from the sublingual glands?

A

A predominantly mucous secretion.

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8
Q

What is the function of saliva?

A

It is a lubricant of mastication to allow swallowing and speach. It acts as a bicarbonate/carbonate buffer to quickly neutralise acids so the mouths pH remains at approx 7.2.

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9
Q

What cells are the salivary ducts made of?

A

Two types of epithelial cells acinar cells and ducts.

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10
Q

What are the types of acinar cells?

A

Serous and mucous.

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11
Q

What are serous acinar cells?

A

Small central ducts secreting water and alpha amylose. They are dark staining and have a nucleus in the basal third.

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12
Q

What are mucous acinar cells?

A

Large central ducts secreting mucous. They are pale staining and have nucleus in the base of the cell.

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13
Q

What are the two main types of ducts from small to large?

A

Interlobular ducts drain into the main excretory duct.

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14
Q

What parts are the interlobular ducts split into?

A

The intercalated and striated regions.

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15
Q

What are the intercalated interlobular ducts?

A

They are short narrow duct segments connecting the acini to larger striated ducts. They are made of cuboidal epithelium.

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16
Q

What are the striated interlobular ducts?

A

The major site of NaCl reabsorbtion. The basal membrane is highly folded and there are micro villi for large SA. HCO3- is pumped out against the concentration gradient. Cells are filled with mitochondria.

17
Q

How is primary saliva different to the saliva at the in the main excretory duct?

A

Primary saliva is isotonic with an ionic composition resembling that of plasma. Through the interlobular ducts NaCl is reabsorbed and HCO3- is excreated into the saliva.

18
Q

What is the defense function of the salivary glands?

A

Salivary glands secrete saliva which washes away food particles, bacteria and viruses. They are also surrounded by lymphatic systems which are linked to the thoracic duct and blood vessels.

19
Q

What are the salivary flow statistics?

A

800-1500 ml a day, ph-6.2-7.4, flow rate- 0.3-7 ml/min.

20
Q

What is the innervation of the parotid gland?

A

It recieves parasympathetic input from the glossopharyngeal nerve (CN IX) via the otic ganglion and sympathetic innervation from T1-T3 from the superior cervical ganglion.

21
Q

What is the innervation of the submandibular gland?

A

Parasympathetic from the facial nerve (CN VII) via the submandibular ganglion.
Sympathetic from T1-T3 from the superior cervical ganglion.

22
Q

What is the innervation of the sublingual gland?

A

Parasympathetic from the facial nerve (CN VII) via the submandibular ganglion.
Sympathetic from T1-T3 from the superior cervical ganglion.

23
Q

What is the parasympathetic neurotransmitter in the salivary glands?

A

Acetylcholine and substance P

24
Q

What is the sympathetic neurotransmitter in the salivary glands?

A

Norepinephrine, which is then received by β-adrenergic receptors causing increase cAMP and therefore more saliva excreation.

25
Q

What is the blood supply to and from the parotid gland?

A

The external carotid arterys terminal branches-superficial temporal and the posterior auricular arteries. Venous return is to the retromandibular vein.

26
Q

What is the blood supply to and from the submandibular gland?

A

Blood supply is via the submental arteries which arise from the facial artery; a branch of the external carotid artery.

Venous drainage is through the submental veins which drain into the facial vein and then the internal jugular vein.

27
Q

What is the blood supply to and from the sublingual gland?

A

Blood supply is via the sublingual and submental arteries which arise from the lingual and facial arteries respectively; both of the external carotid artery.

Venous drainage is through the sublingual and submental veins which drain into the lingual and facial veins respectively; both then draining into the internal jugular vein.