Histology Flashcards

1
Q

What is the epithelial lining of the lip

A

Stratified squamous non-keratinising epithelium. Sits on a connective tissue layer ( submucosa) containing collagen and elastic fibres.
Deeper layers often contain glands and skeletal muscle fibres that help to change the shape of the oral cavity

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2
Q

What type of epithelium is the skin

A

stratified squamous keratinised epithelium

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3
Q

How does the epithelium of the lips kept moist

A

Small blood vessels lie in the submucosa and fluid from these help keep moist

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4
Q

Epithelium of the tongue and

A

Covered by stratified squamous epithelium that remains non-keratinised on its ventral surface but is often heavily keratinised on its coral surface due to constant abrasion of this surface

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5
Q

Skeletal muscle of the tongue

A

Coarse bundles inside that run in different directions. Some insert onto the lower jaw ( extrinsic fibres) while others attach only to the fibrous connective tissue underlying the mucosa ( intrinsic fibres.)

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6
Q

Papillae

A

Dorsum of the tongue is thrown into complex folds known as papillae. Tall, pointed file form papillae are the most common and cover the whole of the anterior two thirds of the tongue, producing a rasp like surface

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7
Q

Locations of papillae on the tongue

A

Less numerous mushroom shaped fungi form papillae found at the tip and sides. Pale-staining taste buds embedded in the eilithelium on the lateral sides of these papillae.
A v-shaped row of dome-shaped circumvallate papillae separate the anterior two thirds and the posterior third on the tongues surface. These too bear taste buds.

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8
Q

What do the parotid glands produce

A

A watery enzyme rich secretion ( serous secretion) rich in alpha amylase that digests starch.

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9
Q

Secretory cells of the parotid gland

A

All the same type ( a wholly serous gland). Arranged in spherical clumps called acini that resemble bunches of grapes ( the stalks being the duct system if the gland). Cells are pyramidal in shape with a spherical nucleus. Basal cytoplasm is filled with RER and the apex of the cell contains prominent secretion granules.

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10
Q

Where do the acini of the of the parotid gland drain into

A

Into ducts lined by a cuboidal epithelium that may become stratified at its distal end.

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11
Q

How do the sublingual salivary glands discharge their secretions into the floor of the mouth

A

A series of ducts either side of the frenulum of the tongue

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12
Q

Sublingual salivary glands

A

Branched tubular-acinar glands that produce a sticky mucous rich secretion that helps to lubricate the mouth of the bolts of food. The secretory cells appear swollen and are filled with pale staining mucus granules. The oval nucleus is squashed to the base of the cell.

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13
Q

Where do secretions of the Sublingual salivary glands drain into

A

Ducts lined by a simple or stratified cuboidal epithelium whose cells appear pinker than the secretory cells

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14
Q

How do the submandibular salivary glands discharge

A

By a pair of ducts onto the frenulum of the tongue

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15
Q

Submandibular salivary glands

A

A branched tubule-acinar type which are often intersperse by fat. Produce a mixed secretion, part mucus and part an enzyme rich secretion. Display two types of secretory cell, pale staining mucus producing cells and darker staining enzyme producing (serous ) cells. The serous cells form acini or lie at the closed ends of the tubules where they form characteristic crescent-shaped “Demi-lunes” (half moons)

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16
Q

How do the parotid and submandibular salivary glands contribute to growth of the epithelium of the go tract

A

Major source of epidermal growth factor that promotes its growth.

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17
Q

Surface if the epiglottis

A

Most of its surface covered by a stratified squamous epithelium although the lower part of its posterior surface has a pseudo stratified columnar ciliated epithelium ( respiratory epithelium)

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18
Q

Internal contents of the epiglottis

A

A plate of elastic cartilage, and it’s submucosa often contains lymph nodules and salivary glands.

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19
Q

Layers of the GI tract

A

Innermost mucosa
Underlying submucosa
External muscle coat ( muscular is proprietary - sometimes referred to as the muscular is externa)
A serous ( in some regions)

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20
Q

Components of the mucosa of the gut tube

A

Three components, a lining epithelium that is often thrown into folds, a layer of connective tissue ( laminate proprietary) that often contains lymphoid tissue and a ring of smooth muscle ( muscularis mucosa).

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21
Q

Components of the submucosa of the GI tract

A

Composed of loose connective tissue that may contain glands and lymphoid tissue. Many of the blood vessels that supply the gut run in this layer. A rich plexus of nerves that is part of the enter is nervous system ( Meissner plexus) is also present in this layer.

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22
Q

Components of the muscularis propria of the GI tract

A

Normally consists of two layers of smooth muscle whose contractions help to break up the food and to propel it along the alimentary tract. Sandwiched between these layers are nerves that are also part of the enteric nervous plexus (auberbacks plexus).

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23
Q

What covers the outside surface of those parts of the gut tube that face the peritoneal cavity

A

A aerosol layer consisting of a simple squamous epithelium

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24
Q

Epithelial lining of the oesophagus

A

Stratified squamous non-keratinised epithelium. Underneath this is a thin laminate propria and a narrow muscularis mucosa of smooth muscle.

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25
Q

How does the lining of the oesophagus change along it

A

Muscle layer becomes thicker and more prominent at the distal (gastric end of the tube. Below the thoracic diaphragm the epithelium is often transformed into a simple columnar type similar to that which lines the cardia region of the stomach. This region of the oesophagus can become the site of pathological change.

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26
Q

Submucosa of the oesophagus

A

Contains many sero-mucous glands whose secretions help to lubricate the oesophagus. At the distal end , the submucosa layer contains many large, thin walled veins. These may become the site of oesophageal varicosities.

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27
Q

Proximal end of the oesophagus

A

The outermost layer of muscle ( muscularis externa) is composed mainly of skeletal muscle but at the distal end it is composed mostly of smooth muscle.

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28
Q

Four regions of the stomach

A

The cardia
The fundus
The body
The pyloric
Fundus and body show very similar histological structure esp with respect to their gastric glands. The cardia and pylorus have a different histological appearance.

29
Q

Rugae

A

Visible longitudinal folds of the the mucosa of the stomach.

30
Q

Lining of the stomach

A

Simple columnar epithelium punctuated by gastric pits into which the gastric glands drain.

31
Q

Muscular coat of the stomach

A

Three layers thick. Compared with the rest of the gut tube it has an additional oblique layer of fibres closest to the mucosa that helps to churn up the food within the stomach.

32
Q

Glands of the mucosa of the stomach

A

Tubular glands fill the lamina propria and discharge their secretions into gastric pits that communicate with the lumen of the stomach.

33
Q

Types of cell within the glands of the fundus and body of the stomach

A

Mucous neck cells that provide a lubricators, acid resistant mucus
Parietal cells that secrete Hal and intrinsic factor
Chief cells that produce digestive enzymes, notably pepsin ( which is secreted in an inactive form - Pepsi oven)

34
Q

Glands of the cardia and pylorus

A

Glands are devoid of parietal and chief cells. The remaining mucous neck cells provide protective and lubricators secretions.

35
Q

Protection of the stomach lining

A

Simple columnar epithelium produce an acid- resistant mucin that protects lining of the stomach.

36
Q

Gastric pits of the stomach

A

Deep invaginations at the bottoms of which are the gastric glands. Several tall straight or branched glands open into each gastric out. The glands contain different types of secretory cell. These glands fill with lamina propria.

37
Q

Parietal (oxyntic) cells

A

Globular in shape and stain bright pink with H&E. the surface of these cells is deeply invaginate to form intracellular canaliculi and the cells contain many mitochondria. These often stain Carly and give the cytoplasm a grainy appearance. Occur mostly in the upper parts of the glands, close to the gastric pits.

38
Q

Secretions of parietal ( oxynitic) cells

A

Cells are rich in the enzyme carbonic anhydrase. They secrete hydrochloride acid. Also believed to be the source of intrinsic factor essential for the absorption of vitamin b12

39
Q

Chief cells

A

Pyramidal in shape and normally occupy the deep er parts of the gastric glands. Part of the cytoplasm stains blue with H&E and the cells can be seen to contain secretion granules.

40
Q

Secretions of chief cells

A

They synthesis and secrete pepsinogen ( pepsin) and lipases.like the acid producing cells, these enzyme-secreting cells are found only in the glands in the body and fundus of the stomach and not in the glands of the caridiac or pyloric regions.

41
Q

Variations of the gastric glands of the stomach

A

Gastric glands of the cardiac and pyloric regions of the stomach are shorter than those of the body or fundus and are coiled rather than straight. They are composed mainly of mucous neck cells. Similar to those seen in the glands of the body and fundus where they are confined to a narrow band at the entrance to each gland.

42
Q

Endocrine cells of the stomach

A

Scattered along neck cells of the pyloric region are isolated cells that produce gastric and bombesin-like peptide. Throughout the whole of the gastric mucosa there are scattered pale-staining endocrine cells that produce serotonin, somatostatin and vasoactive intestinal peptide (VIP). Together these cells play an important role in regulating the breakdown and delivery of food stuffs to the duodenum which occurs during the digestion process

43
Q

Plicae circulares

A

Lining of the intestine is thrown into folds that are visible with the naked eye. They are most numerous in the jejunum and least in the distal part of the colon. They increase the surface area of the gut available for absorption.

44
Q

Intestinal villi

A

Microscopic leaf like or finger like projections of the mucosa. Covered by a simple columnar epithelium with two main cell types, enterocytes ( absorptive cells and goblet cells ( mucus secreting cells). These cells are short lived but are replaced by cells that originate in the crypts.

45
Q

Internal contents of the intestinal villi

A

Contains in its core a small arteriole, a thin walled venue and a blind-ended lymphatic ( lacteal). They also contain smooth muscle cells that rhythmically shorten the villus and “milking” the blood and lymph from the villus. The venues and lacteals carry absorbed nutrients to the liver.

46
Q

Crypts of lieberkuhn

A

Tubular glands between the villi. Contain a stem cell population. Newly formed cells migrate from the crypts on to the surface of the villi and are eventually sloughed off from the tips, the whole process taking about 5 days.

47
Q

Enterocytes

A

The major absorptive cell of the small ( and large ) bowel. Each cell possesses about 300 short, closely packed processes known as microvili on its surface on its apical surface.

48
Q

Microvilli of enterocytes

A

Arising from the outside surface of these microvilli is a well developed glycocalyx that acts as a filter and as an anchorage for exo-enzymes.
Most nutrients are absorbed across this epithelium although water and some glucose is able to be taken up via pathways between the cells. ( the presence of high concentrations of heroes sugars within the glycocalyx means that the brush boarder ( like the goblet cells) stains intensely by the periodic acid Schiff ( pas) procedure.

49
Q

Duodenum

A

First of three segments that make up the small intestine. 30 cm long. Has a relatively smooth lining with few plicae circulares. The villi are broad leaf- like structures and the epithelium has relatively few goblet cells. Submucosa of the duodenum is filled by secreting brunner’s gland. It’s alkaline secretion helps to neutralise the chyme emerging from the stomach.

50
Q

Duodenal crypts

A

Contain newly formed enterocytes and goblet cells. In the small intestine where there are no villi, the cell simply spread out over the flattened surface of the gut.

51
Q

Stem cells of the duodenal crypts

A

Give rise to the differentiated cell types that populate the crypts and villi. Dividing cells can be recognised by their compact very dark staining nuclei or by sets of chromosomes if the nuclear membrane has broken down.

52
Q

Paneth cells

A

At the bottom of the duodenal crypts. Secrete lysozyme, an enzyme important for the breakdown of bacterial cell walls. They play an important part in regulating the bacterial flora of the gut. The cells can be recognised by their bright pink-staining cytoplasmic granules.

53
Q

Jejunum

A

Second ( middle) section of the small intestine. Has close packed plicae circulares, the villi are long and narrow and the crypts are short. Many goblet cells present within the epithelium.

54
Q

Submucosa of the jejunum

A

Variable thickness but generally very loose so that the mucosa is almost detached from the muscularis externa outside it. Unlike the duodenum, the jejunum does not have brunners gland in its
submucosa nor does it have the lymph nodules ( peyer’s patches) characteristic of the ileum. The absence of these two features helps to distinguish this part of the small intestine from the other two sections.

55
Q

Lymph nodules of the jejunum

A

Present in the lamina propria but they do not normally penetrate into the submucosa.

56
Q

Ileum

A

Third and last segment of the small intestine. The plicae circulares are not as closely packed as the jejunum and the villi are not as tall. Goblet cells increase in number towards its distal end.

57
Q

Peyers patches in the ileum

A

Large patches of lymphoid tissue present in the submucosa and in places these can be seen to erupt through the muscularis mucosa into the lamina propria.

58
Q

Vermiform appendix

A

Arises from the caecum, the first part of the large intestine. It is lines by a simple columnar epithelium with goblet cells but with no villi and only a few rudimentary crypts. Lamina propria and submucosa are filled with lymphoid tissue. The amount of lymphoid tissue present is large in children but declines with age.

59
Q

Muscularis of the vermiform appendix

A

There is no muscularis mucosa but the muscularis external shows two layers of smooth muscles similar to the rest of the intestine. The trends coli originate at the base of the appendix and run the whole length of the large intestine.

60
Q

Segments of the colon

A

Ascending, transverse, descending and sigmoid colon.
These segments together with the caecum at its proximal end and the rectum that follows it all have a similar histological appearance.

61
Q

Mucosa of the large intestine

A

No intestinal villi, instead the mucosa consists of close packed intestinal crypts that mainly contain enterocytes and abundant goblet cells. The lamina propria is restricted in volume due to the packed nature of the crypts but a prominent muscularis separates the mucosa from underlying tissues

62
Q

Muscularis externa of the colon and rectum

A

Consists of thickened inner circular layer of smooth muscle and an outer layer that is drawn up into three longitudinal bands ( ribbons) known as taeniae coli. These bands are clearly visible in a fresh gross specimen.

63
Q

Lining of the rectum

A

Simple columnar epithelium.

64
Q

Lining of the anal canal

A

Mainly stratified squamous epithelium that becomes keratinised at its distal end.

65
Q

Submucosa of the anus

A

Contains fat and a prominent ( internal ) plexus of veins that may give rise to Ana, varicosities.

66
Q

Muscularis externa of the anus

A

Smooth muscle is thickened to form the internal anal sphincter and is surrounded by striated muscle of the external anal sphincter ( derived from the pelvic bowl).

67
Q

Peri-anal skin

A

Contains hair follicles and modifies sebaceous glands.

68
Q

What are the atria and ventricles composed of

A

Cardia muscle ( myocardium)

69
Q

What are the heart valves composed of

A

Fibro-elastic connective tissue.