Histology: major accessory organs Flashcards

1
Q

What are exocrine portions in pancreas

A

Secretory portions with columnar epithelial cells which go to ducts

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2
Q

What are endocrine portions in pancreas

A

Secretory portions which empty into a capillary and carried into blood to act somewhere else

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3
Q

What are acini cells

A

clusters of secretory cells that surround ducts

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4
Q

What do acinar contain

A

Extensive rough ER and zymogen granules

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5
Q

What do acinar cells produce

A

Digestive enzymes

  • Pancreatic proteases
  • Pancreatic amylase
  • Pancreatic lipase
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6
Q

Why is there no auto digestion in pancreatic acini

A

secretions are packaged and inactive

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7
Q

What do duct epithelial cells do

A

Secrete bicarbonate ions to control pH in direct relation to the amount of HCL produced in stomach

Produce water (all together is pancreatic juice)

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8
Q

What does duodenal release of CCK stimulate

A

Contraction of the gallbladder and relaxation of the sphincter of Oddi

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9
Q

Route of bile from liver to common hepatic duct

A

Synthesises in hepatocytes and secreted into the canaliculi

These combine to form bile ductules then portal tracts- and finally the common hepatic duct

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10
Q

What concentrates bile

A

Gall bladder. The epithelium is adapted for salt and water absorption and it is also highly folded.

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11
Q

What does cholestasis result from

What are the outcomes of it

A

Reduced bile flow or synthesis

Bile accumulates in the canaliculi and ruptures them, damaging the hepatocytes and accumulating in the blood. Leads to jaundice

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12
Q

How do hepatocytes play a key role in the liver

A

They line sinusoid capillaries (these are leaky capillaries with lots of holes for increased permeability)

They produce bile

They have microvilli

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13
Q

What are Kupffer cells

A

Phagocytic cells

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14
Q

What are Ito cells

A

Stellate cells that store vitamin A in lipid droplets in the cytoplasm. They are myofibroblasts and participate in fibrosis and are antigen presenting cells

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15
Q

What are some complications of liver cirrhosis

A

HEpatic encephalopathy
Esophageal varices
Ascites
splenomegaly

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16
Q

How does portal hypertension cause varices

A

Destruction of sinusoids so portal venous blood can’t escape. Increased blood pressure in the portal system. Excape route is via anastomoses with systemic venous system which open under high pressure and these anastomotic channels become distended to form varies.

Those at the lower end of the oesophagus bulge into the lumen and can be eroded by gastric acid-torrential haemorrhage (can be fatal)