Histology para-ail tract Flashcards

1
Q

Function of the salivary glands?

A
  1. Secrete digestive enzymes
  2. Lipids and proteins enhance enamel
  3. Lysozymes prevent bacterial growth
  4. IgA secretion for defense
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2
Q

Function of the salivary glands?

A
  1. Secrete digestive enzymes
  2. Lipids and proteins enhance enamel
  3. Lysozymes prevent bacterial growth
  4. IgA secretion for defense
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3
Q

What are the smallest types of ducts

A

Intercalated ducts, myoepithelial cells

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4
Q

What are the larger ducts?

A

Striated ducts, columnar cells with basal striations

-basal have mitochondria to concentrate the saliva

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5
Q

Which gland provides the most content for saliva?

A

Submandibular gland

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6
Q

What do ducts secrete?

A

Bicarb and mucins and water

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7
Q

What do acinar cells secrete?

A

Enzymes

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8
Q

What makes up the maj of pancreas?

A

Acinar cells

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9
Q

Polarized acini

A

Basal: RER (basophilic)
Apex: zymogen granules (eosinophilic)

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10
Q

How is the pancreas protected from the enzymes it makes?

A
  1. Makes proenzymes
  2. Produces trypsin inhibitors
  3. Tight jxns between acini prevent leakage
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11
Q

What activates enzymes ?

A

Enterokinase of the brush border cells activate panc enzymes via trypsinogen–trypsin

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12
Q

Which enz are sec in active from?

A

Amylase and lipase

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13
Q

What are hepatic cords?

A
  • Max blood-heptocyte interface
  • Fenestrated endoth sep blood from hepatocytes
  • hepatocytes sep by sinusoids
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14
Q

Describe polarity of hepatocytes

A
  • polarized along many surfaces
  • apex=bile canaliculi
  • basal=sinusoids
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15
Q

Describe the flow of blood into the liver

A

Portal vein and hepatic artery–>mix in sinusoids–>hepatic venules–>IVC

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16
Q

Describe the classic hepatic lobule structure model

A

Hexagon of portal tracts with a portal vein in the center

17
Q

Describe the hepatic acinus structure model

A

Portal tracts on top, central veins on the bottom. Blood flows from tracts to veins. Bile flows from around veins to tracts

18
Q

What do zone 3 hepatocytes do?

A

Lipid, drug, alcohol detox

19
Q

What layers is the gallbladder made of?

A

Epithelial, lamina propria and muscular prop only (1 layer)

20
Q

What makes bile?

A
  • bile salts
  • conjugated bilirubin
  • cholesterol
  • phospholipids
  • electrolytes
  • water
21
Q

What are bile salts?

A
  • Synth from cholesterol by hepatocytes and conjugated in the SER
  • Bacteria can unconjugate bile salts
  • If conjugated, bile salts are reabsorbed in the small intestine
  • Form micelles
  • Amphipaths
22
Q

What prevents back diffuse of bile salts into hepatocytes?

A

Before secretion into bile, carboxyl side chains are conjugated with taurine or glycine within hepatocytes.

This produces stronger acids, which ionize the small intestine and prevent back diffusion of bile salts into the bile ducts and intestine. Ileal receptors bind conjugated bile salts

23
Q

Ursodeoxycholic

A

Secondary bile acid ursodeoxycholic has OH in beta position → more H2O soluble

24
Q

Protective mechanisms from unconjugated bilirubin?

A

Unconjugated bili is neurotoxic; protective mechanisms: binding to albumin, blood brain barrier, conjugation, excretion in bile; all protective mechanisms may be somewhat defective in newborn

25
Q

IgA

A

Some of it is in the bile

26
Q

Epithelium of the gallbladder

A

Simple columnar secretory epithelium

27
Q

Valves of Heister

A

Within the cystic duct from which the fundus and head of the gall bladder emptied

28
Q

What causes contraction of the gallbladder?

A

CCK

29
Q

Sphincter of Oddi

A

in the ampulla of vater, cck causes relaxation so bile and panc contents can be sec into duodenum