Intestine Mircoanatomy Flashcards

1
Q

What are the layers of the digestive tract

A

Lecture Slide

Mesenteric artery and vein
Mesentary
Serosa
Muscualris
Submucosa
Mucosa
Plica
- Villi
- Mucosa (Mucosal epithelium, lamina porpria)
- Mucosal glands
-submucosal glands
-musclaris mucosae
-lymphatic vessle
-artery and vein
- Submucosal plexus
-cicular muscle layer
myenteric plexus
Longitudal muscle layer

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2
Q

Histology slide of ileum

A

Lecture Slide

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3
Q

Celiac disease affects the gut how

A

autoimmune disease that attacks cells of villi
↳ Villus atrophy - destruction of villi (less SA)
· less absorption
· less digestion
↳ malabsorption

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4
Q

Role of lacteals

A

lacteals :
-blinded-ended capillary at core of villus
-lymphatic vessel
-no smooth muscle in walls
-rely on smooth muscle fibres inside the villus to help propel contents along
-smooth muscle fibres are extensions of the muscularis mucosae into the villus

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5
Q

What part is the villus, intestinal gland, mucosa and submucosa

A

Lecture Slide

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6
Q

What transports carbs
What transports lipids

A

Transport of carbohydrates (monosaccharides), proteins (amino acids), water and electrolytes. Venules in the submucosa are tributaries of the hepatic portal vein.

Transport of absorbed lipids. Lymphatic vessels eventually drain into the venous system.

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7
Q

Mucosa of the small intestine:
What cells

A

Columnar absorptive cells (enterocytes): Absorb the small molecules resulting from digestion

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8
Q

Role of micorvilli

A

microvilli membrane (lipid bilayer) studded with enzymes
- Directly digest items eg glycosidases help to breakdown carbs
- enterokinase activate pancreatic enzymes coming from pancreas

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9
Q

Role fo goblet cells
Components

A

Secrete mucus for lubrication

Mucinogen granules filling apical cytoplasm and Basal nucleus

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10
Q

Enteroendocrine cells:
- role
- what is bile made from

A

enteroendocrine cells to m ake Cholecystokinin (CCK)

Bile:
chyme
HCl
fatty acids
amino acids

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11
Q

What does CCK do
What does HCl do

A

Act on gallbladder to release bile
act on pancreas to release digestive enzymes

HCl:
activates secertin which acts on duodenum (increase bicarb production) and stomach (stop gastrin release)

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12
Q

Undifferentiated cells:
role

A

Stem cells dividing to generate new epithelium
↳ near base of glands
more upwards to replace superficial cells

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13
Q

Paneth cells
release what

A

TNF-a (produces inflammation in response to bacteria and parasites)

Lysozyme (bactericidal; destroys bacterial membranes)

Defensins (increasees ion channels in cell membranes of invading organisms; increases permeability)

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14
Q

Compare duodenum, jejnum and ileum

A

duodenum 25cm
Macroscopically curvy (c shaped), secrete bicarb, rich in mucus to neutralise acid

jejnum 2.5m
lots of plicae cicurlais and villi for lots of digestion and abs

ileum 3.5m
leads into large intestine and theres lots of bacteria (flora) lots of defensive mechanisms

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15
Q

Label chunk of intestine diagram

A

Lecture Slide

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16
Q

Label small intestine histo

A

Lecture Slide

17
Q

Label plica histo

A

Lecture Slide

18
Q

Label villi and crypts histo

A

Lecture Slide

19
Q

What cells are in epithelium

A

Simple coloumnar enterocytes
Goblet cells

20
Q

What cells/features are in the lamina propria

A

BV
Lacteal
SM
Lymphocytes
Fibroblasts (collagen)

21
Q

Label Outer tunics histo

A

Lecture Slide

22
Q

Label gastric/duodenual junction histo

A

Lecture Slide

23
Q

Label duodenual brunners glands (submucosa)

A

Lecture Slide

24
Q

Role of ileocecal valve large intestine

A

The ileocecal valve regulates the passage of materials into this expanded pouch. Collects and stores the arriving materials and begins the process of compaction

25
Q

Colon - ascending, transverse, descending and sigmoid
- mucosa cell types

A

Smooth, no villi or plicae
Mucosal glands (crypts of Lieberkuhn) are numerous. Two cell types predominate:
* Columnar absorptive cells (similar to the enterocytes of the small intestine):
- absorb water & electrolytes
- absorb vitamins produced by bacteria (B & K)
* Goblet cells: secrete mucus for lubrication.

26
Q

Label large intestine cell diagram

A

Lecture Slide

27
Q

Lamina propria Large intestine
- cell types
-what does it lack

A

Contains a dense layer of collagen immediately beneath the surface epithelium; also numerous lymphatic nodules (GALT / MALT - gut- or mucosa-associated lymphatic tissue) extending down into the submucosa.

No lymphatic vessels drain the lamina propria until the level of the muscularis mucosae is reached; this may explain the relatively slow rate of metastasis from some colon cancers.

28
Q

Muscularis externa Large intestine
-layers present and their purpose

A

Circular and longitudinal layers present. Outer longitudinal layer forms three distinct strips / bands running along the colon (teniae coli)

  • Allow segments of the colon to contract independently
  • Contraction pulls the intestinal tube into sac-like pockets (haustra coli)
29
Q

Rectum / Anus
-purpose
what does each section of it contain

A

Temporary storage of faecal material; movement of material into this area triggers the urge to defecate.

Final portion = anal canal (mucosa contains longitudinal folds called anal columns).

Distal margins = transverse folds - marks boundary between columnar epithelium –> stratified squamous.

Anal sphincters = internal (smooth muscle) & external (skeletal muscle)

End of anal canal = anu

30
Q

Label the large intestine (alimentary canal) anatomy

A

Lecture Slide

31
Q

Colon histo Label

A

Lecture Slide

32
Q

Layers of colon histo label

A

Lecture Slide

33
Q

Colon – mucosa and submucosa Histo label

A

Lecture Slide

34
Q

Label appendix histo AND specifics of appendix