Large Intestines Flashcards

1
Q

what are the different parts of the large intestine?

A

caecum, colon and rectum

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2
Q

what is the part of the caecum?

A

appendix

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3
Q

what are the different parts of the colon?

A

ascending, transverse, descending and sigmoid

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4
Q

what is the appendix made of?

A

inflammatory cells

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5
Q

what does the caecum do?

A

holds faecal material of which 60% is bacteria

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6
Q

what is the hepatic flexure?

A

a bend of the colon at the liver

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7
Q

what is the splenic flexure?

A

a bend of the colon at the spleen

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8
Q

what is the taenia coli?

A

the band of tissue running down the middle of the colon

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9
Q

what are haustra?

A

the dips in between the pouches of the colon

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10
Q

what are appendices epiploicae?

A

fatty tags that have no function and are around the taenia coli sometimes

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11
Q

describe the internal sphincter, what type of muscle it is made of and what function it is

A

cannot control it, smooth muscle, lets you know when you need to go to the toilet

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12
Q

describe the external sphincter and what type of muscle it is made of

A

under voluntary control from the age of 2 years as it does not develop when a baby is born, made of skeletal muscle

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13
Q

what is the ileo-caecal junction?

A

junction between caecum and ascending colon

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14
Q

what does the ileo-caecal junction do?

A

allows chyme to pass from small intestine to large intestine

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15
Q

what leads off from the caecum?

A

the appendix

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16
Q

what is the basic structure of the large intestine?

A

epithelium, intestinal crypts and mucosal glands

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17
Q

what type of epithelium is present in the large intestine?

A

simple columnar with goblet cells

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18
Q

what are the differences of large intestines to small intestines

A

no villi, incomplete layer of longitudinal muscle, taenia coli, ring-like arrangement of circular muscle, haustrae

19
Q

what can damage to the epithelium cause?

A

polyps

20
Q

what happens once a high grade polyp goes down to the submucosa?

A

it becomes cancer an it spreads

21
Q

what is an intestinal crypt?

A

a dip in the epithelium

22
Q

why do the large intestines have so many goblet cells?

A

because faecal material is being made

23
Q

what is the function of the colon?

A

absorption

24
Q

what does the colon absorb?

A

fluid and electrolytes from the small intestine chyme

25
Q

what does failure to reabsorb result in?

A

diarrhoea

26
Q

what are the roles of intestinal flora?

A

ferment dietary fibre and lipid, gases produced, synthesise some vitamins (vitamin B and K)

27
Q

what are abscesses typically caused by?

A

anaerobic bacteria

28
Q

how can antibiotics cause diarrhoea

A

they change the gut flora

29
Q

what does vitamin B12 do?

A

makes sure the nerves are working properly

30
Q

what does vitamin K do?

A

it is essential for blood clotting

31
Q

where is the main places that the large intestine squeezes chyme

A

the caecum and ascending colon

32
Q

what are the movements like in large intestine motility?

A

propulsive and mixing

33
Q

what is the function of peristalsis in the large intestin

A

it propels semi-solid faecal matter towards rectum

34
Q

where does short range peristalsis take place?

A

the transverse and descending colon

35
Q

what do mass movements do?

A

move chyme/faces from proximal colon to distal colon

36
Q

when do mass movements take place?

A

after meals

37
Q

what happens to chyme once the water gets taken out?

A

it becomes faeces

38
Q

what is the rectum and internal anal sphincter controlled by?

A

the autonomic nervous system

39
Q

what happens in an ileostomy?

A

the problem area is taken out and the ileum is brought out onto the surface (now called stoma)

40
Q

what happens in a colostomy

A

bring colon out onto abdominal wall which can be reversed depending on the condition

41
Q

what is diarrhoea

A

failure of fluid absorption

42
Q

what does diarrhoea result in?

A

dehydration and electrolyte imbalance

43
Q

what is diarrhoea mainly caused by?

A

G.I.T infections

44
Q

what is constipation due to?

A

increased fluid absorption and can be a side effect of some drugs e.g. opiates