Lecture 10 Intro GI Flashcards

0
Q

what kind of cells is the serosa?

A

outer layer of CT, simple squamous epithelium

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1
Q

Layers of the Gut Tract Wall (Outer to Inner)

A
  1. Serosa
  2. Longitudinal smooth muscle
  3. Myenteric (Auerbach)
    4) Circular smooth muscle
    5) Meissner’s plexus
    6) Mucosa
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2
Q

where is the serosa missing?

A

esophagus

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3
Q

what forms the enteric nervous system?

A

Myenteric (Auerbach) and Meissner’s plexus

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4
Q

how are the neurons supported in the enteric nervous system?

A

by intrinsic glial cells

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5
Q

Is the myenteric plexus excitatory or inhibitory?

What hormones does it use?

A

excitatory

Ach and NO

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6
Q

what kind of neurons does the myenteric plexus consist of?

what does it control?

A

linear chain of interconnecting neurons

controls intestinal smooth muscle, participates in tonic and rhythmic contractions

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7
Q

What are the effects of the myenteric plexus?

A

Increases VITR

velocity (of excitatory waves), intensity, tonicity, rate

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8
Q

What does meissner’s plexus control?

A

GI secretion, absorption, local blood flow
also helps control local contraction of submucosal muscle

aka submucosal plexus

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9
Q

What are the layers of the gut tract wall?

A

submucosa - thicker than lamina propria, has blood vessels

mucosa - single cell layer, continuous sheet lining G.I. tract

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10
Q

what does the mucosa include?

A

lamina propria - loose CT with nerves, blood vessels, glands

muscularis mucosa - thin layer of smooth m., makes folds

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11
Q

what is characteristic of propulsive movements?

A

contractile ring
stimulus is distension, STRONG parasymp. signals, irritation
requires Myenteric (Auerbach) plexus
travels any direction

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12
Q

what are the characteristics of mixing movements?

A

may be caused by peristaltic contractions

local, intermittent contractions in gut wall

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13
Q

slow waves are not ____ ______.

what is the average intensity and frequency?

A

action potentials

I: 5-15mv Freq: 3-12 (increases from stomach to duodenum)

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14
Q

What kind of cells are the smooth muscle cell electrical pacemakers and what do they generate?

A

Cells of Cajal generate slow waves

slow wave –> spike potential –> muscle contraction

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15
Q

what are spike potentials? what is their threshold potential? how long do they last?

A

true action potentials
-40mv
10-20ms or 10-40x as long as normal AP

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16
Q

what kind of channels do spike potentials open?

17
Q

True or False

Calcium channels open rapidly and close slowly

A

FALSE

open slowly
close rapidly

18
Q

What factors cause depolarization?

A

stretching of muscle
Ach (PS)
GI hormones

19
Q

what causes hyperpolarization

A

NE and Epi

Sympathetic nerve stim

20
Q

what causes tonic contractions

A

repetitive spike potentials
hormones
continuous entry of calcium ions

21
Q

What g.i. reflexes result from the gut to prevertebral symp. ganglia and then back to g.i.?

A

gastrocolic - colon evacuation
enterogastric - inhibit stomach motility and secretion
colonoileal - empty ileum to colon

22
Q

What g.i. reflexes result from gut to spinal cord/brain stem and back?

A

pain reflex - inhibits entire g.i. tract
defecation - from colon/rectum to spinal cord and back
stomach/duodenum reflex - to brain stem and back control gastric motor and secretory activity

23
Q

Gastrin stimulus and site

A

protein, distension, nerve action

G cells of antrum, D, J

24
CCK stimulus and site
protein, fat, acid I cells of DJI
25
Secretin stimulus and site
fat, acid S cells of DJI
26
GIP stimulus and site
protein, fat, carbs K cells of DJ
27
Motilin stimulus and site
fat, acid, nerve action...we are all FANs of motilin M cells of DJ
28
Gastrin action
stimulates gastrin secretion and mucosal growth
29
CCK action
``` stimulates pancreatic enzyme secretion stimulates pancreatic bicarb secretion stimulates growth of exocrine pancreas inhibits appetite inhibits gastric emptying ```
30
Secretin action
``` stimulates pepsin secretion stimulates pancreatic bicarb secretion stimulates biliary bicarb secretion stimulates growth of exocrine pancreas inhibits gastric acid secretion ```
31
GIP action
stimulates insulin release | inhibits gastric acid secretion
32
Motilin actions
stimulates gastric and intestinal motility | secreted during fasting
33
what are the motor functions of the stomach
storage of food mixing of food with gastric secretions slow emptying of chyme into the small intestine
34
what 3 routes mediate the enterogastric nervous reflexes?
1. directly from duodenum to stomach through enteric nervous system in gut wall 2. extrinsic nerves going to prevertebral ganglia, then back inhibitory symp nerve fibers to stomach 3. vagus nerves to brainstem
35
what factors are continually monitored in the duodenum that can initiate these reflexes?
1. degree of distension in duodenum 2. irritation of duodenal mucosa 3. acidity of duodenal chyme 4. breakdown products (protein) in chyme
36
what hormones control feedback from duodenum?
CCK - most potent | GIP and secretin a little
37
what are the 2 types of movements in the small intestine?
mixing and propulsive contractions
38
what controls intestinal movement?
1. gastroenteric reflex initiated by distension via myenteric 2. gastrin, CCK, insulin, motilin, serotonin 3. irritation of intestinal mucosa 4. gastroileal reflexes
39
what are the principal functions of the colon
water and electrolyte absorption from chyme | fecal storage
40
what are produced by large circulare constrictions plus contractions of the teniae coli?
haustrations