Lecture 12 - Exocrine & Specialised Glands Flashcards

1
Q

Where are the parotid glands located?

A

Underneath the skin, the top of the glands are at the head of the mandible, the bottom is 2cm below the angle of the mandible

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2
Q

What colour does the parotid gland stain and why?

A

Purple as it is a serous gland. the pale structure is the striated duct of the gland, surrounded by simple columnar epithelial cells.

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3
Q

Where does saliva pool due to a blockage in the parotid gland that ultimately leads to swelling?

A

In the striated duct, as infections of the gland cause a blockage here which fills with saliva from acinar cells.

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4
Q

Where is the submandibular gland located?

What are the 2 parts and what are they separated by?

A
  • Underneath the mandible and jaw

- Superficial and deep - separated by mylohyoid muscle

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5
Q

The 3 salivary glands are parotid, submandibular and sublingual - which ones are serous, mucous or both?
How can this be used to tell them apart on a H&E stain?

A
  • Parotid = serous. Submandibular = Mostly serous, some mucous. Sublingual = Mucous
  • Serous stains purple and mucous stains white, so purple = parotid, mixed = submandibular and white = sublingual
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6
Q

How is salivary secretions stimulated/regulated?

A

Via ANS supply to the salivary glands (neural ONLY)- BOTH sympathetic and parasympathetic increase saliva secretion.

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7
Q

What is the difference in saliva secretions when stimulated by sympathetic and parasympathetic innervation?

A
Parasympathetic = Watery saliva rich in enzyme 
Sympathetic = Small, thick secretions rich in mucous
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8
Q

What 2 vessels supply blood to the liver and how much does each contibute?
Is the blood from each vessel deoxygenated or oxygenated?

A

1) Hepatic portal vein (70-75%) - deoxygenated
2) Hepatic artery (25-30%) - oxygenated

NB: HPV also supplies the spleen, stomach and intestines.

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9
Q

What is the structure called that blood is fed into when the HPV and hepatic artery come together?

A
  • A sinusoid tube (irregularly shaped)
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10
Q

What are the large gaps in sinusoidal cells called and why do they have them?

A
  • Sinusoids
  • So that cells can squeeze through the large gaps and enter the tissues directly, which is important for places such as the liver, spleen, bone barrow and lymph nodes.
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11
Q

What are the three main cells of the liver?

A

1) Hepatocytes
2) Kupffer cells
3) Ito (stellate) cells

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12
Q

What are Kupffer and what is their function in the liver?

A

Kupffer cells are specialised macrophages that form part of the sinusoidal lining. They trap and phagocytose any aged erythrocytes missed by the spleen (or take over this role after splenectomy) - Erythrocyte typically last 120 days/4months

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13
Q

What are stellate (ito) cells?

A

Stellate cells are the major storage site of vitamin A (in their cytoplasmic vacuoles) but also respond to hepatic injury.

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14
Q

Which cell constitutes to 80% of the liver cell population?
What is its function?
What organelles do they have in abundance?

A
  • Hepatocytes
  • Metabolism, detoxification, protein synthesis + has regenerative ability
  • Peroxisomes, free ribosomes, RER, SER, golgi apparatus and glycogen deposits
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15
Q

what are the major functions of the liver?

A

1) Storage - iron, lipid soluble vitamins (A,B12,K), glycogen
2) Anabolism - more than 60% of body proteins, e.g.: albumin, enzymes, lipid carrier proteins, AA’s
3) Catabolism - of drugs, hormones, Hb, poisons/toxins
4) Bile production - through ducts into the gall bladder which emulsifies fats and assists in Vit K absorption from the SI
5) Production and modification of hormones

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16
Q

What are the 4 main ways in which the liver is regulated?

A

1) Autocrine signalling via VGEG - acts on own receptors inside cell
2) Paracrine signalling via succinate - acts on adjacent cells
3) Endocrine signalling via GH - Acts long distance
4) Intracrine signalling - stimulates production of APO A1 which increased HDL in blood