lecture 17/18 Flashcards

GI: eso, stomach, intestines

1
Q

general plan of the GIT

A
  • mucosa: epithelium, lamina propria, muscularis mucosa
  • submucosa: loose or dense CT
  • tunica muscularis: 2 sublayer (internal circular and external longitudinal) and 3 in stomach (internal middle)
  • serosa (or adventitia)
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2
Q

what special feature is found in the esophagus?

A

esophageal glands (mucous) in the submucosa

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3
Q

function of the stomach

A
  • add/produce acidic fluid (pH 2.0) to the ingested food to transform it into a viscou mass called chyme
  • secrete intrinsic factor essential to absorb vitamin B12
  • prodcue hormones (e.g. gastrin)
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4
Q

what is the pit:gland ratio in the cardia, pyloric, and gastric stomach?

A
  • cardia: 1:1
  • pylori: 2:1
  • gastric 1:3
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5
Q

properties/function of the surface mucous cell

A
  • carbohydrate-rich glycoproteins described as the visible mucous b/c of cloudy appearance
  • it forms a thick viscous gel-like coat that adheres to the epithelial surface
  • high bicarbonate concentration
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6
Q

properties/functions of the mucous neck cell

A

mucous is more soluble (protection)

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7
Q

properties of zymogenic cells

A

has zymogenic granules that conatin pepsinogen and lipase

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8
Q

properties of argentaffin cell

A

granules that contain: gastrin, serotonin, histamine, VIP, glucagon, and somastotatin, which is released into the basememnt membrane (not on the outside)

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9
Q

properties of parietal cell

A
  • makes: intrinsic factor and vitamin B12
  • is the root of many diseases such as pernicious anemia and atrophic gastritis
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10
Q

what are the segments of the small intestine

A

duodenum, jejunum, ilieum

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11
Q

function of the small intestine

A
  • finish digestion of partially digested macromolecules from the stomach via mostly pancreatic enzymes
  • terminal digestion occurs at the mucosal surface and the resulting AAs, monosaccharides, FAs, and monoglycerides are absorbed
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12
Q

how do we differentiate the duodenum?

A

brunner’s glands in the submucosa

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13
Q

how do we differentate the jejunum?

A

plicae circularis (invagination of the submucosa into the mucosa), which increase the surface area by about 3x

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14
Q

what is the general plan of the small intestine mucosa

layers and cells

A
  • villi: columnar cell with brush border (enterocyte), goblet cell, M cell (microfold cell)
  • crypt: columnar cell with brush border (absorptive cell), goblet cell, enteroendocrine cell, paneth cell, stem cell
  • lamina propria
  • muscularis mucosa
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15
Q

what are M cells?

A

gut associated lymphatic tissue: senses mucous, so when foreign material, sends signal to lymphocytes, which are recruited

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16
Q

what do enteroendocrine cells do?

A

secrete cholecystokinin (CKK), which causes contraction of the gall bladder and pancreatic secretion

17
Q

what protein are present in the small intestine microvilli

A
  • on the outside: glycoproteins, disaccharidases, dipeptidases, alkaline phosphatases, enterokinases (trypsinogen to trypsin)
  • at the tip on the inside: dense matrix made of villin
  • terminal web, below microvilli: actin and myosin, with actin projecting to the villin
18
Q

what cell types are found in the large intestine?

A
  • goblet cell
  • absoprtive cell (enterocyte)
  • entero-endocrine cell
  • stem cell
19
Q

location and role of paneth cells

A

bottom of crypts in small intestine and have digestive enzymes and also regulate gut microbiome