Lecture 17 - Digestive 1 Flashcards

1
Q

Classification of organs within the digestive system

A
  1. Digestive organs
    - > collectively make up the GI (gastrointestinal) tract, also called digestive tract or alimentary canal, food goes through lumen of organ
  2. Accessory digestive organs
    - > food does not pass through these organs, they only assist digestion
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2
Q

List all GI tract organs

A
  • > oral cavity
  • > pharynx
  • > esophagus
  • > stomach
  • > small intestine
  • > large intestine
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3
Q

List all accessory digestive organs

A
  • > teeth
  • > tongue
  • > salivary glands
  • > liver
  • > gall bladder
  • > pancreas
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4
Q

Digestive system functions

A
  • > ingestion
  • > digestion
  • > propulsion (move things along)
  • > secretion (subsances are release from digestive organs to help with digestion)
  • > Absorption
  • > elimination of wastes
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5
Q

Peristalsis vs Segmentation

A

*both are involved with food propulsion along GI tract*

Peristalsis

  • > the ripple-like movement of musclular contractions that forces material to move further along GI tract

Segmentation

  • > the churning/mixing of materials, helping mix the materials with digestive organ secretions
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6
Q

Structures of the oral cavity

A
  • > cheecks, lips and palate
  • > tongue
  • > salivary glands
  • > teeth
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7
Q

Characteristics of the cheeks and lips

A
  • > cheeks form lateral walls of OC and are comprised mostly of the buccinator muscles
  • > the gingivae (gums) cover the alveolar processes of the teeth
  • > superior/inferior labial frenulum connect lips to gingivus
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8
Q

characteristics of the palate

A
  • > the anterior 2/3 is called the hard palate and is comprised of bone (maxilla and palatine)
  • > posterior 1/3 is the soft, muscular palate containing the uvula which posteriorly extends from the soft palate
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9
Q

role of the uvula during swallowing

A

during swallowing, the soft palate elevate the uvula and closes off the posterior entrance to the nasopharynx

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10
Q

characteristics of the tongue

A
  • > manipulates and mixes ingested materials during chewing
  • > helps compress the partially digested material into a bulus
  • > the inferior surface of the tongue attaches to the floor of the oral cavity by a thin midline mucus membrane called the lingual frenulum
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11
Q

functions of salivary glands

A
  • > moisten ingested materials to become a slick bolus
  • > moisten, cleanes and lubricates the structures of the oral cavity
  • > chemical digestion of ingested materials
  • > antibacterial action
  • > dissolves material so taste receptors on the tongue can be stimulated
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12
Q

name all salivary glands and where they are

A

Parotid glands - > largest SG in size, near ear, produces more serous cells

Submandibular glands - > under mandible, produces 70% of total saliva, more serous cells

Sublingual glands - > under tongue, produces 3-5%of saliva, more mucous cells

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13
Q

Mucous cells vs serous cells

A

Mucous cells

  • > secrete mucin, a stringy viscous solution

Serous cells

  • > secrete saliva that is 97-99% water,
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14
Q

Dentition

A

the colective term for teeth

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15
Q

Anatomy of teeth

A
  • > exposed area is called crown (made of enamel) which leads into the neck
  • > root of the tooth fits in the dental alveoli
  • > dentin forms the primary mass of the tooth, harder than bone
  • > each root is covered with cementum
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16
Q

Explain the deep internals of the tooth

A
  • > the center of the tooth is a pulp cavity that contains connective tissue called pulp
  • > the root canal opens into the connective tissue through an opening called the apical foramen
  • > blood vessels and nerves pass through the apical foramen and are housed in the pulp
17
Q

What are the major types of teeth

A

Deciduous teeth (baby/milk teeth) - > erupt between 6-30 months, 20 in total

Permanant teeth - > replace the deciduous teeth and are around 32 in number

18
Q

what are the different types of permanant teeth

A

incisors - > most anteriorly placed, shaped like chisels, have single root

canines - > posterolateral to insisors, pointed tip for puncturing and tearing

premolars - > posterolateral to canines, have flat crowns with prominant ridges called cusps for crushing and grinding

Molars - > thickest, most posterior teeth, also used for crushing adn grinding

19
Q

characteristics of the pharynx; what controls and supplies it?

A
  • > shared by the respiratory and digestive systems
  • > three skeletal muscle pairs of pharyngeal constrictors form wall of pharynx and participate in swallowing
  • > CN X (vegas) innervates most pharyngeal muscles
  • > branches of external carotid arteries supply and internal jugular veins drain the pharynx
20
Q

Pharyngeal constrictors

A

Superior constrictor - > skeletal muscle = voluntary control

Middle constrictor - > mixed (skel+smoo) = partial voluntary control

Inferior constrictor - > smooth muscle = involuntary

21
Q

steps of Deglutition

A

***SWALLOWING***

  1. Oral/buccal stage
  2. Pharyngeal stage
  3. Esophageal stage
22
Q

Stage 1 of deglutition

A

Oral/Buccal stage

  • > upper esophageal sphincter is closed
  • > food is chewed and mixed with saliva in preperation for swallowing
  • > tongue presses against hard palate, forcing the bolus into the oropharynx
23
Q

stage 2 of deglutition

A

Pharyngeal stage

  • > tongue blocks the mouth
  • > soft palate and uvula rise, blocking the nasopharynx
  • > larynx and epiglottis cover trachea
  • > upper esophageal sphincter relaxes, and bolus travels down into esophagus
24
Q

stage 3 of deglutition

A
  • > pharyngeal constrictor muscles contract and move the bolus inferiorly down the esophagus
  • > the upper esophageal sphincter closes behind the bolus
25
Q

Tunics of the wall of the abdominal GI tract

A

from deep (lumen) to superficial

  • > mucosa
  • > submucosa
  • > muscularis
  • > adventitia or serosa
26
Q

Componants of mucosa

A
  • > superficial epithelium
  • > an underlying areolar connective tissue, called the lamina propria
  • > a thin layer of smooth muscle called the musculairs mucosae
27
Q

componants of the submucosa

A
  • > lymphatic ducts
  • > mucin-secreting glands
  • > blood vessels
  • > nerves

the nerves and their associated ganglia are called the submucosal nerve plexus (meissner plexus)

28
Q

what are the layers of smooth muscle in the muscularis

A

*responsible for peristalsis/segmentation*

  1. inner circular layer
    - > constricts the lumen and forms sphincter
  2. outer longitudinal layer
    - > shortens the tube

Exceptions

  • > esophagus has a mix of both smooth and skeletal muscle
  • > stomach contains three layers of smooth muscle
29
Q

Myenteric nerve plexus

A

*auerbach plexus*

  • > located in between inner circular and outter longitudinal layers of muscularis
  • > nerve fibres and associated ganglia in between the two layers of muscle of the muscularis
30
Q

Adventitia or serosa

A
  • > outermost layer of the wall of the abdominal GI tract
  • > loose areolar connective tissue with collagen and elastic fibres
31
Q

Esophagus

A
  • > tubular passageway that conducts ingested material from pharynx to stomach
  • > passes through an opening in the diaphragm as it connects to the stomach called the esophageal hiatus
32
Q

why is the esophagus collapsed in on itself

A
  • > as substances pass through it, the lumen expands and extends into the C-shaped space of trachea
  • > it would push against spinal cord
33
Q

stomach

A
  • > eventually processes the bolus into a paste-like soup called chyme
  • > possesses three layers of muscle (logitudinal, circular, oblique layer)
34
Q

regions of the stomach

A
  • > cardia
  • > fundus
  • > body
  • > pyloris

• inferior border is called the greater curvature; superior is called the lesser curvature

35
Q

Rugae

A
  • > the internal surface of the stomach is thrown into folds called gastric folds (rugae) which increases surface area to help with absorption and allows for stomach to stretch
36
Q

Wall of the stomach

A
  • > lined by simple columnar epithelium althoght little absorption occurs in the stomach
  • > stomach lining is indented by numerous depressions called gastric pits (house gastric glands)
37
Q

What are the types of secretory cells that form the gastric epithelium

A
  1. Surface mucous cells - > secretes mucin
  2. mucous neck cells - > secretes acidic mucin
  3. Parietal cells - > secretes HCL and intrinsic factors
  4. Chief cells - > secretes pepsinogen (digestive enzyme, unactive form of pepsin)
  5. Enteroendocrine cell - > secretes gastrin (stimulates the release of gastric acid which is a digestive fluid)
38
Q

Stomach Sphincters

A

The stomach has two important smooth muscle sphincters

  1. cardiac sphincter (lower esophageal sphincter) regulates the entrance of a bolus from the esophagus into the stomach
  2. pyloric sphincter regulates the release of chyme from the stomach into the small intestine
39
Q

Does the esophagus absorb any nutrients

A

no it only transports