Lecture 28 Unit 4 Flashcards

1
Q

what are the functions of the liver

A
  • metabolism of carbohydrates, proteins, and lipids
  • detoxifies the blood by removing drugs and hormones
  • removes bilirubin
  • releases bile salts to help digestion
  • store fat soluble vitamins
  • phagocytosis of worn out blood cells and bacteria
  • vitamin D activation pathway
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2
Q

what do kupffer cells do

A

phagocytize microbes and foreign matter

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3
Q

what are hepatocytes

A

primary cells in the liver doing the most work

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4
Q

how are hepatocytes arranged in lobules

A

in grids

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5
Q

what are the spaces between the hepatocytes

A

blood-filled sinusoids or bile canaliculi

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6
Q

what do bile canaliculi join to form

A

bile ducts which form hepatic ducts

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7
Q

what do right and left hepatic ducts form

A

common hepatic duct

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8
Q

what do cystic duct and common hepatic duct form

A

common bile duct

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9
Q

what do common bile duct and main pancreatic duct empty into

A

duodenum

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10
Q

what happens in carbohydrate metabolism in the liver

A

gluconeogenesis, glycogenesis, and glycogenolysis

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11
Q

what happens in gluconeogenesis

A
  • turns amino acids into glucose

- turns triglycerides into glucose

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12
Q

what happens in glycogenesis

A

turn excess glucose into glycogen and store in the liver

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13
Q

what happens in glycogenolysis

A

turns glycogen back into glucose

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14
Q

what happens in lipid metabolism in the liver

A
  • synthesize cholesterol
  • synthesize lipoproteins
  • stores some fat
  • breaks down some fatty acids
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15
Q

what lipoproteins are synthesized in the liver and what do they do?

A

HDL and LDL which are used to transport fatty acids and cholesterol in the bloodstream

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16
Q

what happens in protein metabolism in the liver

A

deamination, transamination, converts toxic ammonia into urea, synthesizes plasma proteins

17
Q

how is urea excreted

A

by the kidney

18
Q

what are plasma proteins used for

A

in the clotting mechanism and immune system

19
Q

what are the functions of the large intestine

A
  • smooth muscle mechanical digestion
  • peristaltic waves
  • haustral churning
  • bacteria ferment undigested carbohydrates
  • gastroilial reflex
  • gastrocolic reflex
  • defecation reflex
20
Q

what happens in haustral churning

A

relaxed pouches are filled from below by muscular contractions and when full they contract and ove content to next pouch

21
Q

what do bacteria in the large intestine ferment

A

undigested carbohydrates into carbon dioxide and methane gas and undigested proteins into simpler substances

22
Q

what happens in the gastroilial reflex

A

when stomach is full gastrin hormone relaxes ileocecal sphincter msg small intestine will empty into large intestine

23
Q

what happens in the gastrocolic reflex

A

when stomach fills a strong peristaltic wave moves contest of transverse colon into rectum

24
Q

what happens in defecation reflex

A

when rectum fills, input to sacral spinal cord return commands to expel feces

25
Q

what are the steps in the defecation reflex?

A
  1. gastrocolic reflex moves feces into rectum
  2. stretch receptos signal sacral spinal cord
  3. parasympathetic nerves contract muscles of rectum and relax internal anal sphincter
  4. external anal sphincter is voluntarily controlled