Lecture 5 Flashcards
What are the responses of the sympathetic nervous system associated with?
Exercise, emotion, excitement
How does the sympathetic nervous system affect the gut function?
Inhibits gut function
Predominates at times of activity/stress
Diverting blood to brain and muscles
What are the responses of the parasympathetic nervous system associated with?
Rest, repletion, relaxation
How does the parasympathetic nervous system affect the gut function?
Promotes gut function
During and after meals
Stimulates secretion and transport in gut tube
What is the enteric nervous system of the gut composed of?
Submucosal and myenteric nerve plexus
How many tunics is the gut composed of?
4 concentric layers
What are the 4 layers of the gut tube?
Mucosa
Submucosa
Muscularis externa
Adventitia/Serosa
What are the three components of the mucosa?
Epithelium, lamina propria, muscularis mucosae
What are the functions of the epithelium?
Protection (sacrificial layer), secretion, absorption
What are the functions of the lamina propria?
Structural support - Mechanical support due to connective tissue
Functional support - Blood vessels and nerves
What is the function of the muscularis mucosae?
Muscle of the mucosa
Responsible for movement independent of peristalsis
What are the functions of the submucosa?
Structural support - Connective tissue
Functional support - Blood vessels and nerves
What is the structure of the muscularis externa?
Usually inner circular and outer longitudinal except stomach
Made up of smooth muscle except for oesophagus
What forms sphincters?
Thickenings of inner circular layer
Define adventitia
The outermost connective tissue covering of any organ, vessel, or other structure
Define serosa
A slippery outer covering for the gut tube. It is two layered, with the outer mesothelium sitting on a bed of connective tissue
What is another name for serosa?
Visceral peritoneum
What is ascites?
Accumulation of fluid, abdominal swelling, distortion of visceral organs, distended superficial blood vessels.
What diseases can cause ascites?
liver disease, heart failure, electrolyte balance
Normally, how much serous fluid do we produce a day?
7L
What is peritonitis?
Physical damage, chemical irritation, bacterial invasion (complication from surgery) where inflammation interferes with normal function.
What are the three types of salivary glands?
Parotid, sublingual, submandibular
How much does the sublingual gland contribute to saliva?
5%
What kind of secretion is produced by the sublingual salivary gland?
Mixed (serous and mucous)
How much does the submandibular gland contribute to the saliva?
70%
What kind of secretion is produced by the submandibular gland?
Mixed (serous and mucous)
How much does the parotid gland contribute to the saliva?
25%
What kind of secretion is produced by the parotid gland?
Serous only
What are the structures found in the submaibular gland?
Serous acinus
Mucous acinus
Intercalated duct
Striated duct
What is the appearance of a serous acinus?
Dark staining
Granular (due to zymogen granules)
Central circular nuclei
Flat myoepithelial cells around the outside
What is an acinus?
A circular group of 5, 8, or 12 cells
What are myoepithelial cells?
Modified epithelial cells that are contractile and squeeze contents through the duct
What is the intralobular duct composed of?
Intercalated and striated ducts
Describe the appearance of a mucous acinus
Pale staining
Mucus granules push nuclei to the periphery. Granules look foamy. Myoepithelial cells also present.
Describe the appearance of striated ducts
Many aligned mitochondria Central oval nuclei
What does the high number of mitochondria found in the striated ducts suggest?
Very metabolically active, which implies a lot of active transport is happening. Na+ and Cl- move into the cells while K+ and HCO3- move out of the cells.
Describe the appearance of the intercalated duct
Fewer, smaller cells
Central nucleus
Short duct so reduced likelihood of capturing in section
What is a serous demilune?
Mixed acinus
Mucous cells capped off by serous cells that form a half moon shape.
What does the intralobular duct lead into?
Interlobular ducts in connective tissue septa and then eventually into the submandibular duct