Lower Gi Tract Flashcards

1
Q

How long is the Lower GI tract and where does it extend from

A

1.5m long, 6,5 cm in diameter and extends ileum to the anus

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2
Q

What does the lower GI tract consist of?

A
Caecum
Appendix
Colon
Rectum
Anal canal
Anus
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3
Q

Functions of large intestine

A

Absorption of water
Absorption of vitamins liberated by bacteria resident in the intestine
Compaction of faeces
Expulsion of faeces from the body

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4
Q

Special features of the large intestine

A

Teniae coli- longitudinal bands of smooth muscle
Haustra- series of pouches which give the colon a segmented appearance
Epiploic appendages - small punches of fat that are attached to the teniae

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5
Q

What is the caecum and function

A

First part of the large intestine
Blind-ended pouch, located in the right iliac fossa
The ileum opens into the large intestine at the ileocaecal junction
The orifice of the ileocaecal junction is guarded by the ileocaecal valve

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6
Q

What is the Appendix and function

A

A slender, blind ended tube with a narrow lumen
Arises from the posteromedial aspect of the caecum
The wall of the appendix contains a large amount of lymphoid tissue
May function as a lymphoid organ but can live without it

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7
Q

What are the 4 parts of the colon

A

Ascending colon
Transverse colon
Descending colon
Sigmoid colon

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8
Q

What is the ascending colon

A

Ascends on the right side of the abdomen
Extends from the caecum to the hepatic flexure
Retroperitoneal- fixed to posterior abdominal wall

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9
Q

what is the transverse colon

A

Crosses the abdomen from right to left
Extends from the hepatic flexure to the splenic flexure
Suspended from the posterior abdominal wall by the transverse mesocolon

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10
Q

What is the descending colon

A

Descend on the left side of the abdomen

Extends from the splenic flexure to the sigmoid colon

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11
Q

Sigmoid colon

A

Terminal Portion of the colon
S shaped segment that is continuous with the rectum
Suspended from the posterior abdominal wall by the sigmoid mesocolon

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12
Q

Rectum

A

Continuous superiorly with sigmoid colon
Continuous inferiority with anal canal at the anorectal junction
Expandable organ which provides temporary storage for faeces

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13
Q

What is the anal canal?

A

extends from anorectal junctions to the anus
Internal anal sphincter- involuntary
External anal sphincter- voluntary

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14
Q

Haustral churning

A

Haustra are the small pouches which give the large intestine it’s segmented appearance
Haustra distend when they fill with chyme
This stimulates smooth muscle contraction
The chyme is compressed and compacted and moved on to the next haustral

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15
Q

Explain Mass movement

A

Occur in large intestine
Powerful peristaltic contractions that push boils into rectum
Stimulates by distension of stomach and duodenum
Occur a few times daily
Can produce the urge to defecate

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16
Q

Explain elimination of waste

A

Faeces in the rectum stimulates the defecation reflex
Faeces are moved towards the anus
Internal anal spincter relaxes and faeces moved into anorectal canal
External anal sphincter contracted
Conscious effort required to relax external sphincter