Pancreatic and Biliary secretion Flashcards

1
Q

What type of secretory glands are found in the pancreas?

A

Both endocrine (into blood stream/lumen) and exocrine (into ducts)

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2
Q

what is produced from acinar cells?

A

digestive enzymes such as lipase and different amylases

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3
Q

what are produced from centro-acinar/duct cells?

A

electrolytes - bicarbonate ions

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4
Q

what does acidic chyme stimulate the release of?

A

electrolytes

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5
Q

What does protein rich chyme stimulate the release of?

A

Enzymes

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6
Q

What does fatty chyme stimulate the release of ?

A

Electrolytes and enzymes

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7
Q

what does secretin stimulate?

A

stimulates duct cells in the presence of acid = increased electrolytes

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8
Q

what does CCK stimulate?

A

stimulates acinar cells in the presense of fat or protein = lipase

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9
Q

what does the control of secretion involve?

A

lots of relflexes - same heirarchy sorta of gastric stimulation

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10
Q

what are the membrane specializations of the hepatocyte?

A
  • two surfaces facine sinusoids - microvilli = bloodstream

- lateral surfaces bile canaliculi with microvilli = biliary tree = tight junctions

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11
Q

How many blood supplies does the liver have?

A

Dual - branch of hepatic artery, central vein and branch of portal vein

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12
Q

how are hepatocytes orientated?

A

with respect to vessles - the plates (one cell thick) are separated by sinusoids

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13
Q

what vessels drain the hepatocytes out of the liver?

A

hepatic vein and bile duct

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14
Q

what brings in new supplies for hepatocyte formation?

A

hepatic artery and portal vein (from stomach nutrient rich)

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15
Q

how does bile get to the gall bladder?

A

canaliculi - ductule - hepatic ducts - common hepatic duct - cystic duct - gall baldder

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16
Q

where does the bile duct open?

A

onto the major duodenal papillae with the pancreatic duct

17
Q

what is the primary function of bile?

A

absorption and digestion of fat

18
Q

what is in bile?

A

bile salts = digest fat
chloesterol
bile pigments = bilirubin
bicarbonate slution

19
Q

what doe bile pigments do?

A

RBC breakdown

20
Q

what do bile salts aggregate into?

A

Micelles with fat = hydrophobic core and a hydrophilic outer shell

21
Q

what helps keep bile salts in solution?

A

cholesterol

22
Q

what causes jaundice to present as yellow?

A

bilirubin from broken down haeme

23
Q

what allows bile salts to be detergents?

A

steroid backbone is lipophilic and amino acid conjugate is hydrophilic = keep fats in solution in an aqueous environment = accessible to lipase