post m1 histo Flashcards
3 main components of the Digestive
System
-what is their function 2
u Oral cavity
u Alimentary tract “food tube”
u Associated glands
Function together to allow
absorption of nutrients and
elimination of waste
4 Associated glands
u Salivary glands
u Liver
u Pancreas
u Gall bladder
Oral cavity and contents FN
Fragment and lubricate food
Oropharynx and esophagus FN
Transport fragmented food from
mouth to stomach
Stomach FN
Maceration and partial digestion of
fragmented food
Small intestine FN
Completion of digestion, main site for
absorption of amino acids, sugars, fat,
and other molecules
Large intestine FN
Conversion of liquid contents from
small intestine to semi-solid waste by
absorption of water and soluble salts
Anal canal FN
Transportation of feces for elimination
Associated organs FN provide 2
Provide bile and digestive enzymes
Basic Structure of Alimentary Tract four concentric layers:
u Mucosa (inner layer)
-Epithelium
-Lamina propria
-Muscularis mucosae
u Submucosa
-Fibrocollagenous support tissue
u Muscularis externa
-Usually 2 layers (inner circular and
outer longitudinal)
u Adventitia/Serosa
- Outer layer
Mucosa’
3 layers, type of epithelium, support and muscle type
u May be irregular
-Containing tubular glands
-Containing villi
Three components
1. Lining epithelium
u Variable based on location
2. Lamina propria
u Loose irregular connective tissue
u Lots of capillaries
u May see GALT (either diffuse or in nodules) (peyer’s patches)
3. Muscularis mucosae
u Smooth muscle layers (2 or 3)
Mouth, pharynx,
esophagus, anus epithelium type
Stratified squamous
Gastric, gland types
Secretory,
long tubular glands
Small intestine – absorption aided by X which has X epithelium
villi
simple columnra
Colon – absorption, protection
X for water absorption
X for lubrication
- Straight tubular glands
-goblet cells
Submucosa
type of support tissues
rich X
controlled by
GALT?
Meissner’s plexus
Loose fibrocollagenous tissue allowing mobility of the mucosa
-Rich blood supply
-Controlled by ANS (autonomic nervous system) so small nerves and small groups of ganglion cells (submucosal/Meissner’s plexus -transmits to the central nervous system )
- GALT may extend into the submucosa in some regions
-gut associated lymphoid tisue for immune protection
Muscularis Externa
Responsible for movement of
2 layers
u Responsible for movement of
material in the lumen along the
digestive tract
Two layers
u Inner (circular)
u Outer (longitudinal)
muscle in In esophagus and anus vs
lower esophagus, stomach, large
and small intestine
skeletal vs smooth
Auerbach’s plexus
What is it / type of cell
What do they do ‘
Where
ganglion cells
that coordinate peristaltic
movement located between two
muscle layers
in the muscularis externa
Adventitia/Serosa
-made of x conenctive tissue
-has lots of 3
u Outer coating of fibrocollagenous connective tissue
u Lots of blood vessels, lymphatic vessels, and nerves
serosa when covered with
If covered by mesothelium (continuous with peritoneal lining)
adventitia
If the connective tissues
If the connective tissue is continuous with posterior abdominal wall
The Esophagus
job
epithelium
muscle
The transport tube from mouth to stomach
u Subject to lots of wear and tear – needs an epithelial lining that can
withstand this – stratified squamous epithelium
u Some voluntary muscle control of upper portion of esophagus from
skeletal muscle, lower portions by smooth muscle
the stomach
job
epithelium
protected by
u Holds and mixes food
-simple columnar epithelium
- surface mucous cells
stomach rugae
Rugae (folds in the mucosa and submucosa) visible grossly
the stomach gastric glands
secrete: 3
secrete hydrochloric acid, enzymes, and
mucins
stomch gastric glands formation
u Tubular glands (occasionally branch or have a coiled base)
u Tightly packed together
gastric pit
type of epithelium
-opening of gastric glands
-empties onto the lining of the stomach
-Pit region lined with simple columnar mucus-secreting cells – neck mucous
glands
4 Cells in the glandular region of the
stomach
parietal
chief (peptic)
stem
neuroendocrine
Parietal cells
Secrete 2
u Secrete hydrochloric acid and
intrinsic factor
Chief (peptic) cells
Secrete 1
Secrete pepsinogen
a substance which is secreted by the stomach wall and converted into the enzyme pepsin by gastric acid
Stem cells
What are they
Precursors to all cell types
Neuroendocrine cells
Secrete x that controls x
Secrete hormones that control
digestion
small intestine
3 parts / sections we identified based on specialization
site of what
Three parts
u Duodenum
u Jejunum
u Ileum
u Site of absorption
small intestine
Folds in mucosa and submucosa
called
plicae circulares
small intestine
Mucosal surface in finger-like
projections called
villi
small intestine
Between villi are x gland
simple tubular glands – crypts of Lieberkühn
small intestine villi
site of
nutrient absorption
villi contain 2
capillaries and lacteals
u Lacteals absorb fat molecules too
large to enter capillaries
what is in the core of villi
lamina propria
Crypts of Lieberkühn are surrounded by
lamina propria
vilus vs crypt review visual crypt
sm intestine cell
Enterocytes
What to the do how do they look
u Most numerous
u Tall columnar cell with microvilli
u Absorption
sm intestine cell
Goblet cells
Where are they ‘
Secrete what
Secrete mucus
u Scattered among enterocytes
sm intestine cell
Paneth cells
Where
Contain what
Produce
u In base of Crypts of Lieberkühn
u Contain large eosinophilic granules
u Produce antibacterial substances
(lysozyme)
sm intestine cell
Neuroendocrine cells
Where
Secrete what
u Also in base of crypts
u Secrete several hormones and peptides
sm intestine cells
Stem cells
Where
u Precursors of all other cells
u In lower portion of crypts – mitotic
figures seen
u New cells spread up the crypts and out
over the villi, shed at the tip
u Epithelium renewed every 5-6 days
sm intestine
lamina propria suppoer tissue
(loose irregular
fibrocollagenous tissue) forms the
core of the villi, extends down by
the crypts
the lamin propria of sm intestine contains
lymphocytes, plasma
cells, eosinophils and
macrophages
Lymphoid aggregates also
located here
u GALT extends from lamina propria
through muscularis mucosae into
submucosa – known as Peyer’s
Patches: Seen in ileum
sm intestine duodenum main galnds to differentiate
where are they located
type of gland formation
secrete what
Brunner’s Glands (Duodenum)
u Numerous present in submucosa
u Compound acinar glands
u Secrete an alkaline fluid that
adjusts the pH of the chyme that
comes from the stomach
The Large Intestine (Colon)
how does the mucosa look/ doesn’t v have
Mucosa is flat on the surface (no villi!) with simple tubular glands
extending down into the crypts
colon 4 cell types
u Simple tall columnar cells (absorb salts and water)
u Goblet cells (secrete mucin for lubrication)
u Enteroendocrine cells
u Stem cells
colon
teniae coli
Muscularis externa has some specialization as the outer layer is separated into 3 bands called
major areas of the colon
6
cecum
ascending colon
transverse colon
descending colon
sigmoid colon
rectum, anal canal, anus
appendix
location
the same histologically as
has what type of lumen and neumour what
u Small, blind-ended structure associated with the cecum of the colon
u Histologically the same as the colon
u Has irregular lumen and numerous lymphatic nodules in the lamina propria that extend down into the submucosa
u Lymphatic tissue so pronounced that it may distort the muscularis
mucosae
review image of epithelium types in the gastrointeinal tract
Hepatobiliary System
composed of 3 parts where
liver and
gallbladder, as well as biliary
passages outside of the liver
Hepatobiliary System
hepatic duct of the system
Will join with with..
Common hepatic duct exits at
hilum of the liver and is joined by
the small cystic duct from the
gallbladder
u Combine to form the common bile
duct
Common bile duct combines with
the X and enters
the X at the X
pancreatic duct
duodenum
ampulla of Vate
Liver Vasculature
Liver receives blood from
2
Hepatic artery
Hepatic portal vein
Hepatic artery
-rich or poor O2
-contains x for y , and x for y
-(O2 rich blood from aorta)
- Contains metabolites for
reprocessing and toxins for
detoxification
Hepatic portal vein
-rich or poor O2
-rich in what
-contains X breakdown products from X
-(O2 poor blood
from gut and spleen)
u Rich in nutrients (amino acids,
carbohydrates, and lipids) from the
gut
u Contains hemoglobin breakdown
products from the spleen
Hepatic artery and hepatic portal
vein branch to smaller and smaller
vessels and run together in
portal tracts along with branches of the
bile duct
Liver
Blood eventually passed into
X are in close contact
with the liver cells (X)
and phagocytic cells (X) lining the sinusoids
sinusoids
hepatocytes
Kupffer cells
Blood percolates through the
sinusoids where it is detoxified and
structural components are
removed by liver cells
When leaving the sinusoids, blood
enters the X at the
centre of the liver lobule
central vein
Veins then unite to form larger
branches of hepatic veins and
then flow into the X
inferior vena
cava
Direction of flow is from
portal tract to central vein
Liver Lobules
-Small vessel in centre
-Poorly defined wall but obvious lumen
- Hepatocytes (separated by
sinusoids) radiate from the centre
u Portal tracts (triads) located at
intervals around the periphery
Portal Tracts
u Contain:
u Branches of hepatic artery and
hepatic portal vein
u Bile duct
u Lymphatic vessel
u Surrounded by small amount of
fibrocollagenous tissue
u Portal tracts shared by adjacent
lobules
Liver Parenchyma functional cells are called 2
Hepatocytes
Sinusoids
Parenchyma is what surrounds inside liver
Hepatocytes
appearance
pattern type
Large, polyhedral
u Abundant cytoplasm
u Large central nucleus with open
chromatin pattern
u Arranged in rows/sheets and one
surface of all cells is adjacent to a
sinusoid
Liver Parenchyma
Sinusoids
lined by x endothelium
lined by x cells
space of Disse, site of transfer btw
-Lined by discontinuous layer of
fenestrated endothelium with large
gaps between cells
u Endothelium doesn’t lie on a
basement membrane
u Partly lined by Kupffer cells
u Space of Disse: small space
between sinusoidal surface of the
hepatocyte and the endothelial
cell and is the site of transfer
between hepatocytes and blood
Liver Parenchyma
u Main fibre type is
reticulin
u Supports both hepatocytes and
sinusoidal endothelial cells
Liver Parenchyma
u Bile
produced by X
carried away by X to X
u Produced by hepatocytes
u Carried away by bile canaliculi
(tiny channels formed by adjacent
hepatocyte cell walls) to the bile
duct
*Blood and Bile Flow in the Liver
Blood arrives at
portal tract in branches of hepatic portal vein
and hepatic artery
u Flows from tract through the
sinusoids, collected in central
venule (branch of hepatic vein)
Blood and Bile Flow in the Liver
Bile flow starts
Bile flow starts in blind-ended
canaliculi near centre of liver
lobule
u Flows to tract and collected in bile
ducts
oppostie flow of blood
Gallbladder
jobs/ wth respect to bile
What does bile do
u Thin-walled ovoid sac that receives bile from the liver and
concentrates it
u Bile then enters common bile duct which passes to the duodenum
u Bile emulsifies fats in the small intestine to make their digestion easier
u Can distend, but when relaxed mucosa contains numerous folds
with a collagenous core
Gallbladder
epithelium / microfilming ?
support layer
muscle layer
Thick / thin
u Epithelium is simple columnar with
microvilli for water and salt absorption
u Underlying support layer is thin and
can be called either lamina
propria or submucosa
u Muscle layers thin and in three
planes
pancreas
exocrine and endocrine portions
produces what each*
u Exocrine component (most) is
major enzyme-producing
accessory gland of the digestive
system
u Endocrine portion – Islets of
Langerhans – pale staining and
produce hormones that control
carbohydrate metabolism
is pancrease highly lobulated
Y
does the pancrease have a capsule
y
pancrease acini shapes and job
Exocrine: numerous acini that
produce enzymes
u Pyramidal shaped cells that drain
into a tiny central duct (not usually
visible on section)
duct system of exocrine pancreas 7
central canal of acinus
intercalated ducts
intralobular ducts
interlobular ducts
main pancreatic duct
common bile duct
duodenum via ampulla of Vater
BEGINING OF URINARY SYSTEM
the urinary system FN
- For eliminating and conserving functions of the body
- Involved in regulation of blood pressure, hemodynamics and acid/base balance
- Main function = homeostasis of electrolytes and water, elimination
of toxic wastes - Produces, stores, and excretes urine
The Urinary System
* Composed of 4 organ systems
their relation of urine
- Kidneys (produce/control
composition of urine) - Ureters (transfer urine from
renal pelvis of kidney to bladder) - Bladder (stores urine and has a
pumping action to void urine) - Urethra (transfer urine to outside
the body)
the kidneys
look like
located where
do they have a capsule, if so whats it made of
protected by which ribs
what are the 2 major regions (like lymph)
- 2 bean shaped organs located:
- Retroperitoneally (Between peritoneum and posterior wall of the abdomen)
- Above the waist
- Covered with fibrocollagenous capsule, may be cushioned with
adipose tissue - Protected by 11th and 12th pairs of ribs
- Divided into two major regions (just like the lymph node!)
- Outer cortex
- Inner medulla
the kidneys
hilum , what happens here
Ureter
Vein ‘\
Artery’s
- Idented region = hilum
- At hilum:
- Ureter leaves
- Renal artery enters
- Renal vein leaves