saliva and gastric secretions Flashcards

1
Q

what are the functions of saliva

A

lubrication for swallowing and speaking
mineralisation of teeth (high ca and increase ph to prevent from acid damage)
maintenance of oral hygiene - saliva contains lysosomes with peroxides to destroy bacteria
digestion - amylases for carbs and lapses for fats but only get activated in the stomach in the low ph
salvation for taste

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2
Q

what does lactoferon in saliva do

A

removes iron to stop growth of bacteria

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3
Q

what is xerostomia

A

dry mouth due to lack of saliva causing increase in gum disease and cavities

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4
Q

what are the three salivary glands

A

submandibular
parotid
sublingual

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5
Q

what is released from the submandibular

A

70% secretions

both mucus and serous fluid

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6
Q

what is mucus made up of and what from

A

viscous fluid made up of glycoproteins from mucus cells

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7
Q

what is released from the parotid gland

A

25% secretions

mainly serous fluid

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8
Q

what is released from the sublingual gland

A

5% secretions

mainly mucin release

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9
Q

how much saliva is produced per day

A

1.5 L

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10
Q

what are acini

A

bulb like cluster of epithelial cells that secret primary secretion fo salvia into a ductal system

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11
Q

what is the anatomical order or movement of salvia from acini to the mouth

A

acini - intercolated duct - striated duct - excretory duct

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12
Q

what is in primary secretion

A
Na 
hco3 - 
K 
water 
cl
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13
Q

what is the role of the intercolated duct

A

constrict and dilate to control flow of saliva

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14
Q

what helps myoepithelial cells to release saliva

A

contain smooth muscle which dilates and contracts

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15
Q

where does modification of saliva take place

A

in the striated duct

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16
Q

what happens in terms of ions and water occurs in the striated duct

A

solution is hypotonic as duct epithelial cells have poor permeability to water
na and cl is reabsorbed
more k and hco3 is secreted into the duct

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17
Q

when is saliva like plasma

A

primary secretion is most similar to plasma conc of inorganic ions

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18
Q

what happens to saliva during low flow rates

A

hypotonic and allows time for absorption and secretion of ions

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19
Q

what happens to saliva in fast flow rates

A

less time for reabsorption so more na cl and bicarbonate - salvia less hypotonic

20
Q

what happens to Na cl k and hco3 in high flow rates of saliva and what is the highest to the lowest in conc

A

k stays the same and the rest increase

na - bicarbonate - cl - K

21
Q

what effect to para symp and sympathetic have on flow rates of saliva

A

both increase saliva flow rates

22
Q

what effect does the para symp have on saliva

A

increase ach release from nicotinic receptors causing contraction of myoepithilial cells increase secretion - this also releases VIP which causes vasodilation so more o2 for contraction of smooth muscle

23
Q

what effect does symp have on the saliva

A

symp increases NA and A which targets adrenocepters causing contraction of the myoepithelial cells increasing secretion

24
Q

what three other factors other than nervous input cause increase in saliva

A

cephalic reflex (pavlova dogs)
food in the mouth
chewing

25
what factors inhibit saliva flow
fear dehydration mental effort
26
what is sialadentits, symptoms cause and treatment
infection of submandibular or parotid gland mainly affect those with a dry mouth or dehydrated (decreased flow of saliva) can be due to malnourishment or immunosuppressants fever, chills, redness and tenderness
27
what are the symptoms cause and treatments of sjorgns syndrome
autoimmune condition affecting the saliva glands dry mouth and dry eyes cough and numbness genetic disorder or virus and bacteria infection use antihistamine, artificial tears/ punctual plugs, chewing gum
28
what are the functions of gastric secretions
``` protection of the stomach from high acidity via secretion of bicarbonate activation of enzymes digestion of proteins absorption of VIT B12 protection against food bourne infection ```
29
from top of the pit to the bottom name the cells of a gastric pic
``` surface mucus cells stem cells mucus neck cells d cells ecl cells parietal cells chief cells g cells ```
30
what do surface mucus cells do
secrete mucus and bicarbonate
31
what do D cells do
secrete somatostatin
32
what do chief cells do
secrete pepsinogen which is converted to pepsin in low ph
33
what do g cells do
secrete gastrin
34
what do ecl and parietal cells do
ecl = histamine | parietal cells secrete HCL and intrinsic factor
35
what does intrinsic factor do
aids in absorption of vit b 12
36
what inhibits the pumping of H+ into the stomach
omeprazole - antacid
37
what do mucus do to protect the stomach and what stimulates release
traps bicarbonate to neutralise acid | prostaglandins
38
what inhibits prostaglandins
aspirin and ethanol
39
what stimulates parietal cells to release acid
histamine from ecl cells gastrin from g cells and gastrin stimulates ECL cells ACH has direct input on parietal cells ACH also increases vagus activity which stimulates g cells to release gastrin
40
what blocks histamine release
cimetidine
41
what blocks acid release from parietal cells
omeprazole
42
describe the negative feedback from acid secretion in the stomach
high acidity stimulates d cells to release somatostatin which stops histamine and gastrin release but has no effect on direct stimulation on parietal cell via ach
43
what are the cephalic reflexes of acid secretion
fear and depression reduce acid secretion anger and tension increase secretion food in the mouth increases secretion
44
what are the gastric effects on regulation of acid secretion
distention increases acid secretion (vaso-vagal) hypertonicity alcohol and aa
45
what stimulates pepsinogen release
CCK, gastrin, secretin and ACH from vagus nerve
46
why do we need intrinsic factor, where does it come from and what are the defect treatments
need it for absorption of VIT B12 released from parietal cells deficit causes pernicious aenemia treatment is cyanocoalabin injection