Unit 4 Flashcards
What does the digestive system do?
brings in food and breaks it down to either get absorbed or eliminated
Alimentary canal vs accessory organs?
- alimentary canal: continuous muscular tube that propels things; mouth -> anus
- accessory organs: organs that assist the digestive process; like teeth, pancreas, gallbladder
What are 6 actions of the digestive system?
- ingestion: bringing things into system
- propulsion: moving foods around
- mechanical digestion: turns big pieces into small pieces physically
- chemical digestion: enzymatic breakdown; occurs in the mouth and then stops and starts back up again in the stomach
- absorption: movement of digested products out of lumen of alimentary canal through lining to blood or lymph; usually occurs in SI
- defecation: elimination of waste/feces
Is the alimentary canal considered inside or outside the body?
outside the body
What are 3 types of mechanical digestion?
- mastication: chewing
- mixing: mixing food like when tongue moves food or when stomach churns food
- segmentation: when parts of tube constrict and other parts relax
What are two types of propulsion?
- deglutition: swallowing, voluntary
- peristalsis: wave like smooth muscle contraction, involuntary
What are 3 controls of the digestive system?
- sensors: mechanical sensors that detect stretch, chemical sensors that detect chemicals
- nerve plexuses: relfexes; long & short
- hormones: long distance chemical messengers
Long vs short reflexes?
- long: extrinsic; requires CNS activity
- short: intrinsic; does not require CNS activity
what are four stimuli for the digestive system?
- stretch
- osmolarity
- pH
- presence of specific molecules
What are 3 responses to stimuli by the digestive system?
- initiate nerve plexus
- activate or inhibit glandular secretions along canal
- activate smooth muscle contraction
What is mesentery?
double peritoneum membrane that anchors to the back wall of the body and holds abdominal organs in place
What are organs called that are in peritoneum? behind peritonuem?
- in: peritoneal
- behind: retroperitoneal
What are the 4 tunics of the mesentery?
- mucosa: most superficial (closest to lumen); one layer of simple columnar epithelial tissue w/ goblet cells & serous glands which secrete mucous, enzymes, and some hormones
- submucosa: where blood vessels and nerves are located; dense irregular connective tissue
- muscularis externa: two layers of muscles (circular & longitudinal) that contraction in two different planes; smooth muscle
- serosa: another name for visceral peritoneum
When does it change from adventitia to visceral peritoneum?
above diaphragm is adventitia, below is serous & muscularis
What are 2 enteric neurons?
- submucosal nerve plexus: in submucosa, when stimulated causes glands to start secreting, detect changes of chemistry in lumen or blood
- myenteric nerve plexus: in muscular layer, when activated causes muscular contraction which causes motility, detect stretch
What does the parasympathetic vs sympathetic nerve impulses do for digestion?
- parasympathetic: activated digestion
- sympathetic: inhibits digestion
What are 5 parts of the oral/buccal cavity?
- lips & cheeks: boudaries of oral cavity, keep fod sinde
- palate: boundary on roof of mouth separating oral and nasal cavity; contains hard palate at the front where tongue pushes up against to swallow & soft in the back which contains uvula; allows us to breath while eating
- tongue: accessory organ that moves & mixes food w/ saliva and forms food into bolus; contains papillae
- salivary glands: produce saliva which dissolve & moisten food to create a bolus, activates taste buds, clean mouth, and produces enzymes that break down starch
- teeth: accessory organ that functions in mastication
What are the 3 salivary glands?
- sublingual: beneath tongue, only has mucous cells (secrete mucus)
- submandibular: underneath jaw, has both mucous & serous cells
- parotid: back toward pharynx, has only serous cells (secrete enzymes)
What are the 3 types of papillae on the tongue?
- filiform: most common, helps us grip food
- fungiform: contains the taste buds
- circumvallate: large papillae at the back of the tongue
What is the oral/buccal cavity?
entry point and opening of oral cavity; only digestive part that is involved w/ ingestion
What 7 things does saliva contain?
- water: 97-99%
- electrolytes: contained w/in water
- amylase: produced by serous cells, substrate for starch
- mucin: protein in mucus that makes it slippery
- lysosome: packets of protective enzymes, function in immunity
- IgA: marks things as foreign, function in immunity
- metabolic waste: urea, uric acid
What stimulates saliva production?
- parasympathetic activity
- chemoreceptors & pressure receptors
Why is pH of saliva slightly acidic?
prevents bacterial spread
What are the two sets of teeth humans have?
- primary/deciduous/baby teeth: 20, these fall out and get replaced
- permanent teeth: 32, come in at different times
What are the 4 basic types of teeth?
- incisors: 4 front teeth on top & bottom; allows us to bite things off
- cuspid teeth: single tooth on each side of incisors; piercing tooth that allows for biting tings and grabbing hold, indicates meat in diet
- bicuspids/premolars: two on each side of cuspid teeth, for slicing/shearing
- molars: 3 on each side of bicuspid teeth, emerge at different times, for grinding
What is the wisdom teeth?
the third molar that usually emerges around 18; usually get these extracted
What are the 8 parts of the tooth structure?
- crown: above tooth, visible part
- enamel: hard cover of the crown
- dentine: deep to enamel, surrounds entire tooth
- pulp: contains blood vessel, runs through center of tooth
- root canal: through the bottom of the tooth
- root: below the gum line
- cementum: connective tissue around root that holds the tooth in place
- neck: transition b/w crown and root
what type of joint is the teeth?
peg and socket
What is the pharynx?
- function is propulsion and contains 3 segments (nasopharynx, oropharynx, laryngopharynx)
What is the esophagus?
muscular tube that is collapsed when esophagus is empty and only functions in propulsion
What are the 2 physiological sphincters of esophagus?
- upper physiological sphincter: constriction at top that has things move in one direction toward stomach
- gastroesophageal sphincter: constriction before stomach that prevents thins from coming back up into esophagus
Why do we have physiological sphincters and not true sphincters in esophagus?
b/c they allows us to vomit if needed
What are the steps of deglutition?
- food compacted into bolus
buccal phase - voluntary - tip of tongue is placed against hard palate
- tongue contracts to force bolus into oropharynx
- bolus stimulates tactile receptors
pharyngeal-esophageal phase - involuntary - tactile receptors stimulate medulla and pons
- motor impulses sent to muscles
- peristalsis moves bolus toward stomach
What is the stomach?
enlargement of alimentary canal that acts as a storage tank; involves propulsion, mechanical & chemical digestion
How does chemical digestion occur in the stomach?
pH stops digestion of salivary amylase and begins protein digestions
What are the 6 parts of the stomach?
- fundus: higher than where esophagus enters
- cardia: portion of stomach closest to esophagus
- body: contains 2 curvatures (lesser & greater)
- pylorus: constricted portion at bottom near small intestine
- sphincters: cardiac (not true sphincter?), pyloric (true sphincter that regulates emptying of stomach)
- walls: 3 layers of muscle; organized into rugae which are folds that increase SA & contain gastric pits
What type of glands are the gastric pits?
exocrine
What is the secretions of the stomach called?
bolus into liquid which is chyme
What are the 5 stomach cells?
- goblet cells: embedded in columnar epithelium that produces mucus
- mucous neck cells: deeper in gastric pit, produce slightly more acidic mucus
- parietal cells: middle of gastric pit, secrete HCl & intrinsic factor
- chief cells: deeper in gastric pit near bottom; produce pepsinogen which becomes pepsin after activation from HCl & small amount of lipase
- enteroendocrine cells: G cells; bottom of gastric pits, produce hormones like gastrin
What is intrinsic factor?
glycoprotein required for us to absorb B12 (needed to make RBC)
What does pepsin & lipase do?
- pepsin: enzyme that breaks down proteins
- lipase: enzyme that breaks down lipids
What are the 3 phases of gastric secretion?
- cephalic (reflex) phase: only contains nervous component; innate reflex that becomes conditioned, occurs when stomach activates before food has arrived
- gastric phase: contains nervous & hormonal component; occurs once food arrives in stomach and produces gastric juice
- intestinal phase: intestinal portion of gastric activity that contains two phases
what are 3 ways we can produce gastric juice in the gastric phase?
- stretch: stretch receptors send signal to brain and Ach is released which activates production of HCl by parietal cells which stimulates gastric juice
- hormones: presence of proteins or elevated pH activates the enteroendocrine cells to produce gastrin which stimulates parietal cells to release HCI and form gastric juice
- histamine: chemicals released during inflammatory process that get released if we eat contaminated food and stimulates gastric juice
What are the two parts of the intestinal phase?
- excitatory phase:
1. small intestine stretches a little bit
2. baroreceptors & chemoreceptors activated
3. signal sent to CNS
4. signal goes to CNS and activates parasympathetic impulses, which cause additional activity in stomach - inhibitory phase: enterogastric reflex & enterogastrone reflex occurs
enterogastric vs enterogastrone reflex?
- enterogastric (neural):
1. material continues to empty from stomach and more stretch on SI
2. receptors send signal to CNS to send sympathetic nervous impulse to shut off stomach
3. sympathetic signal squeezes pyloric sphincter shut - enterogastrone (hormonal):
1. chyme continues to enter SI, and SI produces enterogastrones (hormone)
2. enterogastrones shut off gastric secretions of stomach
what does the mucosal barrier do?
prevents stomach from attacking itself
What are 4 parts of the mucosal barrier?
- bicarbonate rich mucus
- tight junctions in mucosal epithelium
- HCl-impermeable plasma membrane in gastric gland cells
- undifferentiated stem cells at junction of gastric pits & gastric glands
When does a gastric ulcer occur?
if acid gets through lining of stomach and causes breakdown of mucosal barrier
What are two parts of gastric filling?
- receptive relaxation: rugae begin to flatten & stomach begins to stretch in preparation for food to arrive
- adaptive relaxation: when food arrives and stomach adapts by getting bigger around 1 L
What controls gastric contraction?
interstitial cells of cajal - autorhythmic cells in longitudinal layer that depolarize abt 3X a min & contractions go from cardia to pylorus
What can cause the interstitial cells of cajal to depolarize faster?
nervous impulses or gastrin
Where is the highest amount of pressure in the stomach?
at the pyloric sphincter
Why does chyme trickle out of stomach?
- chyme is so acidic
- want to digest food
- absorb food efficiently
What are the 6 steps of gastric emptying?
- chyme enters duodenum
- stretch and chemoreceptors activated
- enterogastric or enterogastrone reflexes initiated
- gastric activity reduced
- pyloric contractions reduced
- duodenal filling stopped