Week 11 Content Flashcards

1
Q

The Respiratory System

A

Facilitate gas exchange

Delivers oxygen to bloodstream, remove carbon dioxide from tissues

Filters, warms air, protects lungs

Regulates pH

Voice

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2
Q

Key Components

A

Upper respiratory tract: Nose, nasal cavities, pharynx, and larynx

Lower respiratory tract: Trachea, bronchi, bronchioles, and alveoli

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3
Q

Respiratory System Zones

A
  1. Conducting zone: Respiratory passageways that transport air
  2. Respiratory zone: Site of gas exchange in the lungs
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4
Q

Key Structures of the Respiratory System

A

Nose, nasal cavity, and paranasal sinuses

Pharynx, larynx, and trachea

Bronchi and smaller branches

Lungs and alveoli

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5
Q

Nose

A

Airway for respiration

Moistens, warms, and filters air

Resonating chamber for speech

Houses olfactory receptors

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6
Q

External Nose Skeletal Framework Diagram

A
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7
Q

Nasal Cavity Structures

A

External nares (nostrils): Anterior openings

Divided by nasal septum

Posterior nasal apertures (choanae): Posterior openings

Continuous with nasopharynx

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8
Q

Nasal Mucosa

A
  1. Olfactory mucosa: Roof of nasal cavity, has olfactory receptors
  2. Respiratory mucosa: Lines nasal cavity, filters, warms, and humidifies air
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9
Q

Respiratory Mucosa

A

Goblet cells secrete mucus

Cilia move mucus and contaminants to pharynx

Swallowed and digested

Sensory nerves (trigeminal nerve; CN V) supply the mucosa

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10
Q

Nasal Conchae (Turbinates)

A

Curved bones regulating airflow

Superior and middle conchae: Part of the ethmoid bone

Inferior conchae: Separate bones, project from lateral nasal wall

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11
Q

Functions of Nasal Conchae

A

Increase surface area

Create turbulent airflow

Filter, warm, and humidify air

Trap particles and pathogens in mucus

Conserve moisture and heat during exhalation

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12
Q

Paranasal Sinuses

A
  1. Frontal sinus
  2. Maxillary sinus
  3. Sphenoid sinus
  4. Ethmoid sinus
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13
Q

Paranasal Sinuses

A

Frontal sinus: Frontal bone, lighten skull and enhance voice resonance

Maxillary sinus: Maxillary bones, largest, drain mucus, affect voice tone

Sphenoid sinus: Sphenoid bone, air reservoir, influence voice quality

Ethmoid sinus: Ethmoid bone, warm, filter, and moisten air

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14
Q

Pharynx

A

Funned-shaped passageway

Connects nasal cavity to mouth

  1. Nasopharynx
  2. Oropharynx
  3. Laryngopharynx
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15
Q

Nasopharynx

A

Above food entry

Air passage only, closed during swallowing

Uvulva moves superiorly to block it

Continuous with nasal cavity

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16
Q

Features of the Nasopharynx

A

Pharyngeal tonsil (Adenoids): Posterior wall, destroys inhaled pathogens

Auditory tube opening: Connects middle ear to nasopharynx, pressure balance

Tubal tonsil: Surrounds auditory tube, protects against infection

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17
Q

Oropharynx

A

Fauces: Arched opening from soft palate to epiglottis

Palatine tonsils: Lateral walls of fauces

Lingual tonsils: Posterior surface of tongue

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18
Q

Laryngopharynx

A

Passage for food and air

Continuous with esophagus (food) and larynx (air)

Extends to inferior cricoid cartilage boundary

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19
Q

Pharynx Diagram

A
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20
Q

Larynx

A

Voice box, C4-C6

Attaches to hyoid superiorly

Opens into laryngopharynx

Transitions into trachea

Controlled by vagus nerve (Cranial nerve X)

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21
Q

Larynx Functions

A

Voice production, houses vocal cords

Maintains open airway

Routes air and food

Superior opening closed during swallowing, open during breathing

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22
Q

Larynx Structure

A

Single cartilages
1. Thyroid cartilage
2. Cricoid cartilage
3. Epiglottis

Paired cartilages
1. Arytenoid cartilage
2. Corniculate cartilages
3. Cuneiform cartilages

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23
Q

Single Cartilages of the Larynx

A

Thyroid cartilage: Largest, forms laryngeal prominence (Adam’s apple)

Cricoid cartilage: Ring-shaped, connects larynx to trachea

Epiglottis: Covers laryngeal opening during swallowing

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24
Q

Paired Cartilage of the Larynx

A

Arytenoid cartilages: Anchor vocal cords

Corniculate cartilages: Small, horn-shaped, top of arytenoids

Cuneiform cartilages: Rod-shaped, structural support

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25
Q

Anterior View of Larynx Diagram

A
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26
Q

Vocal Ligaments of Larynx

A

Vocal folds (true): Produce sound, vibrate with air

Vestibular folds (false): No sound production, close larynx during swallowing

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27
Q

Structures of the Larynx

A

Rima glottidis: Opening between vocal folds for air

Glottis: Vocal folds and the rima glottidis together

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28
Q

Voice Production

A

Vocal fold length changes pitch
- Longer/loose = Lower pitch
- Shorter/tight = Higher pitch

Volume depends on air force
- Stronger airflow = Louder sound

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29
Q

Trachea

A

Windpipe, connect larynx to primary bronchi

Descends into mediastinum

C-shaped cartilage rings keep airway open

Trachealis keeps trachea open on posterior side

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30
Q

Cross Section of Trachea and Esophagus Diagram

A
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31
Q

Trachea

A

Ends at the carina

Ridge at the tracheal bifurcation (where it splits into 2 pathways)

Splits into right and left primary bronchi

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32
Q

Bronchial Tree

A

Conducting zone

Highly branched respiratory passageways

Primary bronchi: Largest, right is wider and shorter than left

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33
Q

Branching of Bronchial Tree Diagram

A
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34
Q

Bronchial Tree Branching

A

Secondary (lobar) bronchi: 3 on right, 2 on left

Tertiary (segmental) bronchi: Further divisions, deliver air into bronchopulmonary segments

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35
Q

Bronchioles in the Conducting Zone

A

Bronchioles: Small airways (<1 mm), smooth muscle

Terminal Bronchioles: Smallest conducting airways (<0.5 mm)

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36
Q

Changes in Bronchial Tree Structure

A

C-shaped rings transition to cartilage plates

Smooth muscle regulates airway size

Sympathetic stimulation: Airways widen

Parasympathetic stimulation: Airways constrict

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37
Q

Respiratory Zone

A

Respiratory bronchioles: Branch from terminal bronchioles, gas exchange occurs

Alveolar ducts: Connect respiratory bronchioles to alveoli

Alveolar sacs: Clusters of alveoli, primary site of gas exchange

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38
Q

Alveoli

A

~400 million

Surface area for gas exchange
~ 140m^2

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39
Q

Type 1 Alveoli

A

Main site for gas exchange (O2 and CO2 diffusion)

Line alveolar walls

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40
Q

Type 2 Alveoli

A

Produce and secrete surfactant
- Reduces surface tension
- Aid lung expansion
- Prevents collapse

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41
Q

Alveolar Macrophages

A

Immune cells that remove inhaled particles and pathogens

Move from alveoli to bronchi

Cilia move macrophages to pharynx for removal

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42
Q

Respiratory Membrane Diagram

A
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43
Q

Features of Alveoli

A

Surrounded by elastic fibers

Interconnect by alveolar pores

Internal surfaces allow macrophage movement

Dense network of capillaries surrounds alveolus

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44
Q

Gross Anatomy of the Lungs

A

Apex: Superior tip

Base: Concave inferior surface

Hilum: Indentation on where vessels, bronchi, and nerves enter/exit

Root: Structures at hilum

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45
Q

Gross Anatomy of Left and Right Lung

A

Left lung
- Superior and inferior lobes
- Oblique fissure
- Cardiac notch: Depression that accommodates the heart

Right lung: Superior, middle, and inferior lobes
- Oblique and horizontal fissure

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46
Q

Bronchopulmonary Segments

A

Functional and anatomical unit of lung

Has its own tertiary bronchi, pulmonary artery, and pulmonary vein

Efficient air distribution, gas exchange, and localized treatment

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47
Q

Bronchopulmonary Segments of Right Lung

A

Superior lobe
- Apical
- Posterior
- Anterior

Middle lobe
- Lateral
- Medial

Inferior lobe
- Superior basal
- Anterior basal
- Medial basal
- Lateral basal
- Posterior basal

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48
Q

Bronchopulmonary Segments of Left Lung

A

Superior lobe
- Apicoposterior
- Anterior
- Lingular (Superior, Inferior)

Inferior lobe
- Superior
- Anterior basal
- Medial basal
- Lateral basal
- Posterior basal

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49
Q

Bronchopulmonary Segments Diagram

A
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50
Q

Blood Supply of the Lungs

A

Pulmonary arteries: Deliver oxygen-poor blood to lungs

Pulmonary veins: Carry oxygenated blood to heart

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51
Q

Innervation of the Lungs

A

Parasympathetic: Bronchoconstriction and vasodilation

Sympathetic: Bronchodilation and vasoconstriction

Visceral sensory: Pain, stretch, and irritation

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52
Q

Pleurae

A

Double-layered sac around each lung

Parietal pleura (outer)
Visceral pleura (inner)

Pleural cavity: Space between, contains pleural fluid

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53
Q

Function of Pleurae

A

Divide the thoracic cavity into compartments
- Central mediastinum (heart, great vessels)
- Two pleural compartments (lungs)

Reduce friction, regulate pressure, protect organs

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54
Q

Location of Lungs and Pleural Cavities

A

In thoracic cage
- Anterior: Lungs between clavicle and ribs 7-8, pleura ends at rib 10
- Posterior: Lungs reach rib 10, pleura ends between ribs 10-12

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55
Q

Four Processes of Respiration

A
  1. Pulmonary ventilation
  2. External respiration
  3. Transport of respiratory gases
  4. Internal respiration
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56
Q

Pulmonary Ventilation

A

Air movement in and out of lungs

Inhalation: Air enters

Exhalation: CO2 expelled

Thoracic cavity volume changes lung pressure through intercostal contraction/relaxation

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57
Q

External Respiration

A

Gas exchange between lungs and blood
- Oxygen diffuses into blood
- CO2 diffuses into alveoli to be exhaled

Driven by partial pressure gradients

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58
Q

Transport of Respiratory Gases

A

O2 carried by hemoglobin in red blood cells, some in plasma

CO2 transported as bicarbonate in plasma

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59
Q

Internal Respiration

A

Gas exchange between blood and tissues

O2 diffuses from blood to tissues

CO2 diffuses from tissues to blood

Driven by partial pressure differences (High to low)

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60
Q

The Mechanisms of Ventilation

A

Two phases of pulmonary ventilation
- Inspiration (Inhalation)
- Expiration (Exhalation)

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61
Q

Inspiration

A

Thoracic cavity volume increases

Diaphragm flattens, moves downward

Intercostal muscles contract, lifting ribs, expand chest, reduces internal pressure

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62
Q

Deep Inspiration

A

Scalenes: Elevate first 2 ribs

Sternocleidomastoid: Lifts sternum

Pectoralis Minor: Elevate ribs

Quadratus lumborum: Stabilizes lower rib cage

Erector spinae: Extends the back

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63
Q

Expiration

A

Quiet expiration: Passive, relaxed inspiratory muscles and diaphragm moves upward, decreases thoracic volume

Forced expiration: Active contraction of internal/external obliques and transversus abdominis

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64
Q

Inspiration and Expiration Diagram

A
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65
Q

Neural Control of Ventilation

A

Ventral respiratory group (VRG)
- In reticular formation in the medulla oblongata

Neurons generate respiratory rhythm

Chemoreceptors detect blood oxygen changes
- Central chemoreceptors in medulla monitor CO2
- Peripheral chemoreceptors monitor O2 in blood (aortic and cardiac bodies)

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66
Q

Bronchial Asthma

A

Chronic airway inflammation

Bronchoconstriction and mucus production narrow airways

Allergens, cold air, stress

Wheezing, shortness of breath, chest tightness, coughing

67
Q

Cystic Fibrosis (CF)

A

Thick mucus buildup obstructs airways

Inherited disorder

Chronic cough, lung infections, inflammation, difficulty breathing, poor growth

Reduced life expectancy

68
Q

Chronic Obstructive Pulmonary Disease (COPD)

A

Prolonged exposure to irritants

Chronic cough, shortness of breath, wheezing, and increased mucus

Emphysema (alveolar damage) and chronic bronchitis (airway inflammation)

69
Q

Pneumonia

A

Lung infection causes inflammation

Fluid or pus buildup in alveoli

Cough, fever, shortness of breath, chest pain, fatigue

70
Q

Pneumothorax

A

Air in pleural space causes lung collapse

Disrupts negative pressure

Sudden chest pain, shortness of breath, rapid breathing

71
Q

Pulmonary Embolism

A

Pulmonary artery blockage from blood clot

Sudden shortness of breath, chest pain, rapid heart rate, coughing up blood

Impaired blood flow, reduced oxygen exchange

72
Q

Lung Development

A

1/6 of alveoli present at birth

Smoking impairs lung development, prevents further alveoli formation

73
Q

Aging Respiratory System

A

Fewer nasal glands, dryness, thicker mucus

Stiffened thoracic wall, reduced lung elasticity

Decreased blood oxygen levels

74
Q

Digestive System

A

Group of organs that break down food, absorb nutrients, and eliminate waste

Provide energy and nutrients for cellular functions

75
Q

Groups of Digestive Organs

A
  1. Alimentary canal (GI Tract)
  2. Accessory digestive organs
76
Q

Alimentary Canal

A

Continuous pathway that food travels through

Mouth, pharynx, and esophagus

Stomach, small intestine, and large intestine

77
Q

Accessory Digestive Organs

A

Aid digestion chemically with enzymes, bile, or mechanically

Connected to alimentary canal

Includes teeth, tongue, salivary glands, gall bladder, liver, and pancreas

78
Q

Abdominal Regions

A

Abdomen divided into 9 regions by 4 lines

Two vertical lines: Midclavicular lines

Two horizontal lines: Subcostal plane (superior), transtubercular plane (inferior)

79
Q

Organs of the Abdominal Regions Diagram

80
Q

Abdominal Quadrants

81
Q

Peritoneal Cavity and Peritoneum

A

Peritoneum: Thin serous membrane
1. Visceral peritoneum: Covers digestive organs
2. Parietal peritoneum: Lines inner body wall

Peritoneal cavity: Space between layers, filled with serous fluid

82
Q

Mesentery

A

Double layer of peritoneum
- Holds organs in place

Fat storage

Pathway for circulatory vessels and nerves

83
Q

Ventral Mesenteries

A

Falciform ligament: Connects liver to abdominal wall, stability

Lesser omentum: Connects liver to lesser curvature of stomach, pathway for blood vessels and ducts
- ie; Portal vein, bile duct

84
Q

Dorsal Mesenteries

A

Greater omentum: Connects greater curvature of stomach to abdominal wall

Transverse mesocolon: Stabilizes transverse colon

Sigmoid mesocolon: Connects sigmoid colon to pelvic wall

85
Q

Digestive Processes Overview

A
  1. Ingestion
  2. Propulsion
  3. Mechanical breakdown
  4. Digestion
  5. Absorption
  6. Defecation
86
Q

Ingestion

A

Taking in food or drink

Begins in the mouth

87
Q

Propulsion

A

Wave-like muscular contractions that propel food

Swallowing
Peristalsis

Adjacent segments of the alimentary canal relax and contract

88
Q

Mechanical Breakdown

A

Prepares food for chemical digestion
1. Chewing (mouth)
2. Churning (stomach)
3. Segmentation (intestine)

89
Q

Chewing (Mastication)

A

Breaks food into smaller pieces

Shearing, grinding, crushing

Easier to swallow

Increased surface area for enzymes to act

90
Q

Churning

A

Mixes food with gastric juices, forms chyme

Propulsion: Peristalsis moves chyme toward the pyloric sphincter

Retropulsion: Chyme moves backward if sphincter remains closed

91
Q

Segmentation

A

Rhythmic local contractions of intestine

Mixes food with digestive juices

92
Q

Digestion

A

Chemical breakdown of food

Mouth: Salivary enzymes begin carbohydrate breakdown

Stomach: Gastric acids and enzymes break down protein

Small intestine: Most chemical digestion here with bile and pancreatic enzymes

93
Q

Absorption

A

Nutrients transported from digestive tract into the bloodstream
- Mostly in small intestine

Villi increase surface area

94
Q

Defecation

A

Elimination of indigestible substances and waste products as feces

Forms in rectum

Expelled from anus through anal canal

95
Q

Digestive Processes Diagram

96
Q

Smooth Muscle

A

In organ walls

Elongated fibers, single central nucleus

  1. Longitudinal layer: Fibers parallel to organ’s long axis
  2. Circular layer: Deeper, fibers encircle organ
97
Q

Smooth Muscle Contraction

A

Contracts and relaxes
- 30x slower than skeletal muscle
- Fatigue-resistant

Maintains tone in arteries and visceral organs

Low energy demands
- Few mitochondria required

98
Q

Innervation of Smooth Muscle

A

Controlled by autonomic nervous system
- Few fibers per sheet

  1. Single-unit innervation: Signals spread through gap junctions, entire sheet contracts
  2. Multi-unit innervation: Each smooth muscle cell receives individual nerve input
99
Q

Varicosities

A

Swellings along autonomic nerve fibers

Contain vesicles, release neurotransmitters

Coordinate smooth muscle activity

Control regional contraction

100
Q

Innervation

A

Sympathetic fibers: Slow digestion

Parasympathetic fibers: Enhance digestion

Visceral sensory fibers: Relay status to the CNS

101
Q

Mouth

A

Oral cavity lined with mucosa

Boundaries
- Anterior: Teeth, gums, lips
- Posterior: Oropharynx
- Lateral: Cheeks
- Superior: Palate
- Inferior: Tongue, floor of mouth

102
Q

Mucosal Membrane

A

Covers oral cavity
- Protects underlying tissues

Detects stimuli (temperature, touch, pain)

Maintains moisture through glandular secretions

103
Q

Lips and Cheeks

A

Oral labia, orbicularis oris

Cheeks supported by buccinator
- Protects internal structures
- Aids chewing and speech

Oral vestibule: Space between the lips and teeth

104
Q

Anatomy of the Mouth

A

Gingivae: Gums, surround and supports the teeth

Labial fenulum: Connects lips to gums

Lingual frenulum: Connects tongue to floor of mouth

105
Q

Palate

A

Roof of mouth

Hard palate: Bony, anterior, for tongue pressure during chewing

Soft palate: Muscular, posterior, elevates to close nasopharynx when swallowing

Palatine raphe: Midline ridge of hard palate

106
Q

Fauces (Throat)

A

Palatoglossal arches: Anterior, connects soft palate to tongue

Palatopharyngeal arches: Posterior, connects soft palate to pharynx

107
Q

Key Structures of Oral Cavity

A

Palatine tonsils: Lateral fauces, trap and filter pathogens

Lingual tonsil: Base of tongue, protect against ingested pathogens

Uvula: Hangs from soft palate; prevents food from entering nasal cavity

108
Q

Mouth Diagram

109
Q

Tongue

A

Interlacing fascicles of skeletal muscle
- Involved in chewing, swallowing and speech

Intrinsic muscles: Within tongue, control shape and movement

Extrinsic muscles: Attached externally, control position

110
Q

Intrinsic Tongue Muscles

A

Superior longitudinal: Elevates and curls tip, aids speech and swallowing

Inferior longitudinal: Lowers and retracts tip

Vertical: Flattens, broadens, and controls shape

Transverse: Narrows and elongates, aids speech and swallowing

111
Q

Superior Surface of the Tongue

A

Terminal sulcus: Divides tongue into oral cavity (anterior) and oropharynx (posterior)

Median sulcus: Central groove on tongue surface

Posterior third: In oropharynx, covered by lingual tonsil

112
Q

Teeth Overview

A

Deciduous teeth: 20, appear at 6 months

Permanent teeth: 32, emerge during childhood

Dental formula: 2I, 1C, 2P, 3M
- 2 incisors, 1 canine, 2 premolars, 3 molars

113
Q

Deciduous Teeth Diagram

114
Q

Permanent Teeth Diagram

115
Q

Nerves of the Teeth

A

Trigeminal nerve (CN V)

Upper teeth: Superior alveolar nerves (maxillary branch)

Lower teeth: Inferior alveolar nerves (mandibular branch)

116
Q

Vessels of the Teeth

A

Upper teeth: Superior alveolar arteries (branches of maxillary artery)

Lower teeth: Inferior alveolar arteries

117
Q

Tooth Structure

A

Crown: Visible part above gumline

Neck: At gumline, where crown meets root

Root: Below gumline, anchored into mandible, contains root canal

118
Q

Tooth Composition

A

Enamel: Hard, white outer layer

Dentin: Yellow, bone-like tissue beneath enamel

Pulp cavity: Soft tissue inside tooth with nerves and blood vessels

Apical foramen: Opening at root for nerves and blood vessels

119
Q

Tooth Support Structures

A

Gingival Sulcus: Groove between tooth gum

Gingiva: Gum tissue, protects tooth

Periodontal ligament: Holds tooth socket, absorbs shock during chewing

Cementum: Covers root, anchors tooth to ligament

120
Q

Salivary Glands

A

Produce saliva
- Lubricate and protects oral tissues

Contains enzymes for digestion

Break down carbohydrates in mouth

121
Q

Major Salivary Glands

A
  1. Parotid glands: By ear, secrete serous fluid with amylase
  2. Submandibular glands: Along mandible, secrete serous fluid and mucous
  3. Sublingual glands: Under tongue, secrete mucous
122
Q

Salivary Ducts

A

Release saliva from glands

Sublingual duct: Under tongue along sublingual fold

Submandibular duct: Beside lingual frenulum

Parotid duct: Near second upper molar, parallel to the zygomatic arch

123
Q

Oropharynx and Laryngopharynx

A

Passages for air and food

Oropharynx: From soft palate to hyoid bone

Laryngopharynx: From hyoid esophageal opening

124
Q

Pharyngeal Constrictors

A

External muscle layer

Superior, middle, and inferior pharyngeal constrictors

Vital for swallowing

125
Q

Esophagus

A

Passages for food and liquid

Muscular tube from pharynx (C6) to stomach (T11)

Passes through diaphragm via esophageal hiatus

~25 cm long in adults

Cervical, thoracic, and abdominal parts

126
Q

Lower Esophageal Sphincters

A

Junction of esophagus and stomach

Regulates food entry into stomach

Prevents acid reflux

127
Q

Stomach

A

J-shaped organ, upper abdomen

~4 hour food storage

Mechanical digestion: Churns food into chyme

Chemical digestion: Hydrochloric acid and pepsin break down proteins

Absorbs alcohol and some medications

128
Q

Regions of the Stomach

A
  1. Cardia: Where esophagus connects to stomach
  2. Fundus: Stores food, contains gastric glands
  3. Body: Forms chyme, contains gastric pits and glands
  4. Pylorus: Connects to duodenum
    - Pyloric antrum: Grinds and mixes food
    - Pyloric canal: Passage for chyme
129
Q

Curvatures of the Stomach

A

Lesser curvature: Short, concave border from cardia to pylorus, attaches to lesser omentum

Greater curvature: Long, convex border from cardia to pylorus, attaches to greater omentum

130
Q

Gastric Emptying

A

Pyloric sphincter opens into duodenum

Regulates stomach emptying and pace of digestion

131
Q

Layers of the Stomach

A

Covered by serosa

Muscularis externa
1. Longitudinal layer (outer)
2. Circular layer (middle)
3. Oblique layer (inner, unique to stomach)

Mucosa: Contains gastric glands and mucous cells, lined with rugae

132
Q

Small Intestine

A

Longest portion of alimentary canal
~ 6 meters

Site of most enzymatic digestion and absorption

  1. Duodenum
  2. Jejunum
  3. Ileum
133
Q

Duodenum

A

First and shortest section (~25 cm, C- shaped)

Main site of chemical digestion

Receives enzymes from main pancreatic duct and common bile duct

Neutralizes stomach acid with bicarbonate ions

134
Q

Jejunum

A

Middle section (~2 meters)
- Thicker, more vascular

Absorbs carbohydrates, proteins, and fats

Has circular folds and villi to increase surface area

135
Q

Ileum

A

Final section (~3.6 meters)

Thinner, less vascular, fewer folds than jejunum

Absorbs vitamin B12 and bile salts

Contains Peyer’s patches

136
Q

Innervation of the Small Intestine

A

Parasympathetic fibers from vagus nerve (CN X)
- Stimulates motility and secretion

Sympathetic fibers from thoracic splanchnic nerves
- Inhibits digestion

137
Q

Large Intestine

A

Absorb water and electrolytes

Small amount of digestion by bacteria

Peristalsis moves feces to rectum

Temporary waste storage
- Fermentation by gut bacteria

138
Q

Gross Anatomy of Large Intestine

A
  1. Cecum
  2. Appendix
  3. Colon (ascending, transverse, descending, sigmoid)
  4. Rectum
  5. Anal canal
139
Q

Features of Large Intestine

A

Teniae coli: Muscle bands for peristalsis

Haustra: Pouches for expansion and contraction

Epiploic appendages: Fat-filled pouches

140
Q

Cecum

A

Beginning of large intestine

In lower abdomen, after ileocecal valve

Receives chyme, widest part of large intestine

Absorbs water and salts

Bacterial fermentation

141
Q

Appendix

A

Finger-like outpouching of cecum, lower right abdomen

Contains lymphatic tissue

Regulates gut bacteria, supports immune function

Often removed after appendicitis

142
Q

Colon

A

Absorbs water and salts from undigested material

Compacts waste

Houses bacteria that produce vitamins and digest carbohydrates

143
Q

Key Segments of Colon

A

Ascending colon: Upward, right side

Transverse colon: Horizontal from right to left colic (splenic) flexure

Descending colon: Downward, left side

Sigmoid colon: S-shaped, connects to the rectum, stores feces

144
Q

Rectum

A

Transition between sigmoid colon and anal canal

Descends along inferior sacrum

Holds feces before elimination

Transports feces to anal canal from excretion

Thick, muscular walls with stretch receptors

145
Q

Anal Canal

A

Final large intestine segment (~3-4 cm)

Release feces

Internal anal sphincter: Involuntary smooth muscle

External anal sphincter: Voluntary skeletal muscle

146
Q

Unique Features of Anal Canal

A

Anal columns: Vertical mucosal folds with vessels, cushion canal during defecation

Anal valves: Folds at column junctions

Anal sinuses: Secrete mucus for lubrication

147
Q

Vessels of the Large Intestine

A

First half: Superior mesenteric artery

Distal half: Inferior mesenteric artery

148
Q

Process of Digestion Diagram

149
Q

Liver

A

Largest gland, vital for digestion, metabolism, and detoxification

Produces bile to emulsify fats

Performs metabolic functions

Hepatocyte: Functional cells of the liver

150
Q

Liver Structures

A

Left lobe: Small, separated by falciform ligament

Caudate lobe: Posterior, near inferior vena cave

Right lobe: Large, extends toward diaphragm

Quadrate lobe: Small, inferior, near gallbladder

151
Q

Portal Triad

A
  1. Bile duct: Carries bile to gallbladder or duodenum
  2. Hepatic portal vein: Carries nutrient-rich blood from GI tract
  3. Hepatic artery: Supplies oxygenated blood to liver
152
Q

Gallbladder

A

Beneath liver, right upper quadrant

~7-10 cm long, holds 30-50 ml bile

Concentrates and expels bile into duodenum for fat digestion

153
Q

Gallbladder Structure

A

Fundus: Rounded, faces forward

Body: Central portion

Neck: Narrow, leads to cystic duct

Cystic duct: Links gallbladder to common bile duct

Common bile duct: Carries bile from gallbladder and liver to duodenum

154
Q

Pancreas

A

Dual function

Endocrine: Produces insulin and glucagon to regulate blood sugar

Exocrine: Acinar cells secrete digestive enzymes

155
Q

Pancreas Regions

A

Head: Widest, in curve of duodenum

Body: Middle, contains most pancreatic tissue and ducts

Neck: Between head and body, anterior to mesenteric vessels

Tail: Tapered end near the spleen; endocrine

156
Q

Key Pancreas Structures

A

Main pancreatic duct: Joins bile duct to form hepatopancreatic ampulla, empties into duodenum

Arterial supply: Hepatic, splenic, and superior mesenteric arteries

157
Q

Digestive System Diagram

158
Q

Gastroesophageal Reflux Disease (GERD)

A

Weak lower esophageal sphincter
- Stomach acid flows back into esophagus

Heartburn, irritation

159
Q

Peptic Ulcers

A

Mucosal erosion in alimentary canal

Gastric ulcers: Pyloric region

Duodenal ulcers: Duodenum region

Caused by Helicobacter pylori and long-term NSAID use

160
Q

Disorders of the Bowel

A

Inflammatory bowel disease
- Inflammation of intestinal wall, autoimmune
- Abdominal pain and diarrhea

Crohn’s disease
Ulcerative colitis

161
Q

Constipation

A

Infrequent stool, affects the large intestine

Low fiber and dehydration

Discomfort, potential complications

162
Q

Inflammatory Disorders of the Digestive System

A

Pancreatitis
- Inflamed pancreas
- Severe abdominal pain, nausea, vomiting, fever, rapid pulse

Viral hepatitis
- Inflamed liver
- Jaundice and flulike symptoms
- Major types (Hepatitis A, B, C)

163
Q

Gallstones

A

Bile component imbalance

Sudden intense right upper quadrant pain, nausea, vomiting, fever, jaundice

164
Q

Digestive System in Later Life

A

Digestive organ activity declines

Less digestive juices, fewer enzymes

Less efficient absorption, slower peristalsis

Dehydration

Increased risk of diverticulosis and digestive cancers