Week 6 Pancreas and Liver Flashcards

1
Q

why is chyme hypertonic?

A

food produces lots of solutes that are dissolved in gastric juice
stomach wall is largely impermeable to water so water cannot dilute solute in chyme= >tonicity

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2
Q

what are the key properties of chyme?

A

hypertonic chyme enters duodenum from stomach

its acidic and only partially digested

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3
Q

how is chyme neutralised?

A

duodenum is relatively permeable to water- when hypertonic chyme moves in water enters from ECF/circulation into duodenum
chyme release must be controlled- too much can overwhelm duodenum
- chyme is isotonic when it leaves the duodenum
secretions from:
pancreas- enzymes, bicarbonate ions
liver- bicarbonate ions, bile

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4
Q

describe secreted by the exocrine pancreas acinus?

A

acinus- stimulated by vagus and cholecystokinin (CCK)

  • hypertonicity/ fats detected in duodenum
  • produces enzymes
    - amylases/lipase (active)
    - proteases- trypsin, chymotrypsin, elastase, carboxypeptidase (inactive)
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5
Q

describe secretions by the exocrine pancreas duct cells?

A
  • aqueous component
    • isotonic solution- Na, Cl, K, HCO3
  • secretes HCO3- stimulated by secretin (neutralise acid chyme)
    • inside cell
      • CO2 + H2O -> H2CO3
      • H2CO3 -> H+ + HCO3
      • HCO3 moved into lumen (Cl HCO3 exchanger)
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7
Q

what are zymogen granules?

A

membrane bound- contain zymogen- inactive pre-cursar of an enzyme- avoids digesting pancreas
- eg trypsinogen-> trypsin (in intestinal lumen)

if pancreatic enzymes (amylase) appear in blood- signifies pancreatic damage

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8
Q

what does the liver do and how is this related to GI?

A

largest organ

  • energy metabolism, detoxification, plasma protein production
  • in gut- secretes bile (250ml-1L/day)
    • bile acids and alkaline juice, excretion of bile pigments
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9
Q

what are hepatocytes and what do they do?

A

chief functional cell of the liver, comprise approx 80% of the lass of the liver
very active at producing proteins/lipids for export
- contains lots of rough/smooth ER, and stacks of golgi
contains lots of glycogen

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10
Q

within a functional unit of a liver acinus what is within a triad?

A

contains portal vein, hepatic artery and bile duct - feeding into central canal

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11
Q

where and by what does all the blood from the gut drain into?

A

via portal vein to liver

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12
Q

how are the enzymes produced and released from the pancreas?

A

formed by RER- moved to golgi (cis then to trans)- condensing vacuoles- concentrated in zymogen granules- released with appropriate stimulus

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13
Q

what proportion of the pancreas is exocrine in function, what is the basic structure and how is it innervated?

A

exocrine portion 90% of pancreas, 2% endocrine

  • basic structure- acinus- enzymes, ducts- modifies aqueous secretions
  • innervated by:
    • sympathetic- inhibits
    • parasympathetic- vagus- stimulated
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20
Q

what is flowing in and out of the liver?

A

blood flowing in - venous portal blood, arterial blood (hepatic arteries- flowing towards central vein- hepatic venins (vena cava)
bile flowing out- along canaliculi- bile ducts to duodenum

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24
Q

what are the components of bile?

A

bile acid dependant- secreted into canaliculi by hepatocytes- contains bile acids and pigment
bile acid independent- secreted by duct cells- similar to alkaline solution to panctreatic duct cells- stimulated by secretin

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25
Q

how does the microscopic structure of the liver relate to its function?

A

d

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26
Q

how is bile acids secreted and how does the entero-hepatic circulation move bile acids?

A

d

27
Q

how do the structures of the endocrine pancreas relate to its secretions?

A

d

28
Q

how is alkaline juice secreted?

A

d

29
Q

how are pancreatic and billiary secretions controlled?

A

d

30
Q

how are fats digested?

A

d

31
Q

what is the function of the gall bladder and the relationship of the formation of gallstone?

A

d

32
Q

what are the 2 primary bile acids and what amino acids may bile be conjugated with?

A

cholic acid, chenodeoxycholic acid- further bile acids formed in gut
- bile salts and acids that are conjugated with the AAs- glycine and taurine