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Digestive system 2
Craft, J., Gordon, C., & Tiziani, A. (2011). Understanding pathophysiology. NSW: Elsevier
32
Nursing
Undergraduate 2
10/10/2014

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Term
mesentery: anatomical position
Definition
peritoneal membrane that suspends the ileum and jejunum in loose folds from the posterior abdominal wall
Term
mesentery: role (2)
Definition
1) to support blood vessels, nerves and lymphatics
2) facilitate intestinal motility
Term
diameter and length of small intestine
Definition
2.5 cm width
5 m length
Term
parts of the small intestine (order)
Definition
1) duodenum
2) jejunum
3) ileum
Term
peritoneum
Definition
surrounds organs of the abdomen and pelvic cavity. A serous membrane.
-visceral: over organs
-parietal: lines abdominal cavity wall
Term
2 types of digestive movements: describe each
Definition
-peristalsis: progress food forward
-segmentation: backward and forward motion in digestive tract to allow mixing with digestive enzymes
Term
describe muscle movement n peristalsis
Definition
circular muscles contract behind food, prevent backwards action.
In front of food, the circular mucles in front of food relaxes to allow a larger diameter and longitudinal muscles contract to shorten length
Term
three pairs of salivary glands
Definition
1) left and right submandibular glands
2) left and right sublingual glands
3) left and right parotid glands
Term
location of salivary gland control centre
Definition
medulla of brainstem
Term
nervous system control of salivary glands
Definition
parasympathetic nervous system
Term
receptors in mouth
Definition
sensory: taste
mechanoreceptors: presence of objects
pressure receptors
Term
enteric nervous system
Definition
intrinsic nerves forming a network that controls digestive function
Term
layers of enteric nervous system: location and role
Definition
1) submucosal plexus (meissner's plexus): submucosal layer . Controls small or localised functions
2) myenteric plexus: between layers of muscular is layer. Is a collection of neurone that controls larger regions of the digestive tract
Term
role of sensory nerves in enteric nervous system
Definition
local environment of digestive system can be sensed and relay afferent signals to the enteric nervous system. Nervous system can alter function accordingly to maintain appropriate environment
Term
how enteric nervous system exerts control
Definition
use of efferent signals (neurons to target cells)
Term
autonomic nervous system controls: describe role in digestive system
Definition
parasympathetic: increase digestive functioning (secretions, motility increases and sphincter relaxation)
sympathetic: decrease digestive function
Term
vagus nerves (cranial nerve X)
Definition
innervates parasympathetic nervous system
Term
splanchnic nerves
Definition
innervate sympathetic nervous system
Term
organs that splanchnic blood flow provides blood to
Definition
oesophagus
stomach
small and large intestines
liver
gallbladder
spleen
pancreas
Term
ileogastric reflex
Definition
when ileum becomes distended, the ileogastric reflex inhibits gastric motility and thus preventing more chyme entering the intestine ileum
Term
intestinointestinal reflex
Definition
when one part of the intestine becomes overdistended, the intestinointestinal reflex inhibits motility
Term
extrinsic innervation
Definition
ileogastric and intestinonintesnal reflex control
Term
gastroileal reflex
Definition
stimulates
-increase of gastric motility and secretions
-increase ileal activity and motility
-relax ileocaceal sphinter (ileum -> caecum) , emties ileum and allow entry of more chyme
Term
what happens when fasting and why
Definition
the entire length of intestinal tract (stomach to terminal ileum) is swept with slow waves. This allows residual gastric and intestinal contents to be propelled into the colon
Term
defecation reflex stimulation-how?
Definition
movement of faeces into sigmoid colon and rectum will stimulate the defecation reflex
Term
urge to defecate-how?
Definition
rectal wall stretches and constricted internal anal sphincter constricts relaxes
Term
control of anal sphincter contraction
Definition
autonomic nervous system- smooth muscle
Term
voluntarily override defecation urge- how and what happens?
Definition
how: contract external anal sphincter and muscle of the pelvic floor
effect: gradual relaxation of rectal wall. This reduces tension and urge may pass
Term
retrograde contraction of rectum
Definition
displaces faeces out of rectal vault until more convenient time
Term
when does food become faeces
Definition
by the time mass enters the sigmoid colon, all is waste
Term
vitamins absorbed in large intestines
Definition
vitamin B and K- produced by bacteria
Term
where does absorption occur in large intestines
Definition
caecum, ascending, transversing and descending colon
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