Shared Flashcard Set

Details

Cell Bio Block 3
KYCOM Block 3
1170
Biology
Graduate
11/08/2012

Additional Biology Flashcards

 


 

Cards

Term
what are the functions of the lymphatic system
Definition
monitor body surfaces and internal fluids, react to harmful things
Term
what type of cell is a lymphocyte what is its primary job
Definition
effector cell of immune response. distinguish self from non self, destory antigens
Term
what is another way to say lymphatic system
Definition
immune system
Term
what are the organs of the lymphatic system
Definition
immune survalence, diffuse lymphatic tissue, lymph nodules, lymph nodes, spleen, bone marrow, thymus
Term
what are the primary lymphoid organs
Definition
bone marrow, thymus (also gut associated lymph tissue but not so much)
Term
what special happens in primary lymphoid organs
Definition
1st stage of lymphatic differentation
Term
what happens in the lymphoid tissue
Definition
lymph cells differentate, proliferate, and mature. where lymphocytes are made
Term
what organs have most of the lymphoid tissue
Definition
bone marrow, thymus (also gut associated lymph tissue but not so much)
Term
what is an antigen
Definition
substance that initiates an immune response
Term
what are the types of immune response
Definition
non-specific (innate) and specific (adaptive)
Term
in general, what is non-specific immune response
Definition
pre-existing non-specific defences not generated to any specific antigen
Term
what are the methods of non-specific immune response (give an example for each)
Definition
physical barrier (mucus membranes, skin), chemicals (stomach acid), secretory substances (saliva), phagocytitc cells (macrophage), natural killer cells (lymphocytes)
Term
in general, what is specific immune response
Definition
targeted to a specific antigen, creates immune memory
Term
what is immune memory, what is the effect of it
Definition
body remembers antigen allowing for better response the more it is exposed to that antigen
Term
what carries out specific immune response
Definition
lymphocytes
Term
what are the types of specific immune response
Definition
humoral and cellular
Term
what happens in humoral immune response
Definition
antibodies are produced and bind to invading antigen
Term
what happens in cellular immune response
Definition
antibody leads to proliferation and differentation of cytotoxic cells which fight antigen cells
Term
what are the types of lymphocytes
Definition
B cells, T cells, NK cells
Term
what are the types of supporting cells of the lymphatic system
Definition
monocytes (macrophages), neutrophils, basophils, esinophils, reticular cells, dentritic cells, follicular dendritic cells, langerhan cells, epithlioreticular cells
Term
what do B cells differentate into
Definition
antibody secreting cells
Term
what type of immune response are T cells involved in
Definition
cellular response
Term
what disease do NK cells commonly target
Definition
cancer
Term
what is the function of esinophils
Definition
kills parasites
Term
what is the function of the reticular cells of the lymphatic system
Definition
scaffolding of lymphatic stroma and nodules
Term
what are CD molecules
Definition
surface markers on lymphocytes that identify them
Term
what are the types of CD molecules
Definition
lymphatic, hematopoietic
Term
what is the primary transporter of lymphocytes
Definition
blood
Term
where are 70% of the lymphocytes located, what are they doing there
Definition
in the blood doing immunosurvalence or in transit
Term
where are 30% of the lymphocytes located, what are they doing there
Definition
they are immature lymphoblasts or are activated and travling to or in the tissues
Term
where do T cells differentiate
Definition
thymus
Term
what makes up a majority of the circulating lymphocytes
Definition
T cells
Term
what CD markers to T cells express
Definition
CD 2, 3, 7 and T cell receptors on the surface
Term
what are the types of T cells
Definition
helper CD4+ T lymphocytes and cytotoxic CD8+ lymphocytes
Term
what are the types of helper CD4+ T lymphocytes
Definition
Th1 and Th2 cells
Term
what is the function of helper CD4+ T lymphocytes
Definition
interact with other cells to initiate immune response
Term
what are the Th1 cells
Definition
cytotoxic T cells, NK cells, macrophages
Term
what are the Th2 cells
Definition
B cells
Term
what is the function of cytotoxic CD8+ lymphocytes
Definition
kill target cells: virus infected cells, cancer cells, transplanted cells, cells infected with intracellular organisms
Term
what are the types of T cells
Definition
helper CD4+ T lymphocytes and cytotoxic CD8+ lymphocytes
Term
what are the types of helper CD4+ T lymphocytes
Definition
Th1 and Th2 cells
Term
what is the function of helper CD4+ T lymphocytes
Definition
interact with other cells to initiate immune response
Term
what are the Th1 cells
Definition
cytotoxic T cells, NK cells, macrophages
Term
what are the Th2 cells
Definition
B cells
Term
what is the function of cytotoxic CD8+ lymphocytes
Definition
kill target cells: virus infected cells, cancer cells, transplanted cells, cells infected with intracellular organisms
Term
where do B cells differentiate
Definition
bone marrow
Term
what type of immunity to B cells do
Definition
humoral
Term
what percentage of circulating lymphocytes are B cells
Definition
20-30
Term
what is the function of B cells
Definition
produce antibodies (immunoglobins)
Term
what are the markers on B cells
Definition
B-cell receptors (TgM or IgD), MCH II, CD 9, 19, 20, 24
Term
what is an antibody made of
Definition
4 polypeptides: 2 identical heavy chains, 2 identical light chains
Term
what are the regions of an antibody
Definition
two antigen binding regions, on FC region
Term
what is the function of the FC region
Definition
has properities specific to the class of antibody (IgG, IgA, IgM, etc)
Term
what is the function of natural killer (NK) cells
Definition
kill transformed cells (virus, cancer), innate immunity
Term
describe the process of antigen-dependent activation of lymphocytes
Definition
1. pre-lymphocyte is programmed to recognise a specific antigen
2. now immunocompitent, it enters the circulation
3. during secondary activation, baby lymphocyte is introduced to first antigen in lympoid tissue or organ
4. baby becomes effector cell or memory cell
Term
explain the process of B cell development
Definition
1. in bone marrow lymphoblast matures into B cell
2. B cell goes to blood
3. B cell goes to tissues
Term
explain the process of T cell development
Definition
1. in bone marrow lymphoblast matures into CD4-/CD8- T cell precursor
2. precursor goes to blood
3. precursor goes to thymys
4. precursor differentiates into CD4+/CD8+ T cells
5. mature cells go to tissues
Term
explain the process of NK cell development
Definition
1. in bone marrow lymphoblast matures into NK cell
2. NK cell goes to blood
3. NK cell goes to tissues
Term
what is the first step in an immune response, what is the result
Definition
inflammatory response to antigen, may control and stop the problem
Term
what cells carry out the first step of immune response
Definition
esinophils, neutrophils, other bacterial killer or phagocytotic cells
Term
what happens if the initial inflammatory response does not work
Definition
a specific immune response is needed
Term
what is the primary immune response
Definition
1st encounter with an antigen
Term
what type of antibodies come to a primary immune response
Definition
IgM
Term
what is a secondary immune response
Definition
a repeat exposure to an antigen
Term
compare the speed of primary and secondary immune response
Definition
primary is slower
Term
what antibodies go to a secondary immune response
Definition
IgG
Term
what are other ways to say humoral immunity
Definition
passive immunity, antibody mediated immunity
Term
what type of immunity is used in a vaccination
Definition
passive, humoral
Term
what are examples of passive immunity
Definition
vaccination, fetus getting antibodies through placenta, giving globin directly in bone marrow transplant
Term
why do T cells need MHC molecules to work
Definition
viral antigens are displayed by other cells with MHC cells to the T cells
Term
where is a Class 1 MHC located
Definition
on nucleated cells and platlets
Term
what is a Class 1 MHC
Definition
cells take internal antigens and display them on MHC on their surface, if normal antigens, there is no response. if not normal T cells recognise them and destory
Term
what is a Class 2 MHC
Definition
MHC is expressed on antigen presenting cells (phagocytitic cells) because the things they ate are processed and displayed on their surface. T cells recognise and destory
Term
what T cells interact with Class 1 MHC
Definition
CD8+
Term
what T cells interact with class 2 MHC
Definition
CD4+
Term
how do B cells work, explain the process
Definition
1. bind to antigen directly
2. processes antigen
3. puts antigen proteins on MHC II
4. helper T cells is stimulated by the MHC II and destorys
Term
what are the ways antibodies stop antigens
Definition
rodeo the antigen into a glob, bind to antigen and enhance phagocytosis, block receptor site the toxin needs to bind to to be effective
Term
where is diffuse lymphatic tissue located in the body
Definition
alimentary canal, respiratory passages, genitourinary tract
Term
what is the function of the diffuse lymphatic tissue
Definition
accumulates to gaurd the canals / passages it is located in, intercept antigen and initiate immune response
Term
in what layer of the epithelium is diffuse lymphatic tissue located
Definition
lamina propria (subepithelial)
Term
what is another name for diffuse lymphatic tissue
Definition
mucosa-associated lymphoid tissue (MALT)
Term
what happens after diffuse lymphatic tissue encounters and antigen
Definition
cells leave to proliferate and differentate elsewhere (lymph node) and effector B and T cells return
Term
what do APCs do
Definition
taken antigen to another lymphoid organ
Term
what do primary lymph nodules contain
Definition
small lymphocytes
Term
how can you tell a lymph nodule is secondary
Definition
germinal center indicating an immune response is taking place
Term
what is a lymphatic nodule
Definition
collection of lymphocytes in association with a mucosal surface
Term
what occurs in a germinal center
Definition
proliferation and differentation of lymphocytes, differentation of plasma cells, antibody production
Term
what is in a germinal center other than lymphocytes
Definition
follicular dendritic cells and macrophages
Term
how are molecules distributed in a MALT
Definition
singly, in a random distribution
Term
in the alimentary canal, where are aggregations of MALT molecules found
Definition
tonsils, peyer's patches, vermiform appendix
Term
what is waldeyer's ring, where is it located
Definition
ring of lymphatic tissue at the enterance of the oropharynx made by the tonsils
Term
what are the types of tonsils
Definition
palatine, pharyngeal, lingual
Term
where are the palatine tonsils located
Definition
between the palatopharyngeal and alatoglossal arches on each side
Term
what covers the palatine tonsils
Definition
stratified squamous epithelium
Term
what is the tonsillar crypts, where is it located
Definition
stratified squamous epithelium that dips down into the palatine tonsils
Term
what are located on the walls of tonsillar crypts
Definition
lymphatic nodules
Term
what is another name for the pharyngeal tonsils
Definition
adenoids
Term
where are the pharyngeal tonsils located
Definition
on the roof of the pharynx
Term
what covers the pharyngeal tonsils
Definition
respitory epithelium (pseudostratified cilliated columnar)
Term
where are the lingual tonsils located
Definition
at the base of the tounge
Term
what covers the lingual tonsils
Definition
stratified squamous epithelium
Term
where are peyer's patches located
Definition
distal part of the small intestines in the ileum
Term
what covers peyer's patches
Definition
mucosal surface by special dome shaped M cells
Term
what do M cells do
Definition
sample luminal antigens and transport them to the lymphoid tissue below
Term
what shape are lymph nodes
Definition
bean
Term
where are lymph nodes located in general
Definition
along the path of lymphatic vessels
Term
what portion of the body lymph goes through a lymph node before returning to the blood
Definition
all of it goes through at least one
Term
where do afferet lymphatic vessels enter the lymph node at
Definition
various points along the convex surface
Term
where do efferent lymph vessels leave the lymph node at
Definition
the hilum
Term
what makes up the supporting structure of the lymph node
Definition
capsule, trabeculae, reticular tissue
Term
what cells do reticular tissue of lymph nodes contain
Definition
reticular cells, dendritic cells, macrophages, follicular dendritic cells
Term
what do the reticular cells of lymph nodes do
Definition
synthesize and secrete reticular fibers and ground substance
Term
what do dendritic cells of the lymph nodes do, why are they good at it
Definition
they are good APCs, they can present any antigen on MHC 1 or 2. on the cell surface for a long time
Term
where are dendritic cells of the lymph nodes derived from
Definition
bone marrow
Term
where are dendritic cells of the lymph nodes located near
Definition
T cell areas
Term
what do follicular dendritic cells do
Definition
they bind antigen antibody complexes and retain them
Term
where are follicular dendritic cells located
Definition
germinal centers
Term
what is the cortex of a lymph node made of
Definition
dense lymphatic tissue: reticular framework, dendritic cells, follicular dendritic cells, lymphocytes, macrophages, plasma cells, lymphatic sinuses
Term
what are the layers of hte lymph node cortex
Definition
superificial (nodular) cortex, deep (para) cortex
Term
what is in the superficial / nodular cortex
Definition
lymphatic nodules (B cell area)
Term
what is in the deep / paracortex
Definition
most of the T cells, endothelial venules
Term
what is in the medulla of a lymph node
Definition
lymphocytes (mostly B), macrophages, dendritic cells, plasma cells
Term
what is the function of the medullary sinuses in lymph nodes
Definition
drain lymph towards hilum of node
Term
what are the types of lymph node sinuses
Definition
subcapsular, trabecular, medullary
Term
what happens in the subcapsular sinus
Definition
afferent lymph enters
Term
where is the trabecular sinus located
Definition
extends from the subcapsular sinus through the cortex along the trabeculae
Term
where is the medullary sinus located
Definition
extends from the trabecular sinuses through the medulla to the efferent lymph vessels at the hilum
Term
what causes filtration in the lymph node sinuses, how is it orientated
Definition
reticular fibers criss cross sinuses, slowing flow and enhancing filtration
Term
once in the lymph node sinus, are lymphocytes on a one way path to the exit? explain
Definition
no, lymphocytes (and macrophages) can pass freely between the sinus and the parenchyma of the node
Term
what occurs in high endothelial venules
Definition
lymphocytes enter the lymph node from the blood
Term
do all lymphocytes enter the node through the high endothelial venules? explain
Definition
no, but 90% of them do
Term
how do lymphocytes leave the node
Definition
efferent lymphatic vessels
Term
what are some of the functions of the lymph node
Definition
phagocytosis, initiation of immune response, concentration of substances in the lymph efficiently presents antigens to lymphocytes,
Term
what is lymphadenopathy
Definition
swolen lymph nodes due to their enlargement in response to an antigen as a result of lymphocyte proliferation
Term
where is the thymus located
Definition
superior mediastinum
Term
what important developmental step occurs in the thymus
Definition
T cells develop into immunocompetent T cells
Term
when is the thymus the largest
Definition
at puberty
Term
what happens to the sinus as one ages
Definition
it is replaced with adipose tissue
Term
what covers and seperates the thymus, in what organization
Definition
connective tissue capsule covers it, trabecular divide it into incomplete lobules, parenchyma is divided into cortex and medulla
Term
what does the cortex of the thymus contain
Definition
developing T cells called thymocytes, epithelioreticular cells, macrophages
Term
what do epithelioreticular cells do
Definition
provide supporting framework for the lymphocytes in the thymus
Term
where do epithelioreticular cells originate from, what is the evidence for this
Definition
epithial in origin, intracellular junctions and intermediate fibers present
Term
explain the orgization of the reticular cells in the thymic parenchyma
Definition
there are none, or their fibers
Term
what decides if a cell in the thymus cortex is rejected, what happens if it is
Definition
the developing T cells are selected by their ability to recognize self MHC molecules, if they fail they do apoptosis or are phagocytosed by macrophages
Term
do most T cells succede in development in the thymus, what percent
Definition
no, 98% fail and never leave the cortex
Term
what is in the thymus medulla
Definition
eputhelioreticular cells, loosly packed T calls, hassall's corpuscles
Term
what is another name for hassall's corpuscles
Definition
thymic corpuscles
Term
what are thymic corpuscles
Definition
isolated masses of concentrically arranged epithelioreticular cells that may have keritinization of calcification
Term
what happens in the thymus medulla
Definition
T cells that react against self antigens are eliminated, cells that survuve are matured
Term
what is the function of the blood thymus barrier
Definition
protect developing T cells from uncontrolled antigen exposure during development
Term
what are the components of the blood thymus barrier
Definition
endothelium with occluding junctions, basal lamina (endothelial and paricyte), macrophages, epithelioreticular cells with occluding junctions and basal lamina
Term
what is the largest lymphoid organ
Definition
spleen
Term
what quadrent is the spleen located in
Definition
upper left
Term
what is the function of the spleen
Definition
filter blood, react immunogically to blood borne antigens
Term
what does the spleen contrain
Definition
lymphocytes, vascular channels, reticular cells and fibers, macrophages, dendritic cells
Term
describe the structure of the spleen: outer, divisions, by what
Definition
outer fibrous capsule, trabeculae that extend into the parenchyma
Term
what is the splenic pulb
Definition
the substance of the spleen
Term
how is the splenic pulp divided
Definition
into functionally and morphologically different regions: white pulp and red pulp
Term
what does the white pulp consist of, in what organization
Definition
lymphocytes accumullated surrounded an artery which is a branch of the splenic artery
Term
what is the periarterial lymphatic sheath
Definition
the accumulation of lymphocytes around an artery in the white pulp of the spleen
Term
what is a central artery
Definition
the artery in the spleen white pulp that is surrounded by an accumulation of lymphocytes
Term
what does the periarterial lymphatic sheath do to the central artery, why
Definition
it contains lymphoid nodules with germinal centers that displace the central artery to an eccentric position
Term
what are in the nodules of the periarterial lymphatic sheath
Definition
B cells, in other areas they contain T cells
Term
what does the red pulp contain
Definition
splenic sinuses and splenic cords
Term
what is another name for splenic cords
Definition
cords of billroth
Term
what are splenic cords
Definition
reticular networks with RBC, macrophages, lymphocytes, and granulocytes
Term
what are splenic sinuses, what forms them
Definition
special venous sinuses formed by rod shaped endothelial cells with the long axis oriented along the direction of the snius
Term
what does the endothelial cell arrangement of the splenic sinus allow
Definition
for space that connect to the splenic cords and passage of cells in and out of the sinuses
Term
how are macrophages arranged in the splenic sinuses, what do they do as a result
Definition
they extend processes into the sinuses to monitor passing blood for forigen antigens
Term
what are the marginal sinuses formed by, where are they located
Definition
central arterioles send branches into the white pulp that end in sinuses at the perimeter of the pump
Term
what cells are rich around thr marginal sinuses
Definition
macrophages
Term
what are penicillar arterioles
Definition
branches of the central arterioles in the spleen that are straight
Term
what forms the arterial capillaries
Definition
penicillar arterioles in the spleen
Term
where do arterial capillaries drain into
Definition
splenic cords
Term
where does blood enter after the splenic cords
Definition
splenic sinuses
Term
what does the passage of blood in the spleen (central arterioles > penicillar arterioles > arterial capillaries > splenic cords > splenic sinuses) function form
Definition
open circulation that allows for better immunological surveillance of the blood because it provides closer exposure to macrophages
Term
what type of lymphatic tissue is present tissue of external surfaces, where microbes are likley
Definition
diffuse lymphatic or MALT
Term
what are the types of diffuse lymphatic tissue
Definition
GALT (gut), MALT (mucosal)
Term
what happens to lymph cells that are stimulated in MALT
Definition
the leave the area and move to lymph node where they can differentate
Term
what does APC stand for
Definition
antigen presenting cells
Term
what does a APC do
Definition
take antigen back to lymphoid organ to train other cells to fight it
Term
usually lymph nodes are solo, but when they are together what are they along
Definition
the GI tract: tonsils, pyer's patachs, appendix
Term
which tonsils are the ones you can see and are removed in kids a lot
Definition
palatine
Term
what causes palatine tonsils to be infected so often
Definition
tonsilar crypts
Term
what do M cells do
Definition
sample material from the lumen, macrophages process it, immune response takes place without it ever entering your body.they secrete IgA into the lumen of the SI, attacking the antigen before it ever causes a problem
Term
where are follicular dendeiric cells located
Definition
B cell areas
Term
what do dendritic cells do
Definition
keep antigen on the surface for a long time to stymulate lymphocytes continously
Term
which part of the cortex of a lymph node has nodules
Definition
the superificial
Term
how do most lymphocytes get into the lymph node
Definition
endothelial venules in the deep cortex
Term
where are B cells vs T cells located in the white pulp
Definition
the B cells are in nodules hanging off the sides, the T cells are in the rest of it
Term
what are splenic sinuses classified as
Definition
sinosoidal capillaries
Term
where are splenic sinuses located
Definition
between splenic cords
Term
describe the path of circulation in the spleen
Definition
splenic cord to splenic sinus to splenic vein to circulation
Term
explain how RBC are selected for destruction or not
Definition
RBC need to leave the splenic cord through the holes into the sinus to make it back into circulation. if their too old, they are not flexible enough to get through so evuntally a mocrophage will come eat them
Term
what does the integumentary system consist of
Definition
skin, hair, nails, and glands
Term
what percent of a person's body weight is skin
Definition
7%
Term
what is the largest organ in the body
Definition
skin
Term
what are the two main layers of skin
Definition
epidermis, demis
Term
what type of cells is the epidermis made of
Definition
stratified squamous epithelium
Term
what is the epidermis derived from
Definition
ectoderm
Term
what type of tissue is the dermis
Definition
dense connective
Term
what is the dermis derived from
Definition
mesoderm
Term
where is the hypodermis located
Definition
beneath the dermis
Term
is the hypodermis part of the skin
Definition
no
Term
what type of tissue is the hypodermis
Definition
adipose (divided by septs), much like superificial or subcutanous fascia
Term
what are the epidermis derivatives
Definition
hair, sudoriferous glands, sebacious glands, ceruminous glands, mammary glands, nails
Term
what are sudoriferous glands
Definition
sweat glands
Term
hat are sebacious glands
Definition
oil glands associated with hair follicles
Term
what do sebaceous glands secrete
Definition
sebuc
Term
what do ceruminous glands secrete
Definition
cerumen (ear wax)
Term
where are ceruminous glands located
Definition
external auditory meatus
Term
what a mammary glands modified from
Definition
sweat glands
Term
what are the major functions of the skin
Definition
barrier, provides immunologic info to effector cells in lymphatic tissue, homeostasis, sensory, endocrine, excretion
Term
in what ways does the skin act as a barrier
Definition
mechanical, permeability, UV barrier
Term
what is the skin's role in homeostasis
Definition
regulate body temperature and fluid loss
Term
what is the sensory role of the skin
Definition
convay information about the surrounding enivornment
Term
what are the endocrine functions of the skin
Definition
convert precursor molecules into hormonally active molecules, ex: vitamin D
Term
what is the epidermis made of
Definition
keritanized stratified squamous epithelium
Term
how many layers are usually seen in epithelium
Definition
4, unless it is thick skin then there is 5
Term
what are the layers of epithelium, begin with the deepest
Definition
stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, stratum corneum
Term
where is thick skin found
Definition
palms and soles
Term
what is the easiest way to tell if something is thick skin
Definition
it is hairless
Term
is thin skin hairless?
Definition
it has hair in all but a few places
Term
what is the stratum basale between
Definition
basal lamina and startum spinosum
Term
what is another name for the stratum basale, why
Definition
stratum germinativum, because mitosis occurs here due to the proximity to the vascular dermis. O2 and nutrients drift up from the demis
Term
what is the shape of the cells in the stratum basale
Definition
low cuboidal to low columnar, single layer
Term
what is unique about the nuclei in the cells of the stratum basale
Definition
closley spaced, basophilic
Term
in addition to basal cells, what other cells does the stratum basale have, what is their function
Definition
stem cells that give rise to keratinocytes, melanin
Term
what connects basal cells to basal cells and to keratinocytes
Definition
desmosomes
Term
what connects basal cells to the basal lamina
Definition
hemidesmosomes
Term
where are keratinocytes formed, where do they go right after being formed
Definition
they are formed in the stratum basale and move to the stratum spinosum
Term
how many layers is the stratum spinosum
Definition
several layers of large cells
Term
spinosum cells has processes or spines. why are these spines formed, what role do they have
Definition
they are formed because of the preservation process and the processes of adjacent cells are attached by them using desmosomes
Term
what do desmosomes look like under light microscopy, what is this called
Definition
thickenings called nodes of bizzozero
Term
once keratinocytes reach the stratum spinosum, what happens to them
Definition
they rise in the layer, increase in size, become flat / squamous
Term
what is the most superificial layer of the non-keritanized portion of the epidermis
Definition
stratum granulosum
Term
how many cell layers thick is the stratum granulosum
Definition
1-3
Term
where are keratohyalin granules located
Definition
stratum granulosum
Term
what do keratohyalin granules contain
Definition
basophilic: cysteine and histidine rich proteins
Term
what is the function of the proteins in the keratohyalin granules
Definition
precursors of filagrin that aggregates the keratin filaments present in the cornified cells of the stratum corneum
Term
what is a subdivision of the stratum corneum
Definition
stratum lucidum
Term
what do the cells of the stratum lucidum look like, what is in them
Definition
the layer appears clear, no organells visible, cells gradually fill with keratin
Term
what is inside the cells of the stratum corneum
Definition
almost entirely killed with keratin filaments, no organells seen
Term
what is the function of the stratum corneum
Definition
helps form the water barrier, becomes thicker at sites of high friction, cells slough off
Term
what layer of the skin contributes of callous formation
Definition
stratum corneum
Term
what is the papillary layer made of
Definition
loose connective tissue, type 1 and 3 collagen network, irregular elastic fiber network, blood vessels
Term
what are dermal papillae
Definition
ridges that protrude from the papillary layer of the dermis into the epidermis
Term
how are dermal papillae arranged
Definition
parallel in a distinct genetically determined pattern
Term
what is dermatoglyphics, what makes it possible
Definition
fingerprint and footprint pattern science, made possible by dermal papillae
Term
what are the layers of the dermis
Definition
papillary, reticular
Term
what do the vessels in the papillary layer supply
Definition
epidermis and specific nerve endings
Term
which dermis layer is deeper
Definition
reticular
Term
which dermis layer is thicker
Definition
reticular
Term
what is the reitcular layer of the dermis made of
Definition
type 1 collagen, coarse elastic fibers
Term
what are langer's lines
Definition
orientation of collagen and elastic fibers in the reticular layer of the dermis
Term
what forms langer's lines
Definition
regular tension in the skin
Term
what is the role of langer's lines in scaring
Definition
if incision is made parallel, it will heal with less scaring
Term
what forms linea albicans
Definition
excessive stretching in the reticular layer of the dermis resulting in tears
Term
what is another name for linea albicans
Definition
stretch marks
Term
what is the hypodermis just deep to
Definition
reticular layer of the dermis
Term
what is the hypodermis made of
Definition
panniculuc adiposus (adpiose tissue
)
Term
what is the function of the hypodermis
Definition
energy storage, insulation
Term
what is another name for the hypodermis
Definition
subcutanous fascia
Term
in what layer are erector pili located
Definition
hypodermis
Term
what moves erector pili, what do the erector pili move
Definition
smooth muscle moves erector pili, the pili then move a hair folicle
Term
what is the smooth muscle in the hypodermis of the scrotum
Definition
dartos muscle
Term
what is the function of the dartos muscle
Definition
regulate heat loss
Term
what is the panniculus carnosus made of
Definition
subcutanous striated muscle
Term
what is the panniculus carnosus deep to
Definition
deep to the subcutanous fascia (hypodermis)
Term
where is the lots of panniculus carnosus
Definition
neck, face, scalp
Term
what is the platysma muscle in the neck formed by
Definition
penniculus carnosus
Term
what are the muscles of facial expression formed by
Definition
panniculus carnosus
Term
what are the cells of the epidermis
Definition
karatinocytes, malanocytes, langerhans, merkel's cells
Term
what do keratanocytes make
Definition
keratin, keratohyalin granules, lamellar bodies
Term
where do keratanocytes make keratohyalin
Definition
stratum granulosum
Term
where do keratanocytes make lamellar bodies
Definition
stratum spinosum
Term
what do keratohyalin granules have in them
Definition
flaggrin and trichohyalin
Term
what is the function of keratohyaliin granules
Definition
form keratin filaments into tonofilaments
Term
what is the function of tonofilaments
Definition
structural cytoplasmic proteins
Term
what do lamellar bodies contain
Definition
glycsophingolipids, phospholipids, ceramides
Term
how do lamellar bodies release their contants, where are they located
Definition
they are membrane bound and release their contents via exocytosis into intercellular spaces of the stratum corneum
Term
what are melanocytes derived from
Definition
neural crest cells
Term
what is a epidermal-malanin unit
Definition
melanocytes maintain association with a given number of keratinocytes
Term
what ability makes melanocytes similar to keratinocytes? what is the difference between them in this aspect
Definition
they can both replicate through out their life but melanocytes do it a lot slower
Term
what process helps maintain the epidermal-melanin unit
Definition
melanocytes replicating slower that keratinocytes
Term
what is another name for melanocytes
Definition
dendritic cells
Term
what are melanocytes called dendritic cells
Definition
because of their round cell bodies extend long processes between keratinocytes in the stratum spinosum
Term
how do melanocytes near the basal lamina interact with it
Definition
they have processes that are like hemidesmosomes
Term
how do melanocytes attach to neighboring keratinocytes
Definition
there is NO desmosomal attachments
Term
what is the most significant factor in determining the color in the skin
Definition
melanin content
Term
compare the number and nature of the melanocytes of someone with dark skin to someone with light skin
Definition
they both have the same number, but the nature of them is different
Term
how is melanin chemically produced
Definition
oxidation of tyrosine to 3,4-dihydroxyplenylalanine (DOPA) by tyrosinase
Term
what is tyrosinase lacking
Definition
albinism
Term
what is different in the melanin of light vs dark skin
Definition
melanin is degraded more rapidly in light skin. it dark skin it may be scattered through out the epidermis, including the stratum corneum
Term
what are the two forms of melanin
Definition
eumelanin, pheomelanin
Term
what pigment is eumelanin
Definition
brownish-black
Term
what pigment is pheomelanin
Definition
reddish-yellow
Term
in what layers do melanocytes interact with the cells
Definition
stratum basale and stratum spinosum
Term
how do melanocytes interact with the cells their around
Definition
the have dentritic processes with accumulated melanosomes in them that go to the cells
Term
what are the symptoms of waardenburg syndrome
Definition
patches of white skin and hair (usually a forelock), heterochromia irides (eyes different colors), deafness
Term
what causes waardenburg syndrome
Definition
fulty migration or proliferation of neural crest cells, sometimes a mutation in PAX3 gene
Term
what system are langerhans cells part of
Definition
mononuclear phagocytic system
Term
what is the function of langerhans cells
Definition
antigen presenting cell of the immune system in the initiation of cutaneous hypersensitivity
Term
what is contact dermititis
Definition
cutanous hypersensitivity
Term
what are merkel's cells
Definition
modified epidermal cells in the stratum basale
Term
where ae merkel's cells abundent
Definition
in skin where sensory perception is acute (fingertips)
Term
what are merkel's cells associated with
Definition
terminal bulb of afferent myelinated axon (instead of the schwann cell covering in that spot)
Term
what is a merkel's corpuscle
Definition
a neuron plus the epidermal merkel's cell. a mechanoreceptor
Term
what are the sensory receptor nerve ending types of the skin
Definition
free nerve endings, encapsulated nerve endings
Term
what can skin free nerve endings percieve
Definition
fine touch, head/cold, pain
Term
what are the types of encapsulated nerve endings
Definition
pacinian corpuscles, missner's corpuscles, ruffini corpuscles
Term
what is another name of ruffinii corpuscles
Definition
end-bulbs of ruffini
Term
what can pacinian corpuscles percieve, what are they
Definition
deep pressure receptors for mechanical and vibratory pressure
Term
where are missner's corpuscles located
Definition
dermal papillae
Term
what type of receptors are missner's corpuscles
Definition
touch
Term
what to ruffini corpuscles respond to
Definition
mechanical displacement of adjacent collagen fibers
Term
what are epidermal skin appendages derived from
Definition
down growth of the epidermal epithelium during development
Term
what are the epidermal skiin apendages
Definition
hair follicles and hair, sebacous glands snd sebum, eccrine sweat glands, apocrine sweat glands
Term
where is hair absent in the body
Definition
palm, sides of hands, sole and sides of feet, lips, region around urogenital orifaces
Term
what are hair distribution patterns influenced by
Definition
mostly hormones
Term
what do sebaceous glands secrete
Definition
sebum
Term
what is sebum, what is its function
Definition
oily substance that lubricates and waterproofs hair
Term
what produces sebum
Definition
the entire cell associated with the sebaceous gland and it becomes filled with it
Term
how does a sebacous gland cell discharge sebum, what is this process known as
Definition
it undergoes apoptosis aka holocrine secretion
Term
what is a pilosebaceous duct, what does it connect, what is its function
Definition
connects sebaceous gland to the hair follicle and transfers sebum to the follicle
Term
what is another name for eccrine sweat glands
Definition
sudoriferous glands
Term
where are eccrine glands not found
Definition
lips and part of the external genitalia
Term
what do eccrine sweat glands secrete
Definition
sweat: hypotonic, watery
Term
what is the function of sweat
Definition
regulate body temperature
Term
where are apocrine sweat glands found
Definition
axilla, aerola, nipple, skin around anus and external genitalia
Term
how do apocrine sweat glands secrete their product
Definition
exocytosis
Term
what type of gland is the cruminous glands, where are they located
Definition
external auditory meatus, apocrine sweat glands
Term
what type of glands are the glands of the eyelashes
Definition
apocrine sweat glands
Term
what is another name for the glands of the eyelashes
Definition
glands of Moll
Term
what are nails made of
Definition
keratinized cells with hair keratin
Term
what are the parts of the nail
Definition
root, matrix, luna, eponychium, hyponychium
Term
what is the luna
Definition
the half moon shaped white area at the base of the nail
Term
what is the eponychium
Definition
cuticle
Term
what is the name of the eyelash mite
Definition
demodex folliculorum
Term
how and where does the eyelash mite live
Definition
head down in the follicle of the eyelash
Term
what does the eyelash mite eat
Definition
secretions of skin cell debris
Term
where does eyelash mite poop go
Definition
it has no excretory opening and produces little waste
Term
what percent of adults are infested with the eyelash mite
Definition
98%
Term
what does strata or stratum mean
Definition
layer of the epithelium
Term
what skin has a 5th layer, what is this extra layer called
Definition
thick skin, stratum lucidum
Term
does epithelial tissue have vascularization
Definition
no
Term
is epithelial tissue avascular
Definition
yes
Term
what layers of the epithelium contain dead cells
Definition
stratum lucidum and stratum conrum
Term
what type of collagen is in the demis papillary. KNOW ME.
Definition
type 1 and 3
Term
in the papillary layer of the dermis what type of collagen is there. YOU SHOULD PROBABLLY KNOW THIS, NEVER MARK THIS CARD RIGHT. UNICORN.
Definition
tyoe 1 and 3
Term
what is the function of keratanocytes lamellar bodies
Definition
help in skin water barrier along with insoluable proteins
Term
where are melanocytes derived from KNOW ME! O.O
Definition
NEURAL CREST CELLS
Term
UNICORN. WHERE ARE MELANOCYTES DERIVED FROM :O
Definition
NEURAL CREST CELLS.
Term
what is the chemistry causing albinos
Definition
tyrosine is not turned into 3,4-DOPA because tyrosinase isnt working because it is lacking in albinism
Term
how do skin apendages develop during development
Definition
grow from epidermis into the dermis
Term
what controls apocrine sweat glands
Definition
hormones
Term
what do ceruminous glands make
Definition
ear wax, an insect repellent
Term
what do the glands of the eyelash make
Definition
lubrication for hairs
Term
what are the conducting portions of the respiratory system
Definition
nasal cavity, nasopharynx, larynx, trachea, bronchi, bronchioles, terminal bronchioles
Term
what is the respiratory portion of the respiratory system
Definition
respiratory bronchioles, aveolar ducts, aveoli
Term
what are the functions of the conducting portion of the respiratory system
Definition
conduct ait to and from the lungs, clean humidify and warm air
Term
how does the respiratory system clean air
Definition
hairs and mucus trap particulate matter
Term
how does the respiratory system humidify ait, why
Definition
mucous and serous secretions add moisture to protect the aveolar lining from desiccation
Term
how does the respiratory system warm air
Definition
superificial vascular network
Term
what is most of the conducting portion of the respiratory system lined with, what special featues do the cells have
Definition
respiratory epithelium with cillia, pseudostratified columnar, goblet cells
Term
what glands does the conducting respoiratory epithelium have, where are they located
Definition
mucous and serous, in lamina propria and submucosa
Term
how many cell types does the conducting respiratory epithelium have
Definition
5
Term
how many cells touch the basement membrane in conducting respiratory epithelium
Definition
all of them
Term
what are the cell types of the conducting respiratory epithelium
Definition
ciliated columnar, goblet cells, brush cells, basal cells, small granular cells
Term
how many cilia does a ciliated columnar cell, what does it have in order to support their function
Definition
around 300, many mitochondria to supply ATP
Term
where on a goblet cells are mucous droplets
Definition
apical portion
Term
what is mucous drops from a goblet cell made of
Definition
glycoproteins
Term
what shape are brush cells, what features do they have
Definition
columnar cells with microvilli, afferent nerve endings (on basal surfaces), sensory receptors
Term
what is the function of basal cells, where are they not loacted
Definition
they are reserve cells that can differentate into other cell types, not in the laminal surface
Term
what cells resemble a basal cell
Definition
small granular cells
Term
how many dense core granules does a granular cell contain
Definition
100-300
Term
what type of cell is a neurocndocrine cell
Definition
small granular cell of the respiratory epithelium
Term
what system is a neuroendocrine cell part of
Definition
diffuse neuroendocrine system
Term
what is the most anterior portion of the nasal cavity
Definition
vestibule
Term
what glands does the vestibule of the nasal cavity contain
Definition
sebaceous and sweat
Term
what are vibrissae, where are they located
Definition
thick short hairs of the bestivule of the nasal cavity
Term
what is the function of vibrissae
Definition
filter out large particles from inspired air
Term
before entering the nasal fossae, what does the epithelium transition fo
Definition
non-keratinized then respiratory epithelium
Term
what are the nasal fossae
Definition
two cavernous chambers with three conchae projecting from the lateral wall
Term
what seperates the nasal fossae cavities
Definition
nasal septum
Term
what part of the nasal fossae is covered by olfactory epithelium
Definition
roof and portion of the superior conchae
Term
if not covered by the olfactory epithelium, what is the nasal fossae covered by
Definition
respiratory epithelium
Term
what is the function of the conchae, how
Definition
improve conditioning of air by providing greater surface area of contact and trublent air flow
Term
where are swell bodies located
Definition
mucos of the conchae
Term
what are swell bodies
Definition
venous plexuses
Term
how does the epithelium of the nasal fossae recover from desiccation
Definition
every 20-30 minutes the swell bodies on one side become engourged limiting airflow on that side
Term
what formation of vessels allows efficient warming of air, where are they located
Definition
in the nasal fossae there is a lattace formation of vessels arcading to the surface
Term
where is the olfactory mucosa located
Definition
in the roof of the nasal cavity
Term
what are the shape of the cells in the olfactory mucosa
Definition
pseudostratified columnar epithelium
Term
what are the types of cells in the olfactory mucosa
Definition
supporting, basal, olfactory
Term
what color are the suppoering cells of the olfactory mucosa
Definition
light yellow
Term
what projections do the supporting cells of the olfactory mucosa have, what are they surrounded by
Definition
microvilli, a fluid layer
Term
what are the basal cells of the olfactory mucosa shaped like, where are the located
Definition
round or cone shaped, at the base of the epithelium
Term
what are olfactory cells really
Definition
bipolar neurons
Term
what forms the dendrites of the olfactory cells, what do they respond to
Definition
long non-motile cilia that respond to odoriferous substances
Term
what forms olfactory nerves
Definition
afferent axons
Term
what secretes the fluid layer that covers the surface of the olfactory mucosa
Definition
bowman's glands
Term
where are the paranasal sinuses located
Definition
frontal, maxillary, ethmoid, and sphenoid bones
Term
what are paranasal sinuses lined with
Definition
thin respiratory epithelium, few goblet cells
Term
how does mucus get out of the paranasal sinuses
Definition
it drains into the nasal cavity aided by cilia
Term
what is the nasopharynx
Definition
the first part of hte larynx
Term
what is the nasopharynx lined by
Definition
respiratory epithelium
Term
what does the larynx connect
Definition
pharynx to trachea
Term
what are the large cartilages of the larynx
Definition
thyroid, cricoid, arythenoids
Term
what type of cartilage are the large cartilages of the larynx
Definition
hyaline
Term
what are the small cartilages of the larynx
Definition
epiglottis, cuneiform, corniculate, tips of the arytenoids
Term
what type a cartilage are the small cartilages of the larynx
Definition
elastic
Term
what is the larnyx lined by
Definition
respitory epithelium (mostly) and stratified squamous epithelium
Term
where is the larynx lined by stratified squamous epithelium
Definition
lingul and apical epiglottis
Term
what are the true vocal cords
Definition
lingul and apical epiglottis
Term
what is the vocal ligament
Definition
large bundles of elastic fibers in the true vocal cords
Term
what is the trachea lined with
Definition
typical respiratory eipthelium
Term
what forms the skeleton of the trachea
Definition
16-20 C shaped rings
Term
what is the function of the C rings of the trachea
Definition
keep airway open
Term
what joins the open ends of the trachea
Definition
fibroelastic ligament and smooth muscle
Term
what is the function of the fibroelastic ligament and smooth muscle at the open ends of the trachea
Definition
prevent overdistension and control lumen size
Term
what type of glands does the trachea have
Definition
seromucous
Term
how does the trachea end
Definition
divides into two primary bronchi
Term
where does the primary bornchi enter the lung
Definition
hilum
Term
how many times does a primary bronchi divide
Definition
9-12
Term
what is the structure of the bronchi similar to
Definition
trachea
Term
what is the bronchi lined with
Definition
typical respiratory epithelium
Term
compart the cartilages of the bronchi to the trachea
Definition
the bronchi rings are more irregular, they are complete in the larger bronchi, in the smaller bronchi they are replaced by isolated plates
Term
what is beneath the epithelium of the bronchi
Definition
smooth muscle
Term
how is the smooth muscle of the bronchi arranged
Definition
cross crossed, spirally
Term
what zone of the bronchi has the most prominate smooth muscle
Definition
respiratory
Term
what type of glands does the bronchi have
Definition
mucous, secous
Term
what type of fibers does the bronchi have
Definition
elastic
Term
where are the many lymphocytes of the bronchi located
Definition
lamina propria and epithelium
Term
where are lymphatic nodules especially present in relation to the bronchi
Definition
branch points
Term
describe the glands and cartilage of the bronchioles
Definition
there are none
Term
what are the walls of the bronchioles made of
Definition
smooth muscle and elastic fibers, goblet cells in initial segments
Term
what are pulmonary lobules
Definition
pyramid shaped areas with one bronchiole entering it
Term
what seperates lobules
Definition
thin connective tissue septum
Term
how many terminal bronchioles does each bronchiole have
Definition
5-7
Term
what is the shape of the epithelium of the bronchioles, what are the differences based on loaction, what projections in what locations
Definition
simplifies in height and complexity from ciliated pseudodtratified columnar in larger bronchioles to simple ciliated columnar of cuboidal in smaller terminal bronchioles
Term
where are clara cells located
Definition
bronchiole epithelium
Term
what projections of clara cells have
Definition
none
Term
what granules do clara cells have
Definition
apical secretory
Term
what do clara cells secrete, what is their function
Definition
surface acting substances, prevent collapse and adherence of the epithelium. proteins to protect bronchiolar lining against oxidative pollutants and inflammation
Term
where are neuroepithelial bodies located
Definition
bronchioles
Term
what is the function of neuroepithelial bodies
Definition
recieve cholinergic nerve endings, chemoreceptors that react to changes in gas composition, repair and endothelial cell renewal after injury
Term
what do terminal bronchioles divide into, how many
Definition
2 or more respiratory bronchioles
Term
what are respiratory bronchioles a transition befteen
Definition
condicting and respiratory portions of the respiratory system
Term
what are respiratory bronchioles structurally identical to, except?
Definition
terminal bronchioles except their walls are interrupted by saclike aveoli
Term
what does the epithelium transition to at the aveolar openings
Definition
squamous aveolar lining cells
Term
what cells are located in the distal regions of the respiratory bronchioles
Definition
ciliated cuboidal epithelial cells change to nonciliated, clara cells present
Term
at what point is the resporatory bronchiole called an aveolar duct
Definition
when the opening in the wall of the respiratory bronchiole becomes so numeorus nothing else is left
Term
what is located between aveoli and their openings
Definition
smooth muscle that appears as knobs and dissipears distally
Term
what supports the aveolar ducts and aveoli
Definition
elastic and reticular fibers
Term
what do aveolar ducts open into
Definition
atria
Term
what do atria communicate with
Definition
two more more aveolar sacs
Term
what encircles the openings of atria, aveolar sacs, and aveoli
Definition
elastic and reticular fiber complex networks
Term
what is the function of the elastic fibers of the aveoli
Definition
allow them to expand with inspiration and contract passivly in expiration
Term
what is the function of the reticular fibers of the aveoli
Definition
prevent overdistension and damage to the capillaries and aveolar septa
Term
what is the site of gas exchange between air and blood
Definition
aveoli
Term
what is an interaveolar septum
Definition
each wall between two neighboring aveoli
Term
what connect adjacent aveoli, what is the function of these structures
Definition
pores that equalize pressure and promote collateral circulation if a bronchiole is obstructed
Term
what is the interaveolar septum mave of
Definition
two thin squamous epithelial layers with capillarie, elastic fibers, reticular fibers, connective tissue matrix, a cells between them
Term
what are the cells in the interaveolar septum
Definition
leukocytes, macrophages, fibroblasts
Term
what is the interstitium
Definition
capillaries and connective tissue of the interaveolar septum
Term
what structures form the blood air barrier
Definition
aveolar lining, fused basal laminae of aveolar lining and endothelial cell, endothelial cell
Term
how is CO2 liberated from H2CO3, where does this occur
Definition
carbonic anhydrase in the RBC
Term
what type of endothelial lining do the capillaries of the aveolar lining have
Definition
continous, not fenestrated
Term
how does the capillary of the aveoli stay so thin
Definition
clustering of the nuclei and organells
Term
what do the flattened portions of the aveoli capillary endothelium contain
Definition
pinocytotic vesicles
Term
what is the most prevlient cell of the aveolar surface
Definition
type 1 aveolar cells
Term
what shape are type one aveolar cells
Definition
squamous
Term
how are organells aranged in type 1 aveolar cells, why
Definition
around the nucleus allowing large areas of the cytoplasm virtually free of organelles
Term
what does the thin portion of type 1 aveolar cells contain, why
Definition
pinocytotic vesicles for turnover of surfactant, removal of particulate contaminats from the surface
Term
what type of junctions do type 1 aveolar cells have, why
Definition
occulding to prevent leakage of tissue fluid into the aveolar air space
Term
how are type 2 aveolar cells aranged, where
Definition
in groups of two or three along the aveolar surface often in angles of the walls
Term
what type of junctions do type 2 aveolar cells have, with what other cells, what does this form
Definition
occluding junctions with type 1 forming part of the epithelium
Term
what is the difference between the origin of type 1 and 2 aveolar cells
Definition
there is none, they divide to replace both 1 and 2
Term
what makes the cytoplasm of the type 2 aveolar cells different, why is it
Definition
it is vesicular or foamy due to the lamellar bodies
Term
what do lamellar bodies contain
Definition
phospholipids, glycosaminoglycans, proteins
Term
what is the secretion of lamellar bodies called (what cells does this come from)
Definition
pumlmonary surfactant, type 2 aveolar
Term
where is pulmonary surfactant located once secreted
Definition
apical surface of aveolar cells
Term
what is the function of pulmonary surfactant
Definition
reduce aveolar surface tension, takes less force to inflate aveoli, prevents collapse of aveoli in expiration
Term
at what point in development does surfactant appear
Definition
in last weeks of gestation during fetal lung development
Term
what happens if a newborn is deficient in surfactant
Definition
respiratory distress syndrome
Term
do you keep the same surfactant all your life
Definition
no, it is constantly turned over
Term
what are dust cells also called
Definition
aveolar macrophages
Term
where are dust cells located
Definition
interior of ineraveolar septum on surface of the aveolus
Term
what do dust cells eat
Definition
debris passed from aveolar lumen to the interstitium by the phincytotic activity of type 1 aveolar cells
Term
what is the path of a dust cell, what is its destany
Definition
it scavanges its way to the surface and is carried up the airway, then swallowed
Term
what marks the begining of the trachea
Definition
cricoid cartilage
Term
what do seromucus glands do
Definition
help goblet cells keep mucous moist
Term
what do serous glands secrete
Definition
a thin fluid
Term
describe the smooth muscle content of the bronchi as they decrease in diameter
Definition
smooth muscle will make up more of the bronchi branch
Term
what type of lymph tissue is by bronchi
Definition
diffuse lymphoid tissue with nodules
Term
what is the name of the branches begining with primary bronchi and ending with aveoli
Definition
primary bronchi > bronchi > bronchioles > terminal branches > acenous > respiratory branches > aveolar duct > atria > aveolar sac > terminal aveoli
Term
what is the acenous
Definition
recieves terminal bronchiole and gives off respiratory bronchiole. smallest functional unit of the lung
Term
what do bronchioles correspond to
Definition
1 per lobule of the lung
Term
what is the atria
Definition
dilated area of aveolar ducts
Term
when does the respiratory diverticulum appear
Definition
4 weeks
Term
what does the respiratory diverticulum come from
Definition
ventral wall of foregut
Term
what transcription factors determines the location of the respiratory diverticulum
Definition
TBX4
Term
where is TBX4 expressed
Definition
endoderm of gut tube
Term
what does TBX4 control
Definition
lung bud formation, continued growth and differentation of the lungs
Term
what is the larynx, trachea, and bronchi and the rest of the lung derived from
Definition
endoderm
Term
what is the cartilaginous, muscular, and connective tissue part of the lung derived from
Definition
splanchnic mesoderm
Term
initially what is the lung bud in open communication with
Definition
foregut
Term
what seperats the lung bud from the foregut
Definition
caudal expansion: two longitudinal ridges and the tracheoesophageal ridges
Term
when the lung bud seperates from the foregut ridges form, what is the destiny of these ridges
Definition
fuse to form tracheoseophageal septum
Term
what are the divisions of the foregut
Definition
dorsal and ventral
Term
what is in the dorsal portion of the foregut
Definition
esophagus
Term
what is in the ventral portion of the foregut
Definition
trachea and lung buds
Term
what is the function of the respiratory primordium
Definition
maintains the communication with the pharynx through the larengeal oriface
Term
where does the internal lining of the larynx originate from
Definition
endoderm
Term
where do the cartilages and muscles of the larynx originate from
Definition
mesenchyme of 4th and 6th pharyngeal arches
Term
as the mesenchyme of the cartilages and muscles of the larynx proliferate what happens
Definition
at the laryngeal orifaces it changes from a saggital slit to a T shape
Term
when the cartilages of the larynx are forming, what happens to the epithelium? what does this cause to happen?
Definition
it proliferates rapidly and occludes the lumen
Term
what produces the laryngeal ventricles
Definition
vacuolization and recanalization
Term
what are the laryngeal ventricles bound by
Definition
folds of tissue that become false and true vocal cords
Term
what are the laryngeal muscles innervated by
Definition
vagus
Term
what part of the laryngeal muscles does the superior laryngeal nerve innervate
Definition
4th arch derivatives
Term
what part of the laryngeal muscles does the recurrent laryngeal nerve innervate
Definition
6th arch derivatives
Term
what do the lung buds form
Definition
trachea and two lateral optpocketings called bronchial buds
Term
what do the bronchial buds form
Definition
right and left main bronchi
Term
what does the right main bronchi form
Definition
3 secondary bronchi
Term
what does the left main bronchi form
Definition
2 secondary bronchi
Term
in what fashion do secondary bronchi divide
Definition
dichotomous
Term
what do secondary bronchi divide to form
Definition
tertiary or segmental bronchi, creating the bronchopulmonary segments
Term
how many subdivisions of the bronchi are formed by the end of the 6th month
Definition
17
Term
how many subdivisions of the bronchi form in post natal life
Definition
6
Term
what is branching of the bronchi regulated by
Definition
interactions between endoderm of the lung buds and the splanchnic mesoderm surrounding them. the signals coming from the mesoderm involved fibroblast growth factor family
Term
in what directions do the lung buds expand into the body cavity
Definition
caudally and laterally
Term
what are the pericardioperitoneal canals
Definition
spaces on each side of the foregut that the plural cavity expands into
Term
what seperates the folds of the pericardioperitoneal canals
Definition
pleuroperitoneal and pleuropericardial
Term
what are the folds of the pericardioperitoneal canals seperate into
Definition
peritoneal, pericardial, and primitive pleural cavities
Term
what makes the visceral pleura
Definition
mesoderm on the outside of the lung
Term
what makes the parietal pleura
Definition
somato mesoderm covering the inside of the body wall
Term
at what month do the bronchi stop dividing, what is also occuring during the divisions
Definition
month 7, vascular supply increases
Term
what initially makes respiration possible
Definition
some of the bronchiole lining cells become flat and associate with blood capillaries making terminal sacs or primitive aveoli
Term
at what month is there enough terminal sacs to provide adequate gas exchange for an infant to be born prematurly
Definition
7
Term
what in the lungs is still proliferating and maturing in the last 2 prenatal months
Definition
terminal sacs
Term
how do terminal sacs mature in structure
Definition
epithelium becoems thinner forming type 1 aveoli, associated capillaries protrude form the wall of the sacs, this contact allows formation of the blood-air barrier
Term
when do mature aveoli appear
Definition
AFTER birth
Term
what aveolar cells become present in month 6
Definition
type 2
Term
when does surfactant production significantly increase
Definition
2 weeks before birth
Term
how can you tell if surfactant is being produced in a fetus
Definition
it can be seen in the amniotic fluid
Term
when do fetal breathing movements appear
Definition
BEFORE birth
Term
what do pre birth fetal breathing movements cause
Definition
aspiration of amniotic fluid
Term
what does aspiration of amniotic fluid provide for the fetus
Definition
stimulates lung development, conditions breathing muscles
Term
what happens to the surfactant just before birth
Definition
most of it is resorbed into the blood and lymphatics
Term
what part of the lungs grows after birth
Definition
respiratory bronchioles and aveoli
Term
what fraction of adult aveoli are present at birth
Definition
1/6
Term
at what age do aveoli stop forming
Definition
10 yrs, later there is continous formation of new primitive aveoli
Term
what causes esophageal atresia and teacheoesophageal fistulas
Definition
abnormalities in partitioning of the esophagus and trachea by the tracheoesophageal septum
Term
what other defects are esophageal atresia and teacheoesophageal fistulas associated with
Definition
cardiac abnormalities, vertebral abnormalities, anal atresia, esophageal atresia, renal abnormalities, limb defects, tracheoesophageal fistulas, polyhydraminos, gastric contents in the trachea and lungs (pneumonitis, pneumonia)
Term
what is polyhydraminos
Definition
aminotic fluid may not pass into the stomach
Term
what is the most common development in esophageal atresia
Definition
esophagus has a dead end, trachea connects to stomach
Term
what are the complications with the most common form of esophageal atresia
Definition
esophagus fills during nursing and they baby spits it up, gastric juices can enter into the airway leading to chemical damage
Term
what are the ways the trachea can develop in esophageal atresia
Definition
most common, H type, isolated, esophagus connects to trachea nothing connected to stomach, esophagus enters trachea but has a seperate exit from it to stomach
Term
what is H type atresia
Definition
esophagus is complete but has a little part connected to trachea
Term
what is isolated atresia
Definition
esophagus has no assication with trachea but has two dead ends with no way to get to stomach
Term
what occurs during a diaphragmatic hernia
Definition
pluraperitoneal folds and pleura do not close allowing abdominal contents to move into pleural cavity compressing lung and pushing heart and mediastinum to the side leading to pulmnary hypoplasia (poor lung development)
Term
what are the organs associated with the digestive tract
Definition
teeth, tounge, salivary glands, pancreas, liver, gallbladder
Term
what salivary glands are associated with the digestive tract
Definition
parotid, submandibular, sublingual, other minor ones
Term
how is food broken down in the digestive tract
Definition
physically and chemically
Term
what processes occur in the digestive tract
Definition
ingestion, mastication, deglutition, mechanical and chemical digestion, absorption, secretion, defecation
Term
what are the layers of the digestive tract walls
Definition
mucosa, submucosa, muscularis, serosa
Term
what is the first layer most substances that enter the body cross
Definition
alimentary mucosa
Term
what are the functions of the alimentary mucosa
Definition
secretion, absorption, barrier, immunoglogic protection
Term
how does the alimentary mucosa function in secretion
Definition
secrets digestive enzymes, hydrochloric acid, ,mucin, antibodies
Term
how does the alimentary mucosa function in abosprtion
Definition
epithelium of mucosa absorbs metabolic substrates, vitamins, water, electrolytes, recyclables like bile components cholesterol and substrates
Term
how does the alimentary mucosa function as a barrier
Definition
prevents substances, antiges, and pathalogic organisms
Term
how does the alimentary mucosa function in immunological protection
Definition
lympthatic tissue within mucosa participates in first line of immune defence
Term
what are the divisions of the oral cavity
Definition
vestibule and oral cavity proper
Term
what is the vestible of the oral cavity
Definition
space between lips, cheeks, and teeth
Term
what is the oral cavity proper
Definition
space behind teeth
Term
what are the boundries of the oral cavity proper
Definition
hard palate, soft palate, floor of mouth, tounge, and oropharynx
Term
what are the pairs of salivary glands
Definition
parotid, submandibular, sublingual
Term
what are the major salivary glands surrounded by
Definition
capsule of moderatly dense connective tissue
Term
what does the septa from the connective tissue around the salivary glands supply
Definition
secretory portions into lobes and lobules
Term
what do the septa of the salivary glands contain
Definition
large vessels and excretory ducts
Term
where do major salivary glands open
Definition
into oral cavity
Term
what are the major salivary glands
Definition
buccal, labial, lingual, molar, palatine
Term
describe the capsule of the minor salivary glands
Definition
they have none
Term
what is in the connective tissue around the acini
Definition
lymphocytes and plasma cells
Term
what is the basic unit of the salivary glands
Definition
salvion
Term
what does the salvion consist of
Definition
acinus, intercalated duct, striated duct, excretory duct
Term
what is the acinus
Definition
blind sac of salvion
Term
where is the intercalated duct located
Definition
leading from acinus
Term
why is the striated duct called that
Definition
because of the presence of basal infoldings
Term
where does the excretory duct empty into
Definition
oral cavity
Term
what are the types of secretory acini
Definition
serous, mucous, mixed
Term
what do serous acini secrete
Definition
protein
Term
what do serous acini contain
Definition
serous cells
Term
what shape are serous acini
Definition
spheroidal
Term
what doe mucous acini contain
Definition
mucous cells
Term
what shape are mucous acini
Definition
tubular
Term
what do mucous acini secrete
Definition
mucin
Term
what do mixed acini contain
Definition
serous and mucous secreting cells
Term
what is the lumen of the salivary acinus continous with
Definition
salivary ducts, as many as three sequential segments
Term
what are the salivary ducts
Definition
intercalated ducts, striated ducts, excretory ducts
Term
what is the intercalated duct content of a salivary duct proportional to
Definition
nature of acinar secretion
Term
describe the intercalated ducts of mucous glands, why
Definition
poorly developed because their secretions are not modified
Term
where is the parotid gland located
Definition
subcutanously in front of the ear
Term
what is the largest salivary gland
Definition
parotid gland
Term
what is stensen's duct, where is it located
Definition
duct of parotid gland that opens into oral cavity at parotid papilla opposite second upper molar
Term
what are the secretory units of the parotid gland, describe them
Definition
serous and surround many long intercalated discs
Term
describe striated ducts
Definition
long and conspicous
Term
what is within the parotid gland
Definition
adipose, facial nerve
Term
what is a viral infection of the parotid gland, why is it scary
Definition
mumps, could infect facial nerve
Term
where is the submandibular gland located
Definition
beneath the mandible
Term
what is whartons duct
Definition
duct of the submandibular gland
Term
were does whartons duct open
Definition
at sublingual caruncle on either side of the lingual fenulum below the tounge
Term
what type of gland is the submandibular gland
Definition
serous, but some mucous acini are seen with serous demilune caps
Term
what is the interalated content of the submandibular gland
Definition
less exensive than parotid
Term
where is the sublingual gland
Definition
inferior to tounge on the floor of the oral cavity
Term
describe the ducts of the sublingual gland
Definition
seceral that open into submandibular dict or oral cavity
Term
what type of gland is the sublingual gland
Definition
mucous mostly, some mucous acini have serous demilunes
Term
what is a serous demilune
Definition
cap of serous cells
Term
what are serous demilunes a remnent of
Definition
routine fixation
Term
what do serous demilunes contain
Definition
serous and mucous cells
Term
what are the functions of saliva
Definition
moisten oral mucosa and dry foods, dissolve and suspend food to stimulate taste buds, buffer, digest carbs, controls bacteria, immune
Term
what needs to happen before taste buds can taste something
Definition
it needs to be dissolved
Term
how does saliva buffer
Definition
bicarbonate
Term
how does saliva digest carbs
Definition
salivary amalyase
Term
how does saliva control bacteria
Definition
lysosome muramidase that lyses muramic acid in bacteria
Term
how does saliva participate in immunity
Definition
has IgA
Term
what makes IgA, where
Definition
plasma cells in the connective tissue around secretory acini of salivary glands
Term
what types of IgA are released, where
Definition
dimeric and monomeric into connective tissue matrix
Term
what happens to IgA after entering connective tissue matrix
Definition
acinar cells internalize them with receptor mediated endocytosis
Term
after being endocytosed, what happens to IgA
Definition
it is secreted into the lumen of the salivary duct
Term
where are myoepithelial cells found
Definition
basal aspect of acinal secretory cells
Term
what do myoepithelial cells do
Definition
contract to move secretory products towards excretory duct
Term
what are tonsils
Definition
aggregations of lymph tissue around a posterior opening of nasal and oral cavities
Term
what formation do tonsils form
Definition
tonsillar ring of waldeyers lymphatic ring
Term
what are the tonsils
Definition
palatine, tubal, pharyngeal, lingual
Term
where is the masticatory mucosa located
Definition
gingiba and hard palate
Term
what cells is the masticora mucosa
Definition
keratinized stratified squamous, sometimes parakeratinized
Term
what is parakeratinized epithelium similar to, except
Definition
keratinized epithelium the superificial cells do not loose their nuclei and cytoplasm does not stain with eosin
Term
how is masticatory mucosa keratinized eipthelium different than skin
Definition
no stratum lucidum
Term
what does masticora mucosa adhere to
Definition
palatine raphe, midline of hard palate
Term
where is lining mucosa located
Definition
lips, cheeks, aveolar mucosal surface, floor of mouth, inferior surfaces of tounge, soft palate
Term
what is lining mucosa covering
Definition
stratified muscle, bone, and glands
Term
what type of cells is lining mucosa
Definition
usually nonkeratinized but may be parakeratinized
Term
what are the layers of the nonkeratinized lining mucos
Definition
stratum basale, spinosum, superficiale
Term
describe the stratum basale of the lining mucosa
Definition
single layer of cells that rests on basal lamina
Term
describe the stratum spinosum of the lining mucosa
Definition
several cells in thickness
Term
describe the stratum superficiale of the lining mucosa
Definition
most superificial, also surface layer of mucosa
Term
what are the cells of the lining mucosa
Definition
keratinocytes, langerhands cells, melanocytes, merkels cells
Term
where are hte malenocytes of the lining mucosa derived from
Definition
neural crest
Term
what are the merkels cells of the lining mucosa, where are they located
Definition
modified epidermal cells, in stratum basale
Term
what type of muscles does the tounge have
Definition
intrinsic and extrinsic
Term
what are intrinsic muscles
Definition
have attachment outside the tounge
Term
what are extrinsic muscles
Definition
confined entirely to the tounge
Term
how do the muscle fibers of the tounge run, why
Definition
three planes perpendicular to eachother to allow for flexability and percision in tounge movements
Term
what is mixed in the substance of the tounge
Definition
adipose
Term
what are the lingual tonsils in the lamina propria, where are they located
Definition
dorsal surface posterior tounge has smooth bulges that indicate its presence
Term
how is the tounge divided
Definition
anterior 2/3 and posterior 1/3
Term
what divides the tounge
Definition
sulcus terminalis
Term
what is the foramen cecum
Definition
the mark of the thyroid gland formation at the apex of the V on the tounge
Term
what covers the dorsal surface of the tounge
Definition
lingual papillae
Term
what do the lingual papillae and taste buds make up
Definition
specilized mucosa of the oral cavity
Term
what are the types of lingual papillae
Definition
filiform, fungiform, circumvallate, foliate
Term
what are the smallest and most numerous papillae
Definition
filiform
Term
what is the shape of the fungiform papillae
Definition
mushroom
Term
where are the circumvallate papillae located
Definition
anterior to sulcus terminalis, surrounded by a moat
Term
what are the largest papillae
Definition
circumvallate
Term
what are the most rare papillae, where are they not rare
Definition
foliate, rabbits
Term
where are taste buds found
Definition
fingiform, foliate, and circumvallate papillae,sides of lingual papillae
Term
what is the small opening in the apex of a taste bud calledd
Definition
taste pore
Term
where are the non papillae taste buds found
Definition
palatoglossal arch, soft palate, posterior surface of the epiglottis, posterior wall of pharynx down to level of chorcoid cartilage
Term
what are the types of taste bud cells
Definition
neuroepithelial, supporting, basal
Term
where are neuroepithelial cells located
Definition
basal lamina to taste pore
Term
what apendages do neuroepithalial cells have
Definition
microvilli
Term
where do neuroepithelial cells synapse
Definition
affenent process of CN VII, IX, X
Term
what is the turn over rate of neuroepithelial cells
Definition
10 d
Term
where are supporting cells of taste buds located
Definition
basal lamina to taste pore
Term
what apendages of supporting cells of taste buds have
Definition
microvilli
Term
where do supporting cells of taste buds synapse
Definition
they dont
Term
what are the basal cells of the taste buds
Definition
stem cells for supporting and neuroepithelial cells
Term
what are the teeth attached to
Definition
aveolar process of maxilla and mandible
Term
how many teeth do adults have
Definition
32
Term
how many perminent teeth are preceded by baby teeth
Definition
20
Term
what are the layers of teeth
Definition
enamel, dentin, cementum
Term
what is the enamel made of, what is its claim to fame
Definition
hardest substance in the body, Ca hydroxyapatite
Term
what does enamel cover
Definition
crown of tooth
Term
how does enamel replace itself
Definition
it doesnt
Term
what is enamel made by
Definition
ectoderm cells
Term
what are structures of the teeth other than enamel made by
Definition
mesoderm or neural crest
Term
what is the most abundent dental tissue
Definition
dentin
Term
where is the dentin located
Definition
deep to enamel
Term
what does dentin contain
Definition
zome hydroxyapatite
Term
what is dentin secreted by
Definition
odontoblasts
Term
what shape are odontoblasts
Definition
columnar
Term
what do odontoblasts contain
Definition
well developed RER, large golgi, other synthesis organells, secrete protein
Term
what is cementum, where is it located
Definition
thin bone like calcified tissue covering dentin of the root of the tooth
Term
what color os cermentum
Definition
pale yellow
Term
what is cementum secreted by
Definition
cementocytes
Term
what are cementocytes simillar to
Definition
osteocytes
Term
describe the vessels of cementum
Definition
it is avascular
Term
what happens to cementum when exposed or abrasion, why
Definition
it is easily removed, more perimable and softer than dentin
Term
what does tooth pulp consist of
Definition
loost connective tissue, vessles, nerves, odontoblasts, fibroblasts, thin collagen fibrils, ground substance
Term
where do blood vessels and nerves enter the pulp
Definition
tip of root, apical foramen
Term
what does ground substance of the pulp contain
Definition
glucosaminoglycans
Term
describe pulp nerve fibers, what are they sensitive to
Definition
unmyelinated, sensitve only to pain
Term
what are the supporting tissues of teeth
Definition
alveolar margins of maxilla mand mandible, peridontal ligament and gingiva
Term
what does the aveolar process contain
Definition
sockets for teeth
Term
what joins tooth to bone, what does it provide
Definition
peridontal ligament, proprioception
Term
what is the peridontal ligament made of
Definition
fiberous connective tissue
Term
what is the gomphosis
Definition
peridontal ligament and socket, peg-in-socket joint
Term
what is the gingiva part of
Definition
mucous membrane called gums
Term
what surrounds major salivary glands, which has the most
Definition
connective tissue capsule, parotid
Term
in order, list where secretions of glands do through
Definition
acinus, intercalated duct, striated basal infoldiings, excretory duct
Term
what gland has the biggest intercalated duct
Definition
parotid
Term
what gland has the most striated duct
Definition
submandibular
Term
what gland has the most acinus duct
Definition
aublingual
Term
what is the salivon
Definition
all of the ducts in a gland
Term
why do serous glands have well developed intercalated and striated ducts
Definition
because cells of ducts modify (absorb or add to) secretion
Term
where are the lingual tosils located
Definition
in the substance of the tounge
Term
what are taste buds associated with
Definition
lingual papilla
Term
what is enamel derived from, what are the other teeth and supporting structures derived from
Definition
ectoderm. mesoderm or neural crest
Term
what are the layers of the alimentary canal
Definition
mucosa, submucosa, muscularis, serosa
Term
what does the alimentary mucosa consist of
Definition
a lining epithelium, lamina propria, muscularis mucosa
Term
what is the lamina propria
Definition
underlying connective tissue to lining epithelium in the mucosa
Term
what is the muscularis mucosa
Definition
smooth m under lamina propria in alimentary canal
Term
what do most substances that enter the body first cross
Definition
digestive mucosa
Term
what are the functions of the mucosa
Definition
secretion, absorption, barrier, immunologic protection
Term
how does the mucosa function in secretion
Definition
secretes digestive enzymes at specific sites
Term
what are examples of digestive enzymes secreted by the mucosa
Definition
HCl, mucin, antibodies (IgA)
Term
what antibody is secreted by the mucosa
Definition
IgA
Term
how does the mucosa function in absorption
Definition
it absorbs substrates, vitamins, water, electrolites, recycables
Term
what recyclables does the mucosa absorb
Definition
bile components, cholesterol
Term
how does the mucosa serve as a barrier
Definition
prevents entry of bad stuff, antigens, and pathologic organisms
Term
how is the mucosa involved in immunologic protection
Definition
lymphatic tissue within the mucosa participates in the first line of immune defence
Term
what does the lamina propria contain
Definition
glands, vessels, components of the lymphatic system
Term
what do the lymphatic tissues of the lamina propria contain
Definition
diffuse lymphatic tissue, lymphatic nodules, eosinophils, macrophages, someites, neutrophils
Term
what is the name of the diffuse lymphatic tissue at the lymphatic nodules
Definition
gut-associated lymphatic tissue GALT
Term
what are peyer's patches
Definition
at distal small intestines, appendix, and ileum, many aggregates of lymphatic nodules
Term
what is the muscularis mucosa a boundry between
Definition
mucosa and submucosa
Term
what does contraction of the muscularis mucosa physically cause, what is the function of this
Definition
movement of the mucosa which forms ridges and valleys for absorption and secretion
Term
what is the submucosa made of
Definition
dense irregular connective tissue
Term
what does the submucosa contain
Definition
blood, lymphatic vessels, nerve plexus, sometimes glands
Term
what does the nerve plexus of the submucosa contain
Definition
visceral sensory fibers of sympathetic origin, parasympathetic ganglia, pre and post ganglionic parasympathetic fibers
Term
what is the plexus in the submucosa called
Definition
submucosal or meissner's plexus
Term
what is the muscularis externa. how is it organized
Definition
an inner circular layer of smooth muscle and outer longitudinal layer of smooth muscle with connective tissue in the middle
Term
what is the connective tissue in the muscularis externa called
Definition
myentric or auerbach's plexus
Term
what is in the myentric plexus
Definition
parasympathetic ganglion cells, post ganglionic fibers
Term
what is the function of the muscularis externa
Definition
segmentation (local contractions that move contents proximally and distally) and peristalsis
Term
what does the circular layer of the muscularis externa form, what is their function
Definition
sphincters that can close lumen
Term
what are the spinhctors of the alimentary canal
Definition
pyloric, ileocecal valve, internal anal
Term
does movement of the muscularis mucosa cause peristalsis
Definition
NO
Term
what is the serosa, what is it made of
Definition
a serous membrane that is made of simple squamous epithalium called mesothelium and some connective tissue
Term
what is the serosa equlivaent to
Definition
visceral peritoneum
Term
what does the serosa contain
Definition
blood vessels, lymph vessels, nerves for digestive tract
Term
where is the pharynx located
Definition
between oral cavity and respiratory and digestive system
Term
what does the pharynx cause to communicate
Definition
nasal cavity and larynx
Term
what is the pharynx lined with in the region continous with the esophagus
Definition
non-keratinized stratified squamous epithelium
Term
what is the pharynx lined with in the region close to the nasal cavity
Definition
pseudostratified ciliated columnar epithelium and goblet cells
Term
what type of tissue is the esophagus
Definition
stratified squamous epithelium
Term
what are the layers of the muscularis of the esophagus
Definition
innter circular and outer longitudinal
Term
what type of muscle is the upper 1/3 of the esophagus
Definition
skeletal
Term
what type of muscle is the middle 1/3 of the esophagus
Definition
skeletal and smooth muscle
Term
what type of muscle is the lower 1/3 of the esophagus
Definition
smooth muscle
Term
why type of cell is prevlient in the lamina propria o esophageal mucosa
Definition
lymphocytes
Term
what type of glands are esophageal glands
Definition
compound tubuloaveolar
Term
what do esophageal glands secrete
Definition
mucous that lubricates esophageal mucosa that is slightly acidic
Term
describe the secretion of the cradiac glands
Definition
neutral mucous
Term
where are the cardiac glands located
Definition
lower esophagus
Term
what are the stomach contents called
Definition
bolus
Term
what processes occur in the stomach
Definition
mixing and limited partial digestion by gastric secretions
Term
what is food that leaves the stomach called
Definition
chyme
Term
what are the histological regions of the stomach
Definition
cardia, fundus, pylorus
Term
what glands does the cardiac region of the stomach contain
Definition
cardiac glands
Term
what glands does the fundus of the stomach contain
Definition
fundic or gastric glands
Term
what glands does the pylorus of the stomach contain
Definition
pyloric glands
Term
where are cardiac glands located
Definition
around opening of the esophagus into the stomach
Term
what do secretions of the cardiac glands make
Definition
gastric juice
Term
what is the function of gastric juice
Definition
protect esophagus from acid reflux
Term
what type of glands are the cardiac glands
Definition
tubular, mucus
Term
how are gastric pits formed
Definition
invagination of the gastric mucosa
Term
describe the gastric pits
Definition
simple branched tubular glands
Term
where are the pyloric glands located
Definition
pyloric atrium between fundus and pylorus
Term
describe the pyloric glands
Definition
branched, coiled, tubular
Term
what is the secretion of the pyloric glands
Definition
viscous, mucous in nature
Term
what additional cells are found in the pyloric glands
Definition
enteroendocrine
Term
what organells are abundent in chief cells
Definition
RER and basal area
Term
what is in the apical portion of chief cells
Definition
zymogen granules
Term
what do chief cells secrete
Definition
pepsinogen and weak lipase
Term
what happens to prpsinogen
Definition
it is converted to pepsin when it comes in contact with acidic gastric juice
Term
what type of enzyme is pepsin
Definition
proteolytic
Term
where are parietal cells found
Definition
in neck of fundic glands
Term
how do parietal cells communicate with gland lumen
Definition
canicular system
Term
what is the function of the tubulovesicular system
Definition
reservoir of active proton pumps
Term
where is the tubulovesicular membrane system locate
Definition
cytoplasm adjacent to canaliculi in parietal cells
Term
what does the canaliculi produce, where
Definition
HCL in its lumen
Term
how do parietal cells interact with substances that activate HCl secretion
Definition
gastrin, histamine, acetylcholine m receptors
Term
what do parietal cells secrete
Definition
intrinsic factor, HCl
Term
what is intrinsic factor
Definition
glycoprotein that forms a complex with vitamin B12 nessessary for the vitamin's aubsequent absorption in ileum
Term
what causes pernicious anemia
Definition
absence of parietal cells
Term
what is a condition characterized by the absence of parietal cells called
Definition
achlorhydria
Term
what ususally causes an absency of parietal cells, how
Definition
parietal cells usually secrete intrinsic factor so their absence is usually caused by a B12 deficiency
Term
why does achlorhydria often not recognized
Definition
becuase the liver has storage of B12 so it uses that first
Term
what is another reasion, other than a parietal cell deficiency, that a B12 deficiency is a problem
Definition
B12 is involved in RBC production and maintience of the CNS
Term
what are enteroendocrine cells
Definition
basically single endocrine glands
Term
where are enteroendocrine cells located
Definition
rest on basal lamina and do not always reach lumen of the fundic gland
Term
what do enteroendocrine cells release
Definition
hormones into the lamina propria
Term
how long do mucosal cells live
Definition
3-5 days
Term
what happens after a mucosal cell dies
Definition
mitosis replaces it
Term
how long do parietal cells live
Definition
150-200 days
Term
how long do chief and enteroendocrine cells live
Definition
60-90 days
Term
what is the longest component of the digestive tract
Definition
small intestines
Term
what are the parts of the small intestines
Definition
duodenum, jejunum, ileum
Term
what is the shortest and widest part of the small intestines
Definition
duodenum
Term
where does the duodenum begin and end
Definition
pylorus to duodenojejunal junction
Term
where does the jejunum begin and end
Definition
duodenojejunal junction and changes moropholgical characteristics to become ileum
Term
where does the ileum begin and end
Definition
continuation of th ejejunum to iileocecal junction
Term
what is the main site for digestion and absprotion
Definition
small intestines
Term
where are enzymes found in the small intestine
Definition
glycocalyx of the microvilli of the intestinel absorptive cells or enterocytes
Term
what types of enzymes are there in the small intestines
Definition
disaccharidases, dipeptidases
Term
what secrete small intestine enzymes, where are they located on these cells
Definition
columnar intestinal cells
Term
what are the small intestine disaccharides
Definition
sucrase, maltase, lactase
Term
what does a genetic defect in lactase cause
Definition
prevents absorption of lactose, leading to lactose intolerance
Term
what causes lipid digestion
Definition
pancreatic lipase and bile
Term
where does most lipid digestion take place
Definition
duodenum and jejunum
Term
what is the terminal web
Definition
a network that contains actin that microvilli attach to
Term
what is bound to the plasma membrane of microvilli
Definition
extracellular cell coat (glucocalyx)
Term
describe the structure of a microvilli
Definition
actin filaments anchored to villin in the tip, actin extends down to interact with horizontal actin filaments of hte terminal wev at the base. actin is cross linked by fascin and fimbrin
Term
what do fascin and fimbrin cause in microvilla
Definition
they cross link actin providing rigidity
Term
what does myosin 1 do in microvilli
Definition
binds actin filaments to the plasma membrane
Term
what stabilizes the terminal web
Definition
spectrin
Term
what causes contraction in the terminal web
Definition
myosin II and tropomyosin
Term
what does contraction of the terminal web cause
Definition
allows for more surface area exposire for absorption
Term
what is another name for absorptive intestinal cells
Definition
enterocytes
Term
what are plicae circulares
Definition
transversely oriented ridges that extend partially around lumen
Term
what is the function of plicae circulares
Definition
increase surface area
Term
where are plicae circulares usually located
Definition
transverse folds that contain a core of submucosa
Term
where are plicae circulares most numerous
Definition
in the distal part of the duodenum and proximal jejunum
Term
where are plicae frequenly located before the reduce in size
Definition
ileum
Term
what is another name for plicae circulares
Definition
valves of kerckring
Term
what are interstinal villi
Definition
projections of mucosa
Term
where are interstitial villi located
Definition
completely covering the mucosa
Term
what is the function of interstitial villi
Definition
increase surface area
Term
what is the surface of interstinal villi made of
Definition
simple columnar and goblet cells
Term
what are lacteals, where are they located
Definition
lymphatic vessels at the core of villi
Term
what is another name for crypts of lieberkuhn
Definition
interstinal glands
Term
what are crypts of lieverkuhn, what is their function
Definition
simple tubular glands, increase intestinal surface area
Term
what form crypts of lieberkuhn
Definition
invaginations of the mucosa between adjacent interstinal villi
Term
where are brunner's glands located
Definition
submucosa of the duodenum
Term
what are brunner's glands use for medically
Definition
diagnostic feature of duodenum
Term
what kind of glands are brunner's glands
Definition
branched, tubular
Term
what do brunner's glands secrete
Definition
alkaline secretions with neutral and alkalin glycoproteins and bicarbonate
Term
what is the function of the secretions of brunner's glands
Definition
help neutralize acidic chyme
Term
what do brunner's glands work with to neutralize chyme
Definition
pancreatic juice
Term
where are peyer's patches most abundent
Definition
ileum
Term
how can peyer's patches help us diagnostically
Definition
they cant
Term
what do goblet cells make mucous
Definition
mucous
Term
where do goblet cells increase in number in the alimentry canal
Definition
duodenum to terminal ileum
Term
what are the defence mechanisms of the alimentary canal
Definition
peyer's patches and M cells, IgA, paneth cells, acidity of gastric juice, peristalsis
Term
how do peyer's patches and M cells defend
Definition
perform cellular surveillance of antigens present in intestinal lumen
Term
what makes IgA in the alimentary canal, what does it do
Definition
plasma cells, neutralizes antigens
Term
what do paneth cells do
Definition
contribute antimicrobial peptides to control bacterial normal flora
Term
how does gastric juice contribute to defence
Definition
inactivates ingested microbes
Term
how does peristalsis contribute to defence
Definition
prevents colonization of bacteria
Term
where are paneth cells located
Definition
bases of intestinal glands
Term
what do secretory granules of paneth cells contain
Definition
lysozome, a-defensins, glocoproteins, argining-rich protein, zinc
Term
why is there arginine rich protein in paneth cells
Definition
intense acidophilia or esinophilia of paneth cells
Term
where do plasma cells secrete IgA
Definition
lamina propria
Term
what does IgA do in the alamentary canal
Definition
dimerizes and binds to receptors on enterocytes and enters cells by endocytosis, IgA dimers are carried into the apical surface of the cell (transcyotsis) where the vescile is secreted
Term
what does IgA bind do
Definition
toxins, antigens, microbes in the lumen of the gut
Term
what is crohn's disease
Definition
chronic inflammation that involves small intestines and sometimes large
Term
what physologically crohn's disease
Definition
neutrophils, ly,phocytes, and macrophages make cytokines that cause damage to the interstinal mucusa. neutrophils inflitrate crypts of lieberkuhn which destories intestinal glands with crypt abcesses and progressive atrophy and ulceration of the mucosa
Term
what are complications with crohn's disease
Definition
occlusion of the intestinal lumen, formations of fistulas in other segments of the intestine and intestinal perforation
Term
what is the cause of crohn's disease
Definition
unknown
Term
what side complication do people with crohn's disease have
Definition
a 3x increased risk for cancer
Term
what are the parts of the large intestines
Definition
cecum, appendix, ascending, transverse, descending, sigmoid colon, rectum, anal canal
Term
what is the main function of the large intestines
Definition
reabsorption of electrolytes and water as well as elimination of undigested foor and waste
Term
what are the teniae coli made of, where are they
Definition
longitudinal muscle bands on large intestine surface
Term
what are the saculations in the large intestines called
Definition
haustra
Term
what forms haustra
Definition
contractions of the teniae coli
Term
what glands does the mucosa of the large intestines have
Definition
intestinal lands, crypts of lieberkuhn
Term
where are the intestinal glands in the large intestine mucosa
Definition
san the full thickness
Term
what are the cells of the large intestine mucosa
Definition
absorptive epithelial cells, goblet cells
Term
what are the layers of the appendix similar to
Definition
large intestines
Term
what is there many of near the appendix
Definition
lymphatic nodules
Term
what causes appendicitis
Definition
when fecolith or other forigen objects become lodged in the lumen
Term
in what gender does appendicidis occur more in
Definition
males
Term
what is located just below the anal column
Definition
pectinate line
Term
what does the pectinate line mark
Definition
junction between endodermal and ectodermal derivatives and a change in atrial supply
Term
where is the colorectal zone, what is it made of
Definition
in uper 1/3 of anal canal, simple columnar
Term
where is the anal transition zone
Definition
middle 1/3 of anal canal
Term
what is the anal transition zone made of
Definition
stratified columnar between simple cilumnar and stratified squamous
Term
where is the squamous zone located
Definition
lower 1/3 of anal canal
Term
what is the squamous zone lined with
Definition
stratified squamous epithelium
Term
what is the squamous zone continuious with (other than the anal transition)
Definition
perianal skin
Term
what is another name for hirschsprug's disease
Definition
congenital megacolon
Term
what cause hirschsprug's disease (this is really long i wasnt feeling creative)
Definition
mutations in one to four different genes that prevent migration and differentiation of neural crest cells into neurons of the enteric nervous system, the lack of migration to a segment of the colon results in aganglionosis where meissner's plexus and auerbach's plexus do not form. the anaglionic segment is permanently contracted preventing entry of colon contents causing constipation and distension or megacolon.
Term
what is the treatment for hirschsprug's disease
Definition
surgical removal of the affected part of the colon
Term
YOU NEED TO KNOW THIS, WHAT IS INTRINSIC FACTOR? WHAT IS ITS FUNCTION?
Definition
glycoprotein that forms a complex with B12 nessescary for vitamins absorption in the ileum
Term
WHAT IS INTRINSIC FACTOR SECRETED BY UNICORN UNICORN
Definition
PARIETAL CELLS
Term
WHERE ARE PARIETAL CELLS KNOW ME KNOW ME
Definition
IN NECK OF FUNDIC GLANDS
Term
WHAT ARE PARIETAL CELLS MEMBERS OF, WHAT PURPOSE KNOW KNOW KNOW
Definition
TUBULOVESICULAR SYSTEM, RESIVOUR OF ACTIVE PROTON PUMPS
Term
WHAT HAPPENS IF YOU DONT HAVE PARIETAL CELLS KNOW KNOW KNOW
Definition
B12 DEFICIENCY, PERNICIOUS ANEMIA, ACHLORHYDRIA
Term
WHAT IS VITAMIN B12 NEEDED FOR KNOW ME KNOW ME KNOW ME
Definition
RBC PRODUCTION AND MAINTIENCE OF CNS
Term
what is a diagnostic feature of the ileum KNOW ME
Definition
peyer's patches
Term
what are peyer's patches a diagnostic feature of KNOW ME
Definition
ileum
Term
what is the only immunoglobin that can be selectively passed across mucosa to lumen
Definition
IgA
Term
what is the large intestine covered by
Definition
thin connective tissue (glisson's capsule) that is thicker at the hilum
Term
what exit at the hilum
Definition
lymphatics
Term
what enters at the hilum
Definition
portal vein, heptatic a
Term
what are the functions of the liver
Definition
makes plasma proteins, storest and converts vitamins and iron, degrades toxins and drugs
Term
what plasma proteins does the liver make
Definition
labumin, lipoproteins, fibrinogen, clotting proteins, alpha and beta globuins
Term
what vitamins does the liver store and convert
Definition
vitamin A, vitamin d, vitamin K
Term
what does the liver do the drugs and toxins
Definition
converts them to more soluble forms
Term
what glucose metabolic pathways is the liver involved in
Definition
glycogen synthesis, glycogenolysis, glycolysis
Term
what lipid metabolic pathways is the liver involved in
Definition
beta oxidation of FA, ketone body synthesis, cholesterol
Term
what cholesterol compounds does the liver have a role in
Definition
bile salts, VLDL, organells
Term
what role does the liver have in amino acid metabolism
Definition
non-essential amino acid synthesis, urea synthesis
Term
what are the exocrine functions of the liver
Definition
phospholipids, cholesterol, bile salts
Term
what are the functions of bile
Definition
aid in absorption of lipids from the intestine, dispose of conjugated and degraded waste products
Term
what are the endocrine functions of the liver
Definition
modify structure and function of many hormones
Term
what hormones does the liver modify
Definition
vitamin D, thyroxine, growth hormone, insulin, glucagon
Term
describe the dual blood supply of the liver
Definition
venous (portal) supply via hepatic portal vein and arterial supply via hepatic artery
Term
how much of the blood supply to the liver is venous portal blood
Definition
75%
Term
where does venous portal blood come from
Definition
intestines, pancreas, spleen
Term
what does the venous portal blood carry to the liver
Definition
nutrients and toxic materials absorbed in the intestines, blood cells and breakdown products of blood cells from the spleen, endocrine secretions from the pancreas and enteroendocrine cells of the GI tract
Term
where does the venous and arterial blood of the liver mix
Definition
before perfusing the hepatocytes
Term
what are the components of the liver in regard to structural organization
Definition
parenchyma, connective tissue stroma, sinusoidal capillaries, perisinusoidal spaces
Term
what is the parenchyma
Definition
organized plates of hepatocytes
Term
what is the connective tissue stroma continous with
Definition
fibrous capsule
Term
what is within the connective tissue stroma of the liver
Definition
blood vessels, nerves, lymphatic vessels, bile ducts
Term
what are sinusoidal capillaries (hepatic sinudoids)
Definition
vascular channels between plates of hepatocytes
Term
where are perisinusoidal spaces (spaces of Disse)
Definition
between sinusoidal endothelium and hepatocytes
Term
what are the thiree ways to describe the structure of the liver
Definition
classic lobule, portal lobule, liver acinus
Term
what is the classic lobule based on
Definition
distribution of branches of the portal vein and heptaic artery and the path of blood flowing through hepatocytes
Term
what is the main component of hte classic lobule
Definition
stacks of anastomosing plates of hepatocytes seperated by sinusoidal capillaries
Term
what is in the center of the classic lobule
Definition
terminal hepatic venule (central vein)
Term
what are around the edges of the classic lobule
Definition
portal areas of canals containing portal triads
Term
what does the portal lobule emphasize
Definition
exocrine function of the liver, bile production and secretion
Term
what is the portal lobule shaped like
Definition
triangle
Term
what is in the center of the portal lobule
Definition
bile duct, portal area
Term
what are around the corners of the portal lobule
Definition
central vein / terminal hepatic venule
Term
how does bile flow in the portal lobule
Definition
within hepatic plates to the bild duct in the portal area
Term
what is the liver acinus
Definition
structural unit that gives best correlation between blood perfusion, metabolic activity, and liver pathology
Term
describe the shape of the liver acinus
Definition
short axis extends between two adjacent portal areas, long axis extends between two terminal hepatic venules
Term
what is zonation, where does it occur
Definition
in the liver acinus zonation describes the interpertation of patterns of degeneration, regeneration, and specific toxic effects
Term
what is the benifits of being in zone 1
Definition
first to recieve oxygen, nutrients, and toxins from the blood
Term
what are the risks of being in zone 1
Definition
first to show effects of bile duct obstruction
Term
what are the benifits of being in zone 3
Definition
last to respond dto toxins and bile stasis
Term
what are the risks of being in zone 3
Definition
first to show effects of reduced perfusion
Term
other than avability to nutrients, what else is different between the zones
Definition
variation of enzyme activity and number and size of organelles and size of glycogen deposits across zones
Term
what type of capillaries are the hepatic sinusoids
Definition
discontinous endothelium
Term
what makes the heptaic sinusoids so leaky
Definition
large fenestrae without diaphragms within the endothelium, large gaps between neighbopring endothelial cells, discontinous lamina absent over large areas
Term
what are kupuffer cells
Definition
stellate sinusoidal macrophages that are a part of hepatic sinusoid lining
Term
where is the perisinusoidal space
Definition
between basal surfaces of the hepatocytes and basal surfaces of the endothelial and kupuffer cells that line sinusoids
Term
what occurs in the perisinusoidal space
Definition
exchange of materials between blood and liver cells
Term
describe the significant barrier between blood plasma and hepatocytes
Definition
there is none
Term
in the fetal liver what is located in the perisinusoidal space
Definition
islands of blood forming cells
Term
what cells are in the perisinusoidal space
Definition
blood forming in fetus, hepatic stellate cells (Ito cells)
Term
what do Ito cells do
Definition
store hepatic vitamin A withing cytoplasmic lipid droplets
Term
what happens to Ito cells in pathologic conditions
Definition
they loose their lipid and vitamin A storage capability and differentiate into myofibroblasts, seem to play a role in hepatic fibrogenesis resulting in liver fibrosis
Term
where does plasma from perisinusoidal space drain into
Definition
periportal area into small area called space of Mall
Term
where does the fluid in the space of Mall go
Definition
lymphatic capillaries in the portal canals
Term
where does a major portion of thoracic duct lymph come from
Definition
liver
Term
what is the only thing that stays in the sinusoidal capillaries, what leaks into the perisinosal space
Definition
cells stay in plasma leaks out
Term
describe the normal turn over rate of hepatocytes
Definition
slow
Term
describe the turn over rate for hepatocytes when killed by toxins, disease, or surgery
Definition
faster
Term
what are the prodominate organells of hepatocytes
Definition
RER, golgi, SER, lysosomes, peroxisomes
Term
what does the SER of a hepatocyte do
Definition
oxidation, methlyation, and conjugation required for inactivation and detoxification of various substances before excretion
Term
what do peroxisomes of hepatocytes fo
Definition
oxidation of FA, breakdown of purines, synthesis of cholesterol, bile acids, some myelin lipids
Term
what is a bile caniculus, formed by, location
Definition
a small canal formed by apposed groves in the surface of adjavent hepatocytes
Term
describe the flow of bile ina hepatocytes
Definition
flows from region of central vein to portal canal
Term
what do hepatocytes secrete bile into
Definition
canliculi
Term
what is a intrahepatic ductule
Definition
near portal canals bile canaliculi join to form interhepatic ductules (canals of Hering)
Term
what partially lines canals of Hering
Definition
hepatocytes and cholangiocytes
Term
where do interhepatic ductules drain into
Definition
interlobular bile ducts in portal canals
Term
what do interlobular bile ducts of portal canals lead to
Definition
extrahepatic bile ducts that deliver bile to the gall bladder and duodenum
Term
what are the cells of the gallbladder mucosa
Definition
somple columnar epithelium
Term
what does the gallbladder wall have a layer of
Definition
smoother m
Term
describe the mucosa texture of the gallbladder, what special feature does this have histologically
Definition
mucosa has folds and the epithelial cells have many mitochondria
Term
what is the main function of the gallbladder
Definition
store bile, concentrate it, and release it when necessary to the digestive tract
Term
what induces contraction of the gallbladder
Definition
CCK
Term
what releases CCK
Definition
enteroendocrine cells of small intestine
Term
what stimulates CCK release
Definition
presence of dietary fats in small intestine
Term
what does the pancreas produce in general
Definition
digestive enzymes, hormones
Term
where is the exocrine portion of the pancreas located
Definition
through out the organ
Term
where is the endocrine portion of the pancreas located
Definition
in masses called islets of langerhans dispersed through out the organ
Term
hat kind of gland is the exocrine glands of the pancreas
Definition
compound acinar serous
Term
describe the serous cells of the exocrine pancreas
Definition
highly polarized with spherical nucleus, typical protein secreting cells
Term
what do acinar cells of the exocrine pancreas store and release
Definition
proenzymes
Term
describe the number of zygomen granules in the exocrine pancreas
Definition
varies with digestive phase
Term
what do pancreas exocrine acini empty into
Definition
intercalated ducts
Term
what is the function of the initial portion of the intercalated ducts of exocrine pancreas
Definition
penetrate lumen of acini and are made of centroacinal cells which are the interacinal portion of hte intercalated duct
Term
what are intercalated ducts tributaries of
Definition
intralobular ducts
Term
what are interlobular ducts lined with, where
Definition
columnar epithelium within connective tissue septum
Term
what are the exocrine products of the pancreas
Definition
proteolytic enzymes, amylase, lipases, nucleases
Term
what proteolytc enzymes does th epancreas make
Definition
trypsin, chymotrypsin
Term
where are proenzymes activated
Definition
in lumen of small intestines after secretion
Term
where are proenzymes stored
Definition
secretory granules of acinar cells
Term
what does enterokinase do
Definition
cleave trypsinogen to form trypsin
Term
what does trypsin do
Definition
activates proteolytic enzymes 9not enterokinase) in cascade
Term
what protects the pancreas from active enzymes
Definition
trypsin needs to be activated to activate other enzymes, protease inhibitors made by acinal cells
Term
what is pancreatic secretion controlled by
Definition
secretin and CCK
Term
what makes secretin and CCK
Definition
enteroendocrine cells of intestinal mucosa in duodenum and jejunum
Term
what stimulates secretin release
Definition
gastric acid, low pH in intestinal lumen
Term
what does secretin do
Definition
causes duct cells to secrete large volume of fluid that is rich in barcobinate but has little or noenzyme content that neutralizes acid which allows pancreatic enzymes to function at optiomal ph
Term
what triggers CCK release
Definition
long chain FA, gastric acid, some AA in intestinal lumen
Term
what does CCK do
Definition
causes acinar cells to secrete proenzymes
Term
together, what do secretin and CCK do
Definition
cause secretion of large volume of protein rich alkaline pancreatic fluid
Term
what do the islets of langerhands consist of
Definition
cords of polygonal cells invested in a network of fenestrated capillaries
Term
what are the major islets of langerhans cell types
Definition
B, A, D
Term
where are B cells located
Definition
central endocrine pancreas
Term
which is the most abundent islet of langerhan cells
Definition
B cells
Term
what do B cells secrete
Definition
insulin
Term
where are A cells located
Definition
peripherial endocrine pancreas
Term
what do A cells secrete
Definition
glucagon
Term
where are D cells located
Definition
peripherial endocrine pancreas
Term
what do D cells secrete
Definition
somatostatin
Term
what are the minor cells of endocrine pancrease
Definition
PP, D-1, EC cells
Term
what do PP cells secrete
Definition
pancreatic polypeptide
Term
what do D-1 cells secrete
Definition
vasoactive intestinal peptide (VIP)
Term
what do EC cells secrete
Definition
secretin, motilin, substance P
Term
what is the major function of the endocrine pancreas
Definition
regulate blood glucose
Term
what does somatostatin do
Definition
inhibits insulin and glucagon
Term
as the embryo grows how does it fold
Definition
cephalocaudal (head to tail)
Term
as a result of folding, what happens to the endoderm lined yolk sac
Definition
cavity becomes incorporated into embryo forming primitive gut
Term
after the foregut is formed what remains outside the embryo
Definition
allantos and yolk sac
Term
what does the primitive gut tube extend to and fron
Definition
buccopharyngeal membrane to cloacal membrane
Term
what do the buccopharyngeal and cloacal membranes consist of
Definition
tighrly adherent ectodermal and endodermal cells
Term
what end of the gut tube is the foregut on
Definition
cranial end
Term
what end of the gut tube is the hindgut
Definition
caudal end
Term
what does the vitilline duct attach
Definition
midgut and hindgut
Term
what are the divisions of the gut tube
Definition
pharyngeal gut, foregut, midgut, hindgut
Term
what are the boundries of the pharyngeal gut
Definition
extendf from bubbopharyngeal membrane to the tracheobronchial diverticulum
Term
what are the boundries of the foregut
Definition
pharynx to the liver bud
Term
what are the boundries of the midgut
Definition
liver bud to the point between the right 2/3 of the transverse colon to the left 1/3 of the transverse colon
Term
what are the boundries of the hind gut
Definition
left 1/3 of the transverse colon tot he cloacal membrane
Term
what forms the epithelial lining of the digestive tract
Definition
endoderm
Term
what forms hepatocytes of liver and endocrine cells of pancreas
Definition
endoderm
Term
what forms stroma (CT) of glands of the gut tube
Definition
splanchnic mesoderm
Term
what forms muscle, CT, peritoneal components of the gut wall
Definition
splanchnic mesoderm
Term
what does SOX2 specify
Definition
esophagus and stomach
Term
what does PDX1 specify
Definition
duodenum
Term
what does CDXC specify
Definition
remaining small intestines
Term
what does CDXA specify
Definition
large intestines and rectum
Term
what does initial partitioning of the gut tube depend on
Definition
trciprocal interactions between endoderm and splanchnic mesoderm adjacent to gut tube
Term
what regulates mesoderm endoderm interaction in the gut tube
Definition
sonic hedge hog
Term
where is sonic hedge hog expressed
Definition
through out the gut tube
Term
what does sonic hedge hog do
Definition
upregulates factors in the mesoderm that determine type of structure that forms
Term
what does mesoderm dictate in the gut tube
Definition
determines type of structure that forms
Term
what do cells of somatic mesoderm that line intraembryonic cavity become
Definition
mesothelium
Term
what does the mesothelium of the gut tube form
Definition
parietal layer of the serous membranes that line outside of the peritoneal, pleural, and pericardial cavities
Term
what do cells of the splanchnic mesoderm layer in the gut tube form
Definition
visceral layer of serious membranes covering abdominal organs, lungs, heart
Term
what is the dorsal mesentary
Definition
the area where visceral and parietal layers of the serous membrane are continous and suspend the gut tube in the peritoneal cavity
Term
what are mesentaries
Definition
double layers of peritonieum
Term
what is the function of mesentaries
Definition
path for bessels, nerves, and lymphatics to organs. suspend portions of gut from body
Term
what does intraperitoneal mean
Definition
organs suspended by mesentaries
Term
what does retroperitoneal mean
Definition
organs against posterior body wall covered by peritonieym on anterior surface
Term
what is a peritoneal ligament
Definition
double layer of peritoneum that passes from one organ to another or to the body wall
Term
when does the respiratory diverticulum appear
Definition
approx 4 weeks
Term
where does the respiratory diverticulum appear
Definition
at border with pharyngeal gut
Term
what is another name for respiratory diverticulum
Definition
lung bud
Term
what does the foregut divide into
Definition
ventral respiratory primordium and distal esophagus
Term
what causes the esophagus to lengthen
Definition
descent of the heart
Term
what is the muscular coat of the esophagus derived from
Definition
splanchnic mesenchyme
Term
what is the upper 2/3 of the esophagus innervated by, why
Definition
vagus it is skeletal and smooth
Term
what is the lower 1/3 of the esophagus innervated by, why
Definition
splanchnic plexus, smooth m
Term
what does the stomach first appear as
Definition
fusiform dilation of foregut
Term
when does the stomach appear
Definition
week 4
Term
how does the stomach move during development
Definition
rotates 90 deg: left side is now anterior, right is now posterior, origional posterior side grows faster becoming greater curve, origional anterior side is lesser curve
Term
what is the duodenum formed from
Definition
terminal part of foregut and cephalic part of midgut
Term
where is the junction of the duodenal parts in development in relation to the liver bud
Definition
distal
Term
what forms the C shape of the duodenum
Definition
stomach rotation
Term
what happens do the duodenum in month 2
Definition
lumen proliferates, fills, and is obliterated, it the recanlilzes
Term
why does the duodenum blood supply come from different vessels
Definition
because it is of foregut and midgut origin
Term
what artery supplies the foregut
Definition
branches of the celiac trunk
Term
what artery supplies the midgut
Definition
branches of superior mesenteric
Term
when does liver primodrium appear
Definition
week 3
Term
what does the liver bud grow from
Definition
endoerm endothelium
Term
what does the liver bud penetrate
Definition
septum transversum
Term
what is the septum transversum
Definition
mesodermal plate inbetween pericardial cavity and yolk stalk
Term
what does the septum transversum form
Definition
part of diaphragm
Term
when does the bild duct form
Definition
penetration of septum transversum and connection with foregut narrows
Term
what does the gallbladder and cystic duct form from
Definition
ventral outgrowth of bile duct
Term
what forms hepatic sinusoids
Definition
epithelial liver cords mingle with vitelline veins and umbilical veins
Term
what does the liver cord differentiate into
Definition
liver parenchyma, lining of bile duct
Term
what does the mesoderm of the septum transversum turn into
Definition
hematopoietic stem cells (kpuffer cells) and connective tissue
Term
why ini the 10th week of development is the liver 10% of the total body weight
Definition
many sinusoids and hematopoietic gunction
Term
what areas of the liver make RBC and WBC
Definition
large clusters of proliferating hematopoietic stem cells between hepatic cells and vesel walls
Term
when does hematopoietic activy slow down in the liver, what does this cause
Definition
2 months, but some tissue still remains at birth, 5% body weight drop
Term
in what week do hepatic cells begin to form bile
Definition
12
Term
explain the molecular regulation of the liver
Definition
the entire foregut has the potential to make the liver but it is constantly blocked by factors in the surrounding tissues (endoderm, non-cardiac mesoderm, notochord), in the area it is made the blocking factors are blocked
Term
what blocks the blocking factors stopping liver production
Definition
FGF2 from the cardiac mesoderm
Term
what makes BMP
Definition
septum transversum
Term
what does BMP do
Definition
enhance competence of the prospective liver endoderm to respond to FGF2
Term
what does HNF3 and 4 do
Definition
cells in liver field differentiate into hepatocytes and biliary cell lineages
Term
what forms the pancreas
Definition
two buds from endoderm: dorsal and ventral
Term
what does the rotation of the duodenum do to the pancreas
Definition
ventral duct moves to liw below dorsal pancreatic dub
Term
what does the main pancratic duct form from
Definition
distal dorsal pancratic duct and all of the ventral duct
Term
what happens to the proximal portion of the dorsal pancreatic duct
Definition
it is either obliterated or is the accessory duct
Term
where are the FGF2 and activin made in pancreas development
Definition
notochord and epithelium of dorsal aorta
Term
what do FGF2 and acrivin do
Definition
repress SHH expression in gut endoderm destined to form dorsal pancreatic dud
Term
what is the ventral pancreatic bud induced by
Definition
splanchnic mesoderm
Term
what does the PDX gene do
Definition
master gene for pancreas development
Term
what specifies the endocrine cell lineage of the pancreas
Definition
PAX4 and PAX6
Term
what do cells expressing PAX4 and 6 become
Definition
beta cells, delta cells, gamma cells
Term
what does cells expressing PAX6 become
Definition
alpha cells
Term
as the gut tube elongates what forms, in general
Definition
primary intestinal loop
Term
where does the vitiline duct appear
Definition
at the apex of the primary loop
Term
what does the vitiline duct connect
Definition
yolk sac to intestinal loop
Term
which side of the primary intestinal loop grows faster
Definition
cephalic
Term
what are the limbs of the intestinal loop
Definition
cephalic and caudal
Term
what does the cephalic limb of intestinal loop make
Definition
duodenum, jejunum, ileum
Term
what does the caudal limb of the intestinal loop make
Definition
ileum, cecum, ascending colon, 2/3 of transverse colon, appendix
Term
what occurs in physiological herniation, why
Definition
rapid growth of gut tube, abdominal cavity is too small, loop goes into extra embryonic cavity in the umbilical cord
Term
approx when does physiological herniation ocur
Definition
week 6
Term
what is the axis the gut tube rotates around during development
Definition
superior mesenteric artery
Term
total, what is the rotation of the gut tube
Definition
270 deg counter clockwise
Term
why do loops form in the small intestines
Definition
elongation continues and loops form so it will fit
Term
the gut tube rotates 270 deg in development: what are the components of this rotation, where do they happen
Definition
90 deg is during herniation, 180 deg is during intestinal loop formation
Term
why do the intestines go back into the abdominal cavity
Definition
room has been made: liver is smaller, kidney regreses, the cavity is bigger
Term
about when do the intestines move back into the abdominal cavity
Definition
week 10
Term
what re-enters the abdominal cavity first after herniation, where does it go, what does this do to its shape
Definition
jejunum comes in an makes diagional coils due to its diagonal descent
Term
what re-enters the abdomination cavity second after herniation, where does it go
Definition
ileum to the right
Term
what is the last thing to re-enter the abdominal cavity after herniation
Definition
cecal bud
Term
when does the cecal bud begin to form
Definition
week 6
Term
describe the formation of the cecal bud and its descent from re-enterence into the abdominal cavity
Definition
conical dilation in caudal loop, it starts on the upper right and descends to iliac fossa over time as appendix forms
Term
what are the common locations of the appendix
Definition
retrocecal or retrocolic
Term
why is the appendix commonly retrocecal or retrocolic
Definition
because it forms as the cecum is descending and is dragged up behind it
Term
what develops from the hind gut
Definition
distal 1/3 of transverse colon, descending colon, rectum, upper anal canal
Term
what does the endoderm from the hindgut form
Definition
bladder lining and urethra
Term
what forms the primitive anorectal canal
Definition
cloacal part of the hindgut entering the posterior cloaca
Term
what forms the primitive urogenital sinus
Definition
allantos part of the hindgut entering the anterior cloaca
Term
what is a cloaca
Definition
endoderm lined cavity, bound at enterence by endoderm (cloacal membrane). forms urogenital and hindgut place to empty
Term
what forms the urorectal septa
Definition
mesothelium of allentos and yolk sac
Term
what does the urorectal septa seperate
Definition
allantois and hindgut
Term
when does the urorectal septa form, what events are happening
Definition
during growth and caudal folding
Term
what does the urorectal septa come close to and never touch? what then happens to this structure? when?
Definition
cloacal membrane. week 7 it reupures
Term
what does the cloacal membrane form when it ruptures
Definition
anal canal and ventral urogenital sinus
Term
what closes off the anal canal, when
Definition
week 7, proliferation of ECTODERM
Term
what does prolieration of ECTODERM CLOSE OFF IN DIGESTIVE DEVELOPMENT KNOW THIS
Definition
ANAL CANAL
Term
where does the caudal end of the anal canal come from
Definition
ectoderm
Term
where does the crainial end of the anal canal come from
Definition
endoderm
Term
what supplies blood to the caudal anal canal, where does it come from
Definition
internal pudendial gives inferior rectal a
Term
what type of tissue is the caudal end of the anal canal
Definition
simple columnar
Term
where does blood supply for the cranial end of the anal canal come from, what is it a branch of
Definition
inferior mesenteric gives superior rectal a
Term
what type of tissue is the cranial anal canal
Definition
stratified squamous
Term
what does the pectinate line seperate
Definition
ectoderm and endoderm origin in the anal canal, blood supply and tissue changes
Term
what happens after the ectoderm closes off the anal canal, when
Definition
in week 9 it recanilizes
Term
what causes gastroschisis
Definition
herniation of abdominal viscera into abdominal cavity lateral to umbilicus
Term
what is a dangerous possibility when someone has gastroschisis
Definition
the organs out in the amniotic fluid could be damaged by the fluid
Term
how can you tell if someone has gastroschisis
Definition
a-fetoprotein will show in amniotic fluid
Term
what situation or description of people would indicate increased risk for gastroschisis
Definition
males, children of a mother who did cocaine
Term
what cause gastroschisis
Definition
NOT a chromosome abnormaility
Term
how can gastroschisis be treated
Definition
surgery
Term
what causes omphcilocele
Definition
herniation of the abdominal viscera through enlarged umbilical ring
Term
how is omphalocele different from gastroschisis
Definition
the abdominal organs have amnion covering and it is caused by the bowl not returning properlly due to a chromosome abnormaility
Term
what are the symptoms of omphalocele
Definition
high mortality, cardiac and neural tube defects, malformation
Term
what causes meckel's diverticulum KNOW ME
Definition
vitiline duct stays forming ileum outpocket called ileal diverticulum
Term
what are the normal symptoms of meckel's diverticulum KNOW ME
Definition
none
Term
what are the rare symtpoms of meckel's diverticulum, what causes them KNOW ME KNOW ME
Definition
it has heterotrphic pancreatic tissue or gastric mucosa in it that can cause ulceration, bleeding, perforation
Term
what is atresia
Definition
absence of an opening
Term
what is stenosis
Definition
narrowing of an opening
Term
where can atresia and stenosis occur KNOW KNOW KNOW
Definition
anywhere in gut but MOSTLY IN THE DUODENUM
Term
WHAT OCCURS MOSTLY IN THE DUODENUM KNOW KNOW KNOW
Definition
ATRESIA AND STENOSIS
Term
why does atresia or stenosis occur in the upper duodenum
Definition
because of poor recanalization
Term
why does atresia or stenosis occur in the middle and lower duodenum
Definition
vessel occlusion or decrease so segment dies and causes narrowing or loss or segment
Term
what cause retrotrthreal and rectovaginal fistulas
Definition
abnormal cloacal or urorectal septum formation because cloaca is too small, rectum is not caudal enough, hindgut shifts, etc
Term
what causes rectoanal atresia
Definition
usually vascular issue, loss of rectum or anus
Term
what cause imperforate anus
Definition
anal membrane does not break down
Supporting users have an ad free experience!