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chapter 24
Mr. Moulder Digestive system
77
Biology
Undergraduate 2
05/18/2012

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Term
Ingestion =
Definition
eating and drinking
Term
Secretion -
Definition
release of fluid and enzymes into the GI Tract
Term
Motility
Definition
- the movement of material along the GI Tract
Term
Digestion -
Definition
the breakdown of ingested food stuff
Term
Absorption -
Definition
the passage of digested food and secretions into the blood and lymph
Term
Defecation -
Definition
the elimination of feces (waste products)
Term
. Epithelium -
Definition
layer that contacts food
- Stratified squamous epithelium at each end, columnar epithelium in the middle
Term
Lamina propria
Definition
- areolar connective tissue contains many blood and lymph vessels
- contains mucosa associated lymphatic tissue (MALT)
Term
Muscularis Mucosae
Definition
- thin layer of smooth muscle that helps mix food and secretions
Term
Mucosa

- three layers:
Definition
- the inner lining
a. Epithelium
b. Lamina propria
c. Muscularis Mucosae
Term
Submucosa
Definition
- areolar connective tissue
- contains the Submucosal (Meissner's) Plexus, part of the Enteric Nervous System that controls the Muscularis Mucosae and secretion of the Mucosa
Term
Muscularis layer
Definition
- mostly smooth muscle (skeletal muscle at each end)
inner layer has circular fibers
outer layer has longitudinal fibers
- contains the Myenteric (Auerbach's) Plexus, the part of the Enteric Nervous System that controls motility through the GI Tract
Term
Peristalsis -
Definition
Successive muscular contractions along the wall of hollow muscular structures.
Term
Serosa
Definition
- outer most layer
- is known as the Visceral Peritoneum for the portion of the GI Tract that lies below the Diaphragm
Term
Peritoneum -
Definition
the largest serous membrane in the body, consists of the Visceral and Parietal layers. The serous fluid filled space between these layers is called the Peritoneal Cavity
Term
Peritoneum -
Definition
the largest serous membrane in the body, consists of the Visceral and Parietal layers. The serous fluid filled space between these layers is called the Peritoneal Cavity
Term
Greater Omentum -
Definition
A large fold of peritoneum that drapes over the Transverse Colon and Small Intestine. Is mostly adipose tissue and lymph nodes.
Term
Mesentery -
Definition
A peritoneal fold that attaches the Small Intestine to the posterior wall of the abdomen. Blood and lymphatic vessels(Lacteals) are contained within this structure
Term
Mesentery -
Definition
A peritoneal fold that attaches the Small Intestine to the posterior wall of the abdomen. Blood and lymphatic vessels(Lacteals) are contained within this structure
Term
Mesocolon -
Definition
A peritoneal fold that attaches the Large Intestine to the posterior wall of the abdomen.
Term
Ascites -
Definition
A disorder associated with the accumulation of excess fluid in the peritoneal cavity.
Term
Peritonitis -
Definition
A disorder associated with the acute inflammation of the peritoneum. A ruptured appendix is the most common cause.
Term
Mouth =
Definition
Oral Cavity = Buccal Cavity
- the beginning of mechanical and chemical digestion
- contains 32 permanent teeth
- Mastication = chewing - cut and grinding of food into smaller particles
Term
3 pair of Salivary glands
Definition
(Parotid, Submandibular and Sublingual) which secrete saliva (~99.5% water), also contains urea, uric acid, lysozyme (a bacteriocide), salivary amylase, lingual lipase and various ions. These normally secrete 1 - 1 1/2 liters of saliva per day.
Term
Bolus -
Definition
the mass of food produced from oral digestion
Term
Deglutition =
Definition
swallowing - the movement of food from the mouth to the Stomach. Deglutition is initiated when the Bolus of food is forced into the Oropharynx. After the initial stage the rest of swallowing is usually an involuntary response. Respiration is temporarily suspended.
Term
Cardiac Sphincter =
Definition
lower esophageal sphincter - this relaxes as food is moved towards the Stomach
Term
Esophageal Hiatus -
Definition
the opening in the Diaphragm for the Esophagus
Term
Gastroesophageal Reflux Disease (GERD)
Definition
- Acidy stomach contents move past the Cardiac sphincter into the lower Esophagus producing "heart burn". In extreme cases this reflux can lead to cancer. Treated by avoiding acid producing foods and acid reducing medicine.
Term
Pyloric sphincter -
Definition
controls the passage of digested food (chyme) into the Small Intestine.
Term
Mucous surface cells -
Definition
columnar cells that secrete mucous, these line the lumen of the Stomach
Term
Gastric pits -
Definition
invaginations of mucosal cells into the Lamina Propria
Term
Gastric glands -
Definition
collections of various secretory cells located at the bottom of Gastric pits
Term
Mucous neck cell
Definition
- mucous secreting cells that have some absorption capabilities (ex. water, ions, short fatty acids, aspirin, alcohol)
- these coat and protect the Stomach wall
Term
Chief cell
Definition
- secretes pepsinogen which is converted into the proteolytic enzyme pepsin. Pepsinogen is activated by hydrochloric acid or active pepsin. Pepsin is most effective around pH 2.
- also secretes Gastric lipase
Term
Parietal cell
Definition
- Secretes HCl which denatures protein, kills microbes and activates Pepsin
- Secretes Intrinsic Factor which attaches to B12, this allows B12 to be absorbed in the Small Intestine
(Re: Pernicious Anemia)
Term
G cell
Definition
- mostly located in the Pylorus (distal Stomach), and secrete the hormone Gastrin into the blood
- Gastrin stimulates Chief and Parietal cells, causes the Cardiac sphincter to constrict, increases the churning of Stomach muscles and relaxes the Pyloric sphincter.
Term
Cephalic phase
Definition
- Stimulated by sight, smell, taste, and thought.
- Initiates the secretion of gastric cells and stimulates smooth muscle activity (through CN 10, Vagus Nerve).
Term
Gastric phase
Definition
- Initiated by both neural and hormonal mechanisms
- Stretch and chemoreceptors for pH initiate gastric secretions and the mixing waves in the Stomach.
- Small amounts of chyme are periodically released into the Small Intestine as the result of muscular contractions.
- Gastrin is released by distension of the Stomach, partially digested protein and caffeine.
Term
Intestinal phase
Definition
- This tends to slow the release of chyme from the Stomach, promoting complete digestion and absorption. Hormonal and neural mechanisms exist.
Term
Secretin
Definition
- Released when highly acidic chyme enters the Duodenum.
- Promotes bicarbonate ion secretion (raising pH) in the Pancreas and bile.
Term
Cholecystokinin (CCK)
Definition
- Released when partially digested proteins, triglycerides and fatty acids enter the Duodenum.
- Promotes the secretion of pancreatic juice. Causes the constriction of the Pyloric sphincter (slowing the release of chyme). Causes the contraction of the Gall Bladder(releasing bile). Induces satiety (a feeling of fullness).
Term
Acini -
Definition
Clusters of cells that produce pancreatic enzymes. Acini account for approx. 99% of the Pancreas (exocrine), the rest being Pancreatic Islets(endocrine).
Term
Pancreatic Juice
Definition
- Mostly water, also contains bicarbonate ions and enzymes.
- Enzymes:
(1) Pancreatic Amylase for CHO digestion.
(2) Proteases
- Trypsin, Chymotrypsin, Carboxypeptidase, Elastase
(3) Pancreatic lipase for lipid digestion.
(4) Nucleases
- Ribonuclease, Deoxyribonuclease
Term
Regulation
Definition
- Both neural and hormonal mechanisms exist.
- Secretion is initiated by the Cephalic and Gastric phases of gastric digestion, and when acidic chyme enters the Duodenum.
Term
Liver Functions:
Definition
(1) Hepatocytes produce a slightly alkaline bile (to emulsify fats).
(2) Carbohydrate metabolism
- Storage of glycogen
- The breakdown of glycogen into glucose.
- The conversion of lactic acid and amino acids into glucose.
(3) Lipid metabolism
- Triglyceride storage
- Cholesterol synthesis, production of hormones and bile salts.
(4) Protein metabolism
- Deamination of amino acids
- Produce urea
(5) Detoxify drugs and hormones.
(6) Excretion of biliruben in the bile.
(7) Storage of vitamins and minerals.
(8) Phagocytosis of blood cells and pathogens by Kupffer's cells.
(9) Synthesis of Vitamin D.
Term
Carbohydrate metabolism
Definition
- Storage of glycogen
- The breakdown of glycogen into glucose.
- The conversion of lactic acid and amino acids into glucose.
Term
Lipid metabolism
Definition
- Triglyceride storage
- Cholesterol synthesis, production of hormones and bile salts.
Term
Protein metabolism
Definition
- Deamination of amino acids
- Produce urea
Term
Gall Bladder
Definition
- A muscular sac, 3 to 4 inches long, that lies on the inferior surface of the Liver. Stores and concentrates bile.
Term
Circular Folds (Plicae Circularis)
Definition
- Structures on the mucosal surface that cause chyme to spiral through the Small Intestine. This promotes digestion and absorption.
Term
Villi
Definition
- Finger-like projections of the mucosa into the lumen.
- Contains lacteals, arterioles and venules.
Term
Microvilli
Definition
- Cytoplasmic projections on the apical surface of epithelium. (these form the "Brush Border" appearance of the Small Intestine)
Term
Intestinal Crypts
-
Definition
Secrete intestinal juice
Term
Goblet cells
-
Definition
Secrete mucous
Term
Paneth cells
Definition
Secrete lysozyme (antibacterial)
Term
Duodenal (Brunner's) glands
-
Definition
Secretes alkaline mucous (neutralize acid).
Term
Peyer's Patches and other lymph structures
Definition
- Are most concentrated in the distal Ileum.
Term
Intestinal Juice
Definition
- Slightly alkaline fluid secreted by mucosal cells that contains various digestive enzymes.
Term
Segmentation
Definition
- Localized mixing contractions that occurs in distended portions of the Small Intestine. This mixes chyme with digestive juices and helps bring nutrients into contact with the muscosa.
Term
Migratin Motility Complex =
Definition
Peristalsis
- propelling chyme towards the Ileocecal valve
Term
Absorption in the Small Intestine:
Carbohydrates
Definition
- absorbed as monosaccharides
- transported in the blood
Term
Absorption in the Small Intestine:
Protein
Definition
- Absorbed as amino acids, dipeptides and tripeptides. Peptide bonds are broken inside of mucosal cells.
- Transported in the blood.
Term
Absorption in the Small Intestine:
Lipid
Definition
- Bile salts cause large "globs" of lipid to become smaller structures called Micelles.
- Fatty acids, monoglycerides, glycerol, fat soluble vitamins and cholesterol are absorbed into mucosal cells.
- Mucosal cells form new triglycerides. These cells produce a structure called a Chylomicron, a structure with a lipid center that is surrounded by protein. Chylomicrons are released into lacteals.
- Short chain fatty acids are transported in the blood.
Term
Movements of the Large Intestine
Definition
(1) Peristalsis
(2) Haustral Churning
- Haustra fill then contract to move contents forward.
(3) Mass Peristalsis
- A single, strong peristaltic wave that begins in the Transverse Colon, and sweeps feces toward the Rectum.
- This reflex is initiated when Gastrin is first released during the Gastric Phase of Gastric digestion.
Term
Haustral Churning
Definition
- Haustra fill then contract to move contents forward.
Term
Mass Peristalsis
Definition
- A single, strong peristaltic wave that begins in the Transverse Colon, and sweeps feces toward the Rectum.
- This reflex is initiated when Gastrin is first released during the Gastric Phase of Gastric digestion.
Term
Digestion/Absorption
Definition
- Bacteria ferments the remaining nutrients releasing gases (flatus), some vitamins are produced.
- Water, vitamins, and electrolytes are absorbed as they come into contact with mucosal cells.
Term
Emptying =
Definition
Defecation
- Distension of smooth muscle fibers initiates the defecation reflex.
- Skeletal muscle fibers provide voluntary control.
Term
Diarrhea
Definition
- Increased frequency and volume of feces caused by increased motility and/or decreased absorption. This can lead to increased fluid and electrolyte imbalance.
Term
Diarrhea
Definition
- Increased frequency and volume of feces caused by increased motility and/or decreased absorption. This can lead to increased fluid and electrolyte imbalance.
Term
Constipation
Definition
- Infrequent and/or difficult defecation caused by decreased motility. This leads to excessive water absorption. This can be caused by poor bowel and bladder habits, lack of exercise, stress, drugs.
Term
Dental Caries = Tooth decay
Definition
- Gradual demineralization of enamel and dentin due to microbial activity. Bacteria convert sugars into acids which facilitates this process.
Term
Peptic Ulcer
Definition
- A crater like lesion that forms in areas exposed to gastric juice. This can lead to bleeding and anemia.
- Helicobacter pylori is the most common cause. This bacteria causes ammonia to form which neutrilizes stomach acid._
Term
Peptic Ulcer (continued)
Definition
- Can also be caused by NSAID (non-steroidal anti-inflammatory drug) therapy, and over secretion of acid.
Term
Diverticulitis
Definition
- Inflammation of diverticuli.
- Diverticuli = An out pouching of the wall of the intestine.
- Causes pain, nausea, vomiting.
- Often caused by low dietary fiber intake.
Term
Colorectal Cancer
Definition
- The is often a genetic component exacerbated by chronic irritation (ex. low fiber diet), alcohol, or a diet high in protein and fat.
- This disorder can lead to changes in bowel or bladder habits, abdominal pain, rectal bleeding (overt or occult), ribbon like stools.
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