Physiology - Guyton Text

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synapse  junction point from one neuron to the next; signal passes in forward direct; almost all synapses are CHEMICAL in CNS  
sensory information  99% is discarded as irrelevant and unimportant  
memory  storage in cerebral cortex (largest memory storehouse)  
spinal cord level of CNS  controls walking mvmts & reflexes  
lower levels of CNS  controls most of subconscious activities of body  
neurotransmitters  chemical substance secreted by neurons; NOREPINEPHRINE -> excitatory/inhibitory; ACETYLCHOLINE -> excitatory but can inhibit some parasympath. fibres; DOPAMINE & SERATONIN -> inhibitory  
chemical synapses  ideal for nerve transmission due to unidirectional signal  
spatial summation  summing postsynaptic potentials by activating multiple terminals on widely spaced areas of membrane; increased signal strength trasmitted by using progressively GREATER NUMBERS of fibres  
temporal summation  successive discharge from SINGLE presynaptic terminal can summate if they occur rapidly enough; increased signal strength transmitted by increasing FREQUENCY of nerve impulses in each fibre  
mechanical sensory receptors  detects compression or stretching  
thermal sensory receptors  detects temperature changes; located under skin in discrete & separate spots  
nociceptor sensory receptors  detects tissue damage  
electro sensory receptors  detects light  
all receptors  are non-responsive to other types of stimuli but a special characteristic is that they adapt to a constant stimulus after a period of time  
reciprocal inhibition circuit  neurol circuit which controls all antagonistic pairs of muscles, involves output excitatory signal in one direction & at same time w/ inhibitory signal going elsewhere  
after discharge  signal entering neuronal pool causing prolonged output, lasting after incoming signal is over  
somatic senses  collect sensory info. from body (ie. mechano, thermo, pain)  
special senses  vision, hearing, smell, taste & equilibrium  
mechano senses  type of somatic sense; stimulated by mechanical displacement of tissues  
thermo sense  type of somatic sense stimulated by heat & cold sensations  
pain  type of somatic sense stimulated by any factor that damages tissues; cenrtain tactile receptors can depress transmission of pain signals  
positional sense  detects static position & rate of mvmt  
proprioception  sense that have to do w/ physical state of body (ie. position, tendon, muscle, equilibrium)  
(blank)  touch, pressure & vibration are detected by same types of receptors  
free nerve endings  tactile receptor located in skin & other tissues that detect touch & pressure; pain receptors  
Meissner's Corpuscles  nerve endings in non-hairy parts of skin (LIPS & FINGERTIPS) that adapt quickly & are sensitive to mvmt of objects against skin  
Merkle's Disc  expanded tip receptors grouped into units [Iggo Dome] located in hairy & non-hairy parts of skin, slow to adapt, detects steady state signals about continual touch against skin  
hair end organ  receptor that incl. hair & nerve fibre entwined at bad that adapts readily & detects mvmt of & initial contact of objects on surface of skin  
Ruffini's End Organ  nerve fibres found in deep layers of skin & jt capsulles that adapt slowly & signal continuous states of deformation of skin/deeper tissues & degree of jt rotation  
Pacinian Corpuscle  nerve fibres located immediately underneath skin of deep tissue, adapts quickly, are stimulated by rapid mvmt of tissues & are important for detecting tissue vibration  
vibration  involves detection of ALL different tactile receptors  
tickle & itch  detected by very sensitive rapidly adapting mechanoreceptive nerve endings found almost exclusively in superficial layers of skin  
dorsal column-medial lemniscal (DC-ML) pathway  sensory pthwy transmits info w/ temporal & spatial fidelity, mainly transmits discrete types of mechanoreceptive sensations  
Anterolater pathway  sensory pthwy transmits broad spectrum of snesory modalities (pain, temp., crude tactile, tickle/itch) slower & w/o spatial fidelity  
sensory input  posterior areas of cerebral cortecx  
motor control  anterior areas of cerebral cortex  
lips  represent by largeest areas in somatic cortex  
muscle spindle  detection of mid-range jt angulation; proprioceptive sensory receptor located in muscle belly regarding length & rate of change of length  
pacinian-ruffini  detection of EXTREME jt angulation  
pacini & muscle spindle  detects rate of mvmt  
dermotome  spinal nerve that carries info. from segmental field of skin  
fast pain  sharp, prickling, acute, electric; not felt in deep tissues; elicited by thermal or mechanical stimuli  
slow pain  slow, burning, aching, throbbing, nauseous, chronic & can lead to prolonged unbearable suffering; is associated w/ tissue destruction; can occur in skin & deep tissues; elicited by mechanical, thermal & chemical stimuli  
pain receptors  adapt very little & sometimes not at all  
hyperalgesia  increased sensitvity of pain receptors (keeps person apprised of tissue damage)  
intensity of pain  correlated w/ rate of tissue damage  
muscle spasm  can cause pain, possibly due to direct stimulation of pain receptors or indirect effects (ie. ischemia)  
fast-sharp pain  apprises person rapidly of damaging influence for reaction of immediate removal of stimulus  
slow-chronic pain  gets greater over time, person continues to relieve cause of pain  
analgesia  capability of brain to suppress input of pain signals; morphine suppress pain signals entering from peripheral nrv  
referred pain  felt in body part considerably remote from tissue causing pain; occurs because some signals from viscera conducted thru same neurons that conduct pain signals from skin  
headache  pain referred to head from deep head structures; can be caused by emotional tension which causes spasm of head/neck muscles  
migraine  special type of headache result from abnormal vascular phenomena  
anterior motor neurons  (specifically alpha motor neurons) leave spinal cord & innervate skeletal muscles  
proper control of muscle fx  requires continuous sensory feedback from each muscle  
Golgi tendon organ (GTO)  proprioceptive sensory receptor located in muscle tendon, detects tendon tension & rate of change of tension; causes inhibition of motor neurons; neutralizes contractile force on separate muscle fibres  
contraction  trigger involving muscle stretch reflex involves stretch of muscle (by muscle spindles)  
stretch reflex  prevents oscillation or jerkiness of body mvmt providing DAMPENING effect or smoothing fx  
voluntary movements  initiated by cerebral cortex by activating PATTERN of fx stored in lower centres which signal muscles  
primary motor area  topographical representation of muscles in body w/ more than 1/2 concerned w/ control of hands & speech; excitation of single neuron excites specific mvmt (not single muscle)  
anterior part of premotor cortex  generates MOTOR IMAGE for muscle mvmt, then excites complex patterns of mvmt  
supplementary motor cortex  stimulate BILATERAL mvmt  
corticospinal tract  most import pthwy, aka DIRECT PYRAMIDAL PTHWY, carries motor signals directly from primary motor cortex down sp. cord  
direct pathways  aka corticospinal tract; controls discrete & detailed mvmts esp. of distal segments of limb  
extra pyramidal system  include all motor pthwys in brain that are NOT part of pyramidal system  
brain stem  provides special control fx (ie. respiration, arterila pressure, cardiovasc., equilibrium & stereotyped mvmts of body); acts w/ cerebellum to control mvmts & maintain equilibrium  
vestibular apparatus  sensory organ detects sensation of equilibrium  
semicircular ducts  detect rate & direction of rotation of head in all 3 planes of space  
utricle & sacculae  responsible for informing brain of position of head w/ respect to gravity  
cerebellum  major role in timing of motor activities & in rapid smooth progression of mvmts  
basal ganglia  works with corticosp. syst. to plan & control complex patterns of muscle mvmts  
spinal level of motor cortex  programmed local patterns of mvmt  
hind brain  maintenance & axial body tome for standing & maintaining equilibrium  
motor cortex  complex patterns of mvmt & can bypass programmed patterns  
cord patterns  determined at birth, "hard-wired"  
cerebral cortex  all areas have extensive to-&-fro connections w/ deeper structures of brain; two halves of brain have INDEPENDANT capabilities for consciousness, memory storage, communcation & motor activity control  
thalamus  excitation of thalamus is necessary for almost all cortical activity; almost all pthwys from sensory organs pass thru thalmus to cortex  
association areas of cerebral cortex  receives & analyzes signals from multiple regions of brain  
Wernicke's  an association area responsible for language comprehension  
pre-frontal  association area helps plan complex patterns & sequences of motor mvmt  
working memory  ability of brain to store many pieces of info on short term basis, used to analyze new thoughts entering brain  
Broca's  association area responsible for motor patterns for word formation by exciting larynx, resp. syst & mouth muscles  
limbic system  association area concerned w/ behaviour, emotions & motivation  
corpus callosum AND anterior commisure  makes info stored in cortex of one hemisphere available to corresponding cortical areas of opposite hemisphere  
corpus callosum  required for boh sides of brain to operate  
anterior commisure  important role in unifying EMOTIONAL responses of 2 sides of brain  
holistic theory  a thought results from "pattern" of stimulation of many parts of nerv. syst. at the same time  
consciousness  continuing stream of awareness of either our surroundings or our sequential thoughts  
memory traces  memories caused by changes in sensitivity of synaptic tranmission <-> neurons as a result of prev. neural activity, forms new or facilitated pthwy; once established, can activate "thinking" to reproduce memories  
short-term memory  caused by continual neuronal activity resulting from nerve signals travelling around temporary memory trace thru circuit of reverberating neurons  
intermediate memory  temporary chemical &/or physical changes  
long-term memory  result of actual structural changes instead of only chemical changes  
short- term to long-term memory  must be consolidated for conversion; consolidation happens when actively repeating something, initiating chemical, physical & anatomical changes in synapes  
reticular area of brain stem  main part of nerv. syst. which controls excitation of cerebral cortex  
positive feedback loop  activation of cerebrum excites brain stem which activates cerebrum more leading "awake mind"  
hypothalamus  major part of limbic syst for its ability to control vegetative fx of brain closely related to behaviour  
autonomic nervous system (ANS)  activated by centres of spinal cord, brain stem & hypothalamus  
sympathetic nerve fibres  originate <-> T1 to L2 of sp. cord  
parasympathetic nerve fibres  originate from cranial & sacral nerves of sp. cord; 75% originate from CN X (vagus)  
norepinephrine  neurotransmitter released by most SNS fibres that supply blood vessels; vasoconstrictor  
acetylcholine  neurotransmitter released by most PNS fibres; stimulates all types of gastric glands to release secretions  
sympathetic nervous system (SNS)  pupil dilation, increased heart activity, blood vessel constriction  
parasympathetic nervous system (PNS)  pupil constriction, increased peristalsis, decreased heart rate  
adrenal medulla  releases epineph. & norepineph. into blood upon sympathetic stimulation; effects last 5-10x longer than direct sympathetic stimulation  
mass discharge  all portions of SNS discharge simultaneously; aka STRESS RESPONSE, allows person to perform greater stenuous physical act. otherwise possible  
right side of heart  pumps blood to lungs  
left side of heart  pumps blood to all body except lungs  
ventricles  supplies main forces of contraction  
heart  composed of atrial & ventricular muscle tissues & specialized excitatory & conductive fibres; cardiac muscle contraction lasts 15x longer than skeletal  
intercalated discs  cell membranes separating individual cardiac muscle cells  
gap junction  diffusion of ions from one cardiac muscle cell to the next  
syncytium  when one cell is excited, the action potential spreads to all  
calcium  unique to cardiac muscles for prolonged contractions  
diastole  period of relaxation when heart fills w/ blood; 75% of blood flows from atria to ventricles; AV valves open, during atrial systole they open, during ventricular systole they close  
systole  period of contraction when heart expels blood; 25% of blood pushed into ventricle when atria contracts; semilunar (SL) valves closed, atrial diastole they close, ventricular diastole they open  
atrioventricular (AV) valves  tricuspid & mitral valves; 1st heart sound which sounds low & long  
semilunar (SL) valves  pulmonary & aortic valves; edges of SL valves subject to greater mechanical stress than AV valves; 2nd heart sound which sounds short snap due to closing  
papillary muscles & chordae tendinae  prevent AV valves from bulging back into atrium during ventricular systole  
Frank-Starling Mechanism  the greater the stretch of heart during filling, the greater the contraction  
ventricle relaxed  AV open, SL closed  
ventricle contracted  AV closed, SL open  
sinus node  located in superior posterolateral wall of right atrium; sets rhythm of heart because it emits new impulses FASTER than AV or Purkinje; aka pacemaker  
internodal pathways  bundles of specialized fibres that connect sinus node & AV node  
cardiac impulse delay  delayed @ AV node due to fewer gap junctions <-> cells; also allows atria to contract & finish filling ventricles before ventric. contraction  
atrialventricular (AV) bundles  fibres that conduct impulse from AV node to ventricles  
Purkinje fibres  conduct impulse from AV bundle to all parts of ventricles 6x faster & 150x faster than AV node  
cardiac output  quantity of blood pumped into aorta per minute; mainly controlled by venous return  
venous return  quantity of blood flowing from veins into right atrium per minute; sum of all local blood flow from individual tissue segments of peripheral circulation  
heart less efficient  factors that increase total peripheral resistance increases cardiac output  
heart more efficient  factors that decrease total peripheral resistance would increase cardiac output; nerv. stimulation & hypertrophy of heart muscles -> better pump  
systemic circulation  supplies blood to all tissues except lungs  
arteries  transport blood under high pressure to tissues; contains 13% of total blood volume; control of pressure independant of local bl. flow & cardiac output  
arterioles  act as control conduits that release blood into capillaries  
capillaries  exchange of substances <-> blood & interstitial fluids  
venules  have pores only permeable to H2O & small molecular substances; collects blood directly from capillaries  
veins  transport blood from tissues back to heart; major reservoir of blood (64%)  
pulmonary circulatory system  contains 9% of total blood vol.; 25/8 mmHg (sys/dia)  
blood pressure  force exerted by blood against any unit area of vessel wall  
resistance  impediment to blood flow in vessel  
total peripheral resistance  resistance of entire systemic circulation  
viscosity of blood  determined by red blood cells  
hematocrit  %age of blood composed of cells  
arterial compliance  pulse pressure of heart affected by stroke volume output  
spleen  specific blood reservoir & destroys old blood red blood cells  
red pulp  area of spleen where RBC stored  
microcirculation  transport of nutrients to tissues & removal of cellular excreta  
metaarterioles  structure <-> arteriole & capillary  
precapillary sphincter  smooth muscle fibre around metaarteriole to control entrance of blood into capillary  
intercellular cleft  thin passageway <-> adjacent endothelial cells of capillaries  
vasomotion  on/off flow of blood thru capillaries; controlled by oxygen  
diffusion  means of substance transport in/out of capillaries  
water  smallest substance passes thru capill. pores  
plasma proteins  larger than capillary pores  
interstitium  spaces <-> cells of body; low concentrations of proteins  
interstitial fluid  fluid that fills spaces <-> cells of body  
collagen  long, strong structures in interstitium, provides tensional strength to tissues  
proteoglycan filaments  aka "brush pile", thin, coiled & form a mat of fine filaments  
tissue gel  combination of solid structures of interstitium & trapped fluid  
collotid osmotic pressure  osmotic pressure caused by plasma proteins  
lymphatic system  accessory route from interstitial space into blood & carries proteins & large particulate matter away from tissue spaces; 1/10 fluid filters into interstitium from capilliaries NOT reabsorbed & is returned to circulation  
thoracic duct  lymph flow from lower body, left head, left arm & chest  
right lymph duct  lymph flow from right neck & head, right arm & thorax  
lymphatic endothelial cells  overlap & act like valves pushed open by pressure & pushed closed by backflow  
oxygen-lack theory of local blood flow  inadequate levels of oxygen & nutrients cause blood vessels to relax & dilate  
reactive hyperemia  increased blood flow to tissues recently suffered of blood supply deprivation  
active hyperemia  increased blood flow to tissues highly active  
nitric oxide  vasodilating substance due to shear stress from increased blood flow  
angiogenic  vascular growth factors involved in reconstructing tissue vascularity in response to long-term changes in blood flow  
angiotensin  powerfully constricts all arterioles & mainly involved in arterial pressure regulation  
vasopressin  an antidiuretic hormone secreted by hypothalamus & acts to increase reabsorption of water by kidneys  
histamine  vasodilater substance released when tissues are damaged or inflamed but also involved in allergic reactions; causes bronchiolar constriction; secreted by gastric glands  
increased arterial pressure  constriction of arterioles & veins & increase cardiac pumping when occuring simultaneously  
baroreptor  nervous reflex initiated by stretch receptors which then send signals to CNS about changes in arterial pressure; when person stands after lying down baroreceptor maintains arterial pressure in upper body; located in large systemic arteries  
chemoreceptors  nerv. reflex involve receptos sensitive to oxygen lack, carbon dioxide & hydrogen ion excess; located in large systemic arteries; involved in maintaining arterial pressure at pressure lower than normal range  
fx of red blood cells  transports hemoglobin to deliver oxygen to tissues; do not rupture when squeezed thru capillaries due to excess of cell membrane  
red blood cells (RBC)  produced in bone marrow; matures from proerythroblast to reticulocyte stage gains hemoglobin & lose their nucleus; excess may impede blood flow; survives 120 days in bl. stream  
RBC formation  rate not controlled by concentration in blood stream but by their ability to transport oxygen  
erythropoietin  released from kidneys & liver triggered by low oxygen levels to produce more RBC  
Vit B12 & Folic Acid  critical for RBC maturatoin  
interaction between hemoglobin & oxygen  loose & reversible; hemoglobin helps to maintain oxygen pressure in tissues regardless of fluctuations of O2 concentration in alveoli (Buffer System)  
iron  important for formation of hemoglobin; free iron in blood -> "transferrin"; iron stored in cells -> "ferratin"; iron lost during blood loss; when RBC bursts iron release for storage in liver  
hemoglobin  transported by RBCs for delivery of oxygen; is broken down & converted into bilirubin when RBC cells burst; enhances transport of oxygen 30-100x  
anemia  deficiency of hemoglobin  
white blood cells (WBC)  combats infectious & toxic agents, specifically transported to areas of infection; recruited during inflammation  
granulocytes  are neutrophils, eosinophils & basophils; formed in bone marrow  
phagocytosis  are granulocytes & monocytes which help protect body & cellular ingests foreign invaders  
lymphogenous tissues  where lymphocytes & plasma cells are formed  
neutrophils  WBC capable of phagocytosing bacteria in circulating blood; already mature when it enters tissues, can only ingest small # of bacteria before dying; 2nd line of defence few hrs after inflammation (enters tissue via diapedesis)  
monocytes  inactive while in blood steam, only become activated once they enter tissues; formed in bone marrow  
macrophage  derived from monocytes; able to ingest many & large particles, can survive many months; actions of macrophages can injure healthy living tissues around injured area; responsible for presenting antigens to B & T cells  
diapedesis  cell squeezing thru small opening by sliding only a small portion of itself thru  
chemotaxis  mvmt of cells towards source of chemical sign; draws neutrophils & monocytes towards tissues in inflamed state  
tissue macrophage  first line of defence of tissue injury; phagocytic cells attached to tissues & remain after inflammation subsides  
sinusoids of liver  macrophage lined structure where inaders entering via GI tract enters portal blood & must pass thru  
inflammation  dramatic 2ndary changes observed after injury to tissue  
margination  sticking of cells to capillary walls near areas of inflammation  
pus  mixture of necrotic tissues, dead phagocytes, tissue fluids, etc found in areas of inflammation  
eosinophils  involved in specifically targeting parasitic invaders  
basophils  involved in allergic reactions & are similar to mast cells by liberating heparin (anticoagulant) & histamine (vasodilator) into blood  
immunity  ability to resist different types of organisms & toxins  
acquired immunity  doesn't develop until after body first attacked by disease/toxin; B & T cells basic types activated when exposed & reacts w/ specific antigens  
innate immunity  general processes for killing invaders  
humoral cells  aka B lymphocytes, acquired immunity that secretes antibodies which bind attacking agent; formed in bone marrow; secrete antibodies which bind antigen  
cell-mediated cells  T lymphocytes, type of acquired immunity that directly attack & destroy foreign agents; formed in thymus; directly bind to antigens using receptors  
antigens  specific chemical compounds that makes organism different from all others  
lymph nodes  contains majority of lymphocytes  
spleen & bone marrow  2 types of lymph tissues that play important role in intercepting agents in circulating blood  
helper T cells  contributes to activation of B cells; most numerous type of T cells; regulates all immune fxs, destroyed/inactivated by AIDS virus  
plasma  activated B cells that have differentiated & producing antibodies  
memory cells  activated B & T cells circulated to & remain dormant in various lymph tissues to provide faster & potent response if body exposed to same antigen again  
antibodies  immunoglobin compounds that bind specific antigens  
IgG  most common immunoglobin  
IgE  immunoglobin primarily involved in allergic response  
complement system  grp of proteins that aid in destruction of antigens by promoting opsonization, phagocytosis, agglutination& activation of basophils & inflam. response  
cytotoxic T cells  directly attacks & kills microorganisms  
suppressor T cells  suppresses fx of other T cells  
immunization  process which acquired immunity is induced by injecting dead/attenuated organisms &/or altered toxins  
goals of respiration  to provide oxygen to & to remove carbon dioxide, from tissues  
pulmonary pressure  inflow/outflow of air <-> atmosphere & lung alveoli  
lungs expansion/contraction  2 ways: upward & downward, elevation & depression  
abdominal muscles  provides additional force for expiration during heavy breathing  
exernal intercostals  muscles that raise rib cage (inspiration)  
internal intercostals  muscles that pull down on rib cage (expiration)  
muscles of inspiration  external intercostals, SCM, serratus anter., scalenes  
muscles of expiration  internal intercostals, abdom. recti  
pleura  fluid w/in which lungs "float" & provides lubrication for mvmts of lungs  
pleural pressure  pressure of fluid in space <-> lung & chest wall normally maintained at slightly negative value  
lveolar pressure  pressure of air inside alveoli of lung; alv. pres. of O2 & CO2 determined by rate they pass in/out of blood & alveoli (alveolare ventilation)  
air to flow INTO lungs  pressue inside alveoli need to be less than atmospheric pressure  
transpulmonary  pressure difference <-> alveolar pressure & pleural pressure  
elastic forces of lungs  1/3 of total lung elasticity & mainly due to presence of elastin & collagen fibres; 2/3 try to collapse alveoli by surface tension  
surfactant  fluid lining alveoli greatly reduce surface tension, helps to reduce amount of pressure required to keep lungs expanded  
respiration  major limitation to intensity of exercise a person can perform  
tidal volume  volume of air inspired/expired w/ each normal breath (500 mL)  
total lung capacity  maximum volume which lungs can be expanded w/ greatest possible effort (5800 mL)  
alveolar ventilation  rate at which new air reaches gas exchange areas of lungs  
dead air space  air that never reaches gas exchange areas of lungs (air in nose, pharynx, trachea)  
cartilage rings  structures help keep trachea & bronchi open allowing easy passage of air thru them  
bronchioles  no cartilage & is composed of smooth muscle, only kept from collapsing by transpulm. pressure  
mucus  coats resp. passageways helping to keep the moist & trap small particles  
nasal cavities  part of resp. passageways first to warm, humidify & filter air  
turbulent precipitation  larger particles in air filtered by hairs located @ entrance of nostrils  
alveolar macrophages  removes very small particles settled in alveoli  
partial pressure  rate of diffusion of each resp. gases directly proportional to pressure caused by each gas alone; exerted when gases dissolved in water or body tissues; greater for oxygen in alveoli than pulm. capillaries  
carbon dioxide  more soluble in water; by-product as a reaction of oxygen w/ foodstuffs; contributes most to acid-based balance of body fluids  
respiratory membrane  where gas exchange in lungs must pass thru; comprised of capillary, interstitial space & alveoli wall; rate of mvmt of material thru resp. membrane can be affected by changes to membrane itself (increased thickness/decrease surface area)  
ventilation of perfusion ratio  balance <-> alveolar ventilation & blood flow  
deoxygenated blood flow  inadequate VENTILATION to area of lungs receiving adquate blood flow  
inadequate blood flow to lungs receiving adequate ventilation  oxygen will be breathed back out  
partial pressure of oxygen  greatest in alveoli, less in blood stream, even less in tissue; lower in capillaries because O2 used by cells to create energy  
partial pressure of carbon dioxide  greatest in tissue, less in blood, even less in alveoli  
pressure difference  to move carbon dioxide less than those needed to move oxygen  
interaction of oxygen with hemoglobin  loose & reversible; binding of oxygen to hemoglobin displaces carbon dioxide, CO2 released from blood stream in lungs because binding of O2 makes hemoglobin a stronger acid  
arterial blood  saturated w/ 97% oxygen  
venous blood  saturated w/ 75% oxygen  
Buffer system  fx of hemoglobin helping maintain oxygen pressure in tissues regardless of fluctuations of oxygen concentration in alveoli  
carbon anhydrase  enzyme present in accelerated conversion of carbon dioxide & water into carbonic acid  
bicarbonate  form of carbon dioxide (approx 70%) transported in blood; excess CO2 causes kidneys to release bicarbonate to readjust hydrogen ion concentration; also secreted by pancreas to neutralize stomach acid & pH of chyme  
medulla & pons  areas of brain stem where respiratory centre mainly located  
dorsal respiratory group of respirator centre  mainly causes inspiration & generates basic rhythm of respiration  
ventral respiratory group of respiratory centre  mainly causes expiration & inspiration; inactive during normal quiet breathing, is important when high levels of pulm. vent. required (during exercise)  
pneumotaxic centre of respiratory centre  mainly controls rate & pattern of breathing; switches off inspiration  
oxygen  does not have direct effect on resp. centre, mainly acts to control resp. thru peripheral chemoreceptors  
inspiration  controlled by dorsal resp. group of resp. centre; CO2 & hydrogen ions increase strength of inspiration  
peripheral chemoreceptors  responds rapidly to excess CO2 at onset of exercise  
strenuous exercise  up to 20x increase in O2 consumption & CO2 formation --> alveolar ventilation increases, arterial PO2, PCO2 & pH remain the same; increase in resp. mainly due to stimulation by higher brain centre & body mvmt eliciting proprioceptive reflexes  
smooth muscles  found in wall of GI tract  
GI muscle fibres  are of smooth muscles; less excitable during sympathetic stimulation; excitable by stretching of muscle  
enteric nervous system (ENS)  intrinsic nervous system of GI  
myenteric plexus of enteric nerv. syst  controls mvmts in GI system  
submucosa  plexus of ENS controls secretion & local blood flow in GI system  
movements in GI tract  propulsive & mixing  
peristalsis  basic type of propulsive mvmt in GI, involves formation of contractile ring in gut then moves forward which moves material in front, forward; stimulated by distension  
mixing  formation of intermittent constrictive contraction every few centimeters along the gut  
splanchnic circulation  supplies gut, spleen, pancreas & liver  
portal vein  vessel of which blood from gut, spleen & pancreas flow into liver  
GI bacterial removal  running of venous blood from GI tract thru sinusoids of liver  
non-fat / water soluble nutrients absorption  absorbed from gut into blood stream & sent to liver for storage/processing; final products of carb digestion from sm. intestine absorbed into portal blood  
fat based nutrients absorption  absorbed from gut into lymphatic syst., then into bloodstream by-passing liver  
blood flow of GI  increases when gut becomes active (after meal); decreased to GI by SNS  
mucous  for lubrication & protection of GI tract; mainly secreted in esophagus to provide lubrication for swallowing; mucous secreted by stomach has alkaline pH which protect underlying wall from acidic & proteolytic stomach secretions; regulated by local nerv sy  
trigger of GI secretions  mechanical pressure of food, various hormones & nervous reflexes  
saliva  contains mucous & digests carbs by ptyalin enzyme; also helps maintain health of oral tissue by washing away / destroying bacteria; released by PNS  
hydrochloride  needed for activation of pepsinogen into pepsin & thus needed for proper protein digestion in stomach  
intrinsic factor  a gastric secretion essential for vit B12 absorption in small intestine  
stomach  secretes hydrochloric acid, pepsinogen, intrinsic factor, gastrin & mucous  
hydrochloric acid  stimulated by gastrin & histamine  
substances released when meat or protein foods enter stomach  Gastrin -> histamine -> HCl -> pepsin  
chyme  in duodenum, main stimulus for pancreatic secretions  
pancreas  secretes digestive enzymes for carbs, protein & fat; also secretes bicarbonate; secretion stimulated by acetylcholine, cholecystokinin & secretin; secretes amylase enzyme after chyme enters duodenum for starch digestion completion (15-30 min)  
secretin  secreted by upper small intestine in response to presence of stomach acid which causes pancreas to release bicarbonate ions  
cholecystokinin (CCK)  released in duodenum in presence of fats, protein digestion & long-chain fatty acids in chyme which in turn, triggers release of bile  
cholesterol  used to make bile salts  
small intestine  responsible for nutrient absorption  
cellulose  undigestible form of carbs by humans  
ptyalin  salivary enzyme involving carb digestion in mouth  
enterocytes  enzymes splitting various disaccharides (sucrose, lactose, maltose)  
pepsin  secreted by stomach important for protein digestion  
protein digestion  must be in di & tri peptides &/or amino acids before being absorbed into enterocytes of sm. intest.  
pepsidase  digests peptides into amino acids then absorbed into bloodstream  
emulsification  critical for proper fat digestion, involves fat globules broken into wee sizes; bile is emulsifier  
sodium absorption  creates electrochemical gradient across intestinal epithelial cells which promotes chloride absorption  
sodium co-transport  process which most products of protein digestion is absorbed; galactose & glucose require sodium as co-transp.; fructose does not  
colon bacteria  capable of producing vit B12, thiamine, riboflavin & vit K  


   

 
 

 
 

 

 
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