Physiology (Guyton)

 
 

 
 

 
 

 
 
 
 
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synapsejunction point from one neuron to the next; signal passes in forward direct; almost all synapses are CHEMICAL in CNS
sensory information99% is discarded as irrelevant and unimportant
memorystorage in cerebral cortex (largest memory storehouse)
spinal cord level of CNScontrols walking mvmts & reflexes
lower levels of CNScontrols most of subconscious activities of body
neurotransmitterschemical substance secreted by neurons; NOREPINEPHRINE -> excitatory/inhibitory; ACETYLCHOLINE -> excitatory but can inhibit some parasympath. fibres; DOPAMINE & SERATONIN -> inhibitory
chemical synapsesideal for nerve transmission due to unidirectional signal
spatial summationsumming postsynaptic potentials by activating multiple terminals on widely spaced areas of membrane; increased signal strength trasmitted by using progressively GREATER NUMBERS of fibres
temporal summationsuccessive 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 receptorsdetects compression or stretching
thermal sensory receptorsdetects temperature changes; located under skin in discrete & separate spots
nociceptor sensory receptorsdetects tissue damage
electro sensory receptorsdetects light
all receptorsare 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 circuitneurol circuit which controls all antagonistic pairs of muscles, involves output excitatory signal in one direction & at same time w/ inhibitory signal going elsewhere
after dischargesignal entering neuronal pool causing prolonged output, lasting after incoming signal is over
somatic sensescollect sensory info. from body (ie. mechano, thermo, pain)
special sensesvision, hearing, smell, taste & equilibrium
mechano sensestype of somatic sense; stimulated by mechanical displacement of tissues
thermo sensetype of somatic sense stimulated by heat & cold sensations
paintype of somatic sense stimulated by any factor that damages tissues; cenrtain tactile receptors can depress transmission of pain signals
positional sensedetects static position & rate of mvmt
proprioceptionsense 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 endingstactile receptor located in skin & other tissues that detect touch & pressure; pain receptors
Meissner's Corpusclesnerve endings in non-hairy parts of skin (LIPS & FINGERTIPS) that adapt quickly & are sensitive to mvmt of objects against skin
Merkle's Discexpanded 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 organreceptor 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 Organnerve 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 Corpusclenerve fibres located immediately underneath skin of deep tissue, adapts quickly, are stimulated by rapid mvmt of tissues & are important for detecting tissue vibration
vibrationinvolves detection of ALL different tactile receptors
tickle & itchdetected by very sensitive rapidly adapting mechanoreceptive nerve endings found almost exclusively in superficial layers of skin
dorsal column-medial lemniscal (DC-ML) pathwaysensory pthwy transmits info w/ temporal & spatial fidelity, mainly transmits discrete types of mechanoreceptive sensations
Anterolater pathwaysensory pthwy transmits broad spectrum of snesory modalities (pain, temp., crude tactile, tickle/itch) slower & w/o spatial fidelity
sensory inputposterior areas of cerebral cortecx
motor controlanterior areas of cerebral cortex
lipsrepresent by largeest areas in somatic cortex
muscle spindledetection of mid-range jt angulation; proprioceptive sensory receptor located in muscle belly regarding length & rate of change of length
pacinian-ruffinidetection of EXTREME jt angulation
pacini & muscle spindledetects rate of mvmt
dermotomespinal nerve that carries info. from segmental field of skin
fast painsharp, prickling, acute, electric; not felt in deep tissues; elicited by thermal or mechanical stimuli
slow painslow, 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 receptorsadapt very little & sometimes not at all
hyperalgesiaincreased sensitvity of pain receptors (keeps person apprised of tissue damage)
intensity of paincorrelated w/ rate of tissue damage
muscle spasmcan cause pain, possibly due to direct stimulation of pain receptors or indirect effects (ie. ischemia)
fast-sharp painapprises person rapidly of damaging influence for reaction of immediate removal of stimulus
slow-chronic paingets greater over time, person continues to relieve cause of pain
analgesiacapability of brain to suppress input of pain signals; morphine suppress pain signals entering from peripheral nrv
referred painfelt 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
headachepain referred to head from deep head structures; can be caused by emotional tension which causes spasm of head/neck muscles
migrainespecial 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 fxrequires 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
contractiontrigger involving muscle stretch reflex involves stretch of muscle (by muscle spindles)
stretch reflexprevents oscillation or jerkiness of body mvmt providing DAMPENING effect or smoothing fx
voluntary movementsinitiated by cerebral cortex by activating PATTERN of fx stored in lower centres which signal muscles
primary motor areatopographical 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 cortexgenerates MOTOR IMAGE for muscle mvmt, then excites complex patterns of mvmt
supplementary motor cortexstimulate BILATERAL mvmt
corticospinal tractmost import pthwy, aka DIRECT PYRAMIDAL PTHWY, carries motor signals directly from primary motor cortex down sp. cord
direct pathwaysaka corticospinal tract; controls discrete & detailed mvmts esp. of distal segments of limb
extra pyramidal systeminclude all motor pthwys in brain that are NOT part of pyramidal system
brain stemprovides special control fx (ie. respiration, arterila pressure, cardiovasc., equilibrium & stereotyped mvmts of body); acts w/ cerebellum to control mvmts & maintain equilibrium
vestibular apparatussensory organ detects sensation of equilibrium
semicircular ductsdetect rate & direction of rotation of head in all 3 planes of space
utricle & sacculaeresponsible for informing brain of position of head w/ respect to gravity
cerebellummajor role in timing of motor activities & in rapid smooth progression of mvmts
basal gangliaworks with corticosp. syst. to plan & control complex patterns of muscle mvmts
spinal level of motor cortexprogrammed local patterns of mvmt
hind brainmaintenance & axial body tome for standing & maintaining equilibrium
motor cortexcomplex patterns of mvmt & can bypass programmed patterns
cord patternsdetermined at birth, "hard-wired"
cerebral cortexall 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
thalamusexcitation of thalamus is necessary for almost all cortical activity; almost all pthwys from sensory organs pass thru thalmus to cortex
association areas of cerebral cortexreceives & analyzes signals from multiple regions of brain
Wernicke'san association area responsible for language comprehension
pre-frontalassociation area helps plan complex patterns & sequences of motor mvmt
working memoryability of brain to store many pieces of info on short term basis, used to analyze new thoughts entering brain
Broca'sassociation area responsible for motor patterns for word formation by exciting larynx, resp. syst & mouth muscles
limbic systemassociation area concerned w/ behaviour, emotions & motivation
corpus callosum AND anterior commisuremakes info stored in cortex of one hemisphere available to corresponding cortical areas of opposite hemisphere
corpus callosumrequired for boh sides of brain to operate
anterior commisureimportant role in unifying EMOTIONAL responses of 2 sides of brain
holistic theorya thought results from "pattern" of stimulation of many parts of nerv. syst. at the same time
consciousnesscontinuing stream of awareness of either our surroundings or our sequential thoughts
memory tracesmemories 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 memorycaused by continual neuronal activity resulting from nerve signals travelling around temporary memory trace thru circuit of reverberating neurons
intermediate memorytemporary chemical &/or physical changes
long-term memoryresult of actual structural changes instead of only chemical changes
short- term to long-term memorymust be consolidated for conversion; consolidation happens when actively repeating something, initiating chemical, physical & anatomical changes in synapes
reticular area of brain stemmain part of nerv. syst. which controls excitation of cerebral cortex
positive feedback loopactivation of cerebrum excites brain stem which activates cerebrum more leading "awake mind"
hypothalamusmajor 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 fibresoriginate <-> T1 to L2 of sp. cord
parasympathetic nerve fibresoriginate from cranial & sacral nerves of sp. cord; 75% originate from CN X (vagus)
norepinephrineneurotransmitter released by most SNS fibres that supply blood vessels; vasoconstrictor
acetylcholineneurotransmitter 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 medullareleases epineph. & norepineph. into blood upon sympathetic stimulation; effects last 5-10x longer than direct sympathetic stimulation
mass dischargeall portions of SNS discharge simultaneously; aka STRESS RESPONSE, allows person to perform greater stenuous physical act. otherwise possible
right side of heartpumps blood to lungs
left side of heartpumps blood to all body except lungs
ventriclessupplies main forces of contraction
heartcomposed of atrial & ventricular muscle tissues & specialized excitatory & conductive fibres; cardiac muscle contraction lasts 15x longer than skeletal
intercalated discscell membranes separating individual cardiac muscle cells
gap junctiondiffusion of ions from one cardiac muscle cell to the next
syncytiumwhen one cell is excited, the action potential spreads to all
calciumunique to cardiac muscles for prolonged contractions
diastoleperiod 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
systoleperiod 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) valvestricuspid & mitral valves; 1st heart sound which sounds low & long
semilunar (SL) valvespulmonary & 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 tendinaeprevent AV valves from bulging back into atrium during ventricular systole
Frank-Starling Mechanismthe greater the stretch of heart during filling, the greater the contraction
ventricle relaxedAV open, SL closed
ventricle contractedAV closed, SL open
sinus nodelocated in superior posterolateral wall of right atrium; sets rhythm of heart because it emits new impulses FASTER than AV or Purkinje; aka pacemaker
internodal pathwaysbundles of specialized fibres that connect sinus node & AV node
cardiac impulse delaydelayed @ AV node due to fewer gap junctions <-> cells; also allows atria to contract & finish filling ventricles before ventric. contraction
atrialventricular (AV) bundlesfibres that conduct impulse from AV node to ventricles
Purkinje fibresconduct impulse from AV bundle to all parts of ventricles 6x faster & 150x faster than AV node
cardiac outputquantity of blood pumped into aorta per minute; mainly controlled by venous return
venous returnquantity 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 efficientfactors that increase total peripheral resistance increases cardiac output
heart more efficientfactors that decrease total peripheral resistance would increase cardiac output; nerv. stimulation & hypertrophy of heart muscles -> better pump
systemic circulationsupplies blood to all tissues except lungs
arteriestransport blood under high pressure to tissues; contains 13% of total blood volume; control of pressure independant of local bl. flow & cardiac output
arteriolesact as control conduits that release blood into capillaries
capillariesexchange of substances <-> blood & interstitial fluids
venuleshave pores only permeable to H2O & small molecular substances; collects blood directly from capillaries
veinstransport blood from tissues back to heart; major reservoir of blood (64%)
pulmonary circulatory systemcontains 9% of total blood vol.; 25/8 mmHg (sys/dia)
blood pressureforce exerted by blood against any unit area of vessel wall
resistanceimpediment to blood flow in vessel
total peripheral resistanceresistance of entire systemic circulation
viscosity of blooddetermined by red blood cells
hematocrit%age of blood composed of cells
arterial compliancepulse pressure of heart affected by stroke volume output
spleenspecific blood reservoir & destroys old blood red blood cells
red pulparea of spleen where RBC stored
microcirculationtransport of nutrients to tissues & removal of cellular excreta
metaarteriolesstructure <-> arteriole & capillary
precapillary sphinctersmooth muscle fibre around metaarteriole to control entrance of blood into capillary
intercellular cleftthin passageway <-> adjacent endothelial cells of capillaries
vasomotionon/off flow of blood thru capillaries; controlled by oxygen
diffusionmeans of substance transport in/out of capillaries
watersmallest substance passes thru capill. pores
plasma proteinslarger than capillary pores
interstitiumspaces <-> cells of body; low concentrations of proteins
interstitial fluidfluid that fills spaces <-> cells of body
collagenlong, strong structures in interstitium, provides tensional strength to tissues
proteoglycan filamentsaka "brush pile", thin, coiled & form a mat of fine filaments
tissue gelcombination of solid structures of interstitium & trapped fluid
collotid osmotic pressureosmotic pressure caused by plasma proteins
lymphatic systemaccessory 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 ductlymph flow from lower body, left head, left arm & chest
right lymph ductlymph flow from right neck & head, right arm & thorax
lymphatic endothelial cellsoverlap & act like valves pushed open by pressure & pushed closed by backflow
oxygen-lack theory of local blood flowinadequate levels of oxygen & nutrients cause blood vessels to relax & dilate
reactive hyperemiaincreased blood flow to tissues recently suffered of blood supply deprivation
active hyperemiaincreased blood flow to tissues highly active
nitric oxidevasodilating substance due to shear stress from increased blood flow
angiogenicvascular growth factors involved in reconstructing tissue vascularity in response to long-term changes in blood flow
angiotensinpowerfully constricts all arterioles & mainly involved in arterial pressure regulation
vasopressinan antidiuretic hormone secreted by hypothalamus & acts to increase reabsorption of water by kidneys
histaminevasodilater substance released when tissues are damaged or inflamed but also involved in allergic reactions; causes bronchiolar constriction; secreted by gastric glands
increased arterial pressureconstriction of arterioles & veins & increase cardiac pumping when occuring simultaneously
baroreptornervous 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
chemoreceptorsnerv. 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 cellstransports 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 formationrate not controlled by concentration in blood stream but by their ability to transport oxygen
erythropoietinreleased from kidneys & liver triggered by low oxygen levels to produce more RBC
Vit B12 & Folic Acidcritical for RBC maturatoin
interaction between hemoglobin & oxygenloose & reversible; hemoglobin helps to maintain oxygen pressure in tissues regardless of fluctuations of O2 concentration in alveoli (Buffer System)
ironimportant 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
hemoglobintransported by RBCs for delivery of oxygen; is broken down & converted into bilirubin when RBC cells burst; enhances transport of oxygen 30-100x
anemiadeficiency of hemoglobin
white blood cells (WBC)combats infectious & toxic agents, specifically transported to areas of infection; recruited during inflammation
granulocytesare neutrophils, eosinophils & basophils; formed in bone marrow
phagocytosisare granulocytes & monocytes which help protect body & cellular ingests foreign invaders
lymphogenous tissueswhere lymphocytes & plasma cells are formed
neutrophilsWBC 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)
monocytesinactive while in blood steam, only become activated once they enter tissues; formed in bone marrow
macrophagederived 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
diapedesiscell squeezing thru small opening by sliding only a small portion of itself thru
chemotaxismvmt of cells towards source of chemical sign; draws neutrophils & monocytes towards tissues in inflamed state
tissue macrophagefirst line of defence of tissue injury; phagocytic cells attached to tissues & remain after inflammation subsides
sinusoids of livermacrophage lined structure where inaders entering via GI tract enters portal blood & must pass thru
inflammationdramatic 2ndary changes observed after injury to tissue
marginationsticking of cells to capillary walls near areas of inflammation
pusmixture of necrotic tissues, dead phagocytes, tissue fluids, etc found in areas of inflammation
eosinophilsinvolved in specifically targeting parasitic invaders
basophilsinvolved in allergic reactions & are similar to mast cells by liberating heparin (anticoagulant) & histamine (vasodilator) into blood
immunityability to resist different types of organisms & toxins
acquired immunitydoesn't develop until after body first attacked by disease/toxin; B & T cells basic types activated when exposed & reacts w/ specific antigens
innate immunitygeneral processes for killing invaders
humoral cellsaka B lymphocytes, acquired immunity that secretes antibodies which bind attacking agent; formed in bone marrow; secrete antibodies which bind antigen
cell-mediated cellsT lymphocytes, type of acquired immunity that directly attack & destroy foreign agents; formed in thymus; directly bind to antigens using receptors
antigensspecific chemical compounds that makes organism different from all others
lymph nodescontains majority of lymphocytes
spleen & bone marrow2 types of lymph tissues that play important role in intercepting agents in circulating blood
helper T cellscontributes to activation of B cells; most numerous type of T cells; regulates all immune fxs, destroyed/inactivated by AIDS virus
plasmaactivated B cells that have differentiated & producing antibodies
memory cellsactivated B & T cells circulated to & remain dormant in various lymph tissues to provide faster & potent response if body exposed to same antigen again
antibodiesimmunoglobin compounds that bind specific antigens
IgGmost common immunoglobin
IgEimmunoglobin primarily involved in allergic response
complement systemgrp of proteins that aid in destruction of antigens by promoting opsonization, phagocytosis, agglutination& activation of basophils & inflam. response
cytotoxic T cellsdirectly attacks & kills microorganisms
suppressor T cellssuppresses fx of other T cells
immunizationprocess which acquired immunity is induced by injecting dead/attenuated organisms &/or altered toxins
goals of respirationto provide oxygen to & to remove carbon dioxide, from tissues
pulmonary pressureinflow/outflow of air <-> atmosphere & lung alveoli
lungs expansion/contraction2 ways: upward & downward, elevation & depression
abdominal musclesprovides additional force for expiration during heavy breathing
exernal intercostalsmuscles that raise rib cage (inspiration)
internal intercostalsmuscles that pull down on rib cage (expiration)
muscles of inspirationexternal intercostals, SCM, serratus anter., scalenes
muscles of expirationinternal intercostals, abdom. recti
pleurafluid w/in which lungs "float" & provides lubrication for mvmts of lungs
pleural pressurepressure of fluid in space <-> lung & chest wall normally maintained at slightly negative value
lveolar pressurepressure 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 lungspressue inside alveoli need to be less than atmospheric pressure
transpulmonarypressure difference <-> alveolar pressure & pleural pressure
elastic forces of lungs1/3 of total lung elasticity & mainly due to presence of elastin & collagen fibres; 2/3 try to collapse alveoli by surface tension
surfactantfluid lining alveoli greatly reduce surface tension, helps to reduce amount of pressure required to keep lungs expanded
respirationmajor limitation to intensity of exercise a person can perform
tidal volumevolume of air inspired/expired w/ each normal breath (500 mL)
total lung capacitymaximum volume which lungs can be expanded w/ greatest possible effort (5800 mL)
alveolar ventilationrate at which new air reaches gas exchange areas of lungs
dead air spaceair that never reaches gas exchange areas of lungs (air in nose, pharynx, trachea)
cartilage ringsstructures help keep trachea & bronchi open allowing easy passage of air thru them
bronchiolesno cartilage & is composed of smooth muscle, only kept from collapsing by transpulm. pressure
mucuscoats resp. passageways helping to keep the moist & trap small particles
nasal cavitiespart of resp. passageways first to warm, humidify & filter air
turbulent precipitationlarger particles in air filtered by hairs located @ entrance of nostrils
alveolar macrophagesremoves very small particles settled in alveoli
partial pressurerate 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 dioxidemore soluble in water; by-product as a reaction of oxygen w/ foodstuffs; contributes most to acid-based balance of body fluids
respiratory membranewhere 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 ratiobalance <-> alveolar ventilation & blood flow
deoxygenated blood flowinadequate VENTILATION to area of lungs receiving adquate blood flow
inadequate blood flow to lungs receiving adequate ventilationoxygen will be breathed back out
partial pressure of oxygengreatest 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 dioxidegreatest in tissue, less in blood, even less in alveoli
pressure differenceto move carbon dioxide less than those needed to move oxygen
interaction of oxygen with hemoglobinloose & 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 bloodsaturated w/ 97% oxygen
venous bloodsaturated w/ 75% oxygen
Buffer systemfx of hemoglobin helping maintain oxygen pressure in tissues regardless of fluctuations of oxygen concentration in alveoli
carbon anhydraseenzyme present in accelerated conversion of carbon dioxide & water into carbonic acid
bicarbonateform 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 & ponsareas of brain stem where respiratory centre mainly located
dorsal respiratory group of respirator centremainly causes inspiration & generates basic rhythm of respiration
ventral respiratory group of respiratory centremainly causes expiration & inspiration; inactive during normal quiet breathing, is important when high levels of pulm. vent. required (during exercise)
pneumotaxic centre of respiratory centremainly controls rate & pattern of breathing; switches off inspiration
oxygendoes not have direct effect on resp. centre, mainly acts to control resp. thru peripheral chemoreceptors
inspirationcontrolled by dorsal resp. group of resp. centre; CO2 & hydrogen ions increase strength of inspiration
peripheral chemoreceptorsresponds rapidly to excess CO2 at onset of exercise
strenuous exerciseup 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 musclesfound in wall of GI tract
GI muscle fibresare 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. systcontrols mvmts in GI system
submucosaplexus of ENS controls secretion & local blood flow in GI system
movements in GI tractpropulsive & mixing
peristalsisbasic 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
mixingformation of intermittent constrictive contraction every few centimeters along the gut
splanchnic circulationsupplies gut, spleen, pancreas & liver
portal veinvessel of which blood from gut, spleen & pancreas flow into liver
GI bacterial removalrunning of venous blood from GI tract thru sinusoids of liver
non-fat / water soluble nutrients absorptionabsorbed 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 absorptionabsorbed from gut into lymphatic syst., then into bloodstream by-passing liver
blood flow of GIincreases when gut becomes active (after meal); decreased to GI by SNS
mucousfor 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 secretionsmechanical pressure of food, various hormones & nervous reflexes
salivacontains mucous & digests carbs by ptyalin enzyme; also helps maintain health of oral tissue by washing away / destroying bacteria; released by PNS
hydrochlorideneeded for activation of pepsinogen into pepsin & thus needed for proper protein digestion in stomach
intrinsic factora gastric secretion essential for vit B12 absorption in small intestine
stomachsecretes hydrochloric acid, pepsinogen, intrinsic factor, gastrin & mucous
hydrochloric acidstimulated by gastrin & histamine
substances released when meat or protein foods enter stomachGastrin -> histamine -> HCl -> pepsin
chymein duodenum, main stimulus for pancreatic secretions
pancreassecretes 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)
secretinsecreted 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
cholesterolused to make bile salts
small intestineresponsible for nutrient absorption
celluloseundigestible form of carbs by humans
ptyalinsalivary enzyme involving carb digestion in mouth
enterocytesenzymes splitting various disaccharides (sucrose, lactose, maltose)
pepsinsecreted by stomach important for protein digestion
protein digestionmust be in di & tri peptides &/or amino acids before being absorbed into enterocytes of sm. intest.
pepsidasedigests peptides into amino acids then absorbed into bloodstream
emulsificationcritical for proper fat digestion, involves fat globules broken into wee sizes; bile is emulsifier
sodium absorptioncreates electrochemical gradient across intestinal epithelial cells which promotes chloride absorption
sodium co-transportprocess which most products of protein digestion is absorbed; galactose & glucose require sodium as co-transp.; fructose does not
colon bacteriacapable of producing vit B12, thiamine, riboflavin & vit K