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HACC GI Anatomy II

Gastointestinal Review for Test

QuestionAnswer
Control for Stomach that "Turns System On" and is tied to Nervous System Cephalic Control
2 Nerves that Control Cephalic System and are largest nerves in body Vagus
Control for Stomach that "brakes/accelorates" the digestion and is found in the wall of compartments. enteroendocrine cell (stimulated by nervous system)
hormone type found all over body but mostly in antrum of stomach gastrin
protein influx in stomach increases acidity which then increases alkalinity in urine. Process called postprandial alkaline tide
some intestinal areas are twisted wrong. Usually no issue unless obstruction Volvulus
wall collapse in ileum(usually) Auerbachs plexis absent pathological intusussception
insussception inhibition can cause obstruction when auerbach's plexus is lacking on entire circumference
Loss of auerbachs plexis in colon leads to hirschsprings megacolon
happens slowly over time, grows up to 250 pounds, can enlarge liver Hirschsprings Megacolon
new medication for stomach ulcers focuses on coupling transport of CL- and H+ and is called PPI (proton pump inhibitor)
Pyloric Sphincter has a great exaggeration of muscularis externa
loss of parietal cells to point of death pernocious anemia
CO2 + H2O -> H2CO3 -> HO3 + [H+] Enzyme that activates this carbonic anhydrase (CA)
H2CO3 is called Carbonic Acid
H2O -> OH- + [H+] is activated by enzyme substitute ATP
parietal cells make a life sustaining glycoprotein called (binds to b12 and gets absorbed in ileum. used to make RBCs) intrinsic factor
neonatal egg yolk sac vitello
abnormal remains of the vitello which can become inflammed (feels like appendicitis) Meckel's Diverticulum
Lymph capillaries within villi are called lacteals
triglycerides get into lacteals by being greased with a coat of Lipoproteins
Greased triglycerides are called Chylomicron
Lymph drains into Left Subclavian vein
Fatty Acids that are smaller than 12 carbons intususscept into blood stream
Myenteric Auerbach's Plexis
Fatty Acids larger than 12 carbons, and ALL monoglycerols are rebonded into intravellular triglycerides
gastrin is activated by vagul nerve and accelerated by proteins. Distention has small part as well
When triglycerides are rebonded together within the cell, the process is called reesterification
eponym for parietal cell oxyntic cell
Makes proenzyme when stimulated cheif cell
another epoymn for cheif cell zyogenic cell
another eponym for cheif cell besides zyogenic cell peptic cell
blanket of bile salts called... (forces MG & FAs to diffuse into epithelial cells but never bile salts with them) micell
80% of all peptic ulcer disease which interferes with tight junctions. 50% people have it but it does't always cause PUD H. Pylori
3 components of GMB alkaline mucus, epithelia cells, tight junctions
ulcers are medically called PUD peptic ulcer disease
Ulcers are caused by compromising: GMB Gastric Mucosa Barrier
epoymn of pancreatic duct duct of wirsung
hepatopancreatic duct ampulla of vater
duodenal papilla sphincter of oddi
Once MGs and FAs are pushed into cells by bile salts, they are called Intracellular Monoglycerols and Fatty Acids
Carbs and Proteins are diffused into bloodstream by being bound to a Co-transporter
mixed together in duodenum mucosa are glands.. secretin & cholecystokinin- pancreazymin
The co-transporter used for Carbs and Proteins Sodium (needs active transport to return to other side)
Triglycerides are large molecules that get blanketed with bile salts
Secretin is stimulated by Acid [H+]
The submandibular pappilla is called sublingual caruncles
3 types of disaccharides sucrose- f&g, maltose- g&g, lactose- g & galac.
basic structure of triglycerides monoglycerides
3 areas of mucosa lamina propria, epithelium, muscular mucosa
secretin's function stimulates pancreas to make alkaline juice
Pancreas + CCK = enzyme juice
Pancreas + Secretin= Alkaline juice
When secretin level goes up... oxyentic level goes down
control for secretin feedback stimulation- as H+ goes down so does secretin
produces collective affect to control intestinal glands enterocrinin
acid reflux disease called GERD gastro esophogeal reflux disease
5 enzymes in pancreatic enzyme juice trypinogen, chymotrypsinogen, procarboxypolypeptidase, pancreatic amylase, pancreatic lipase
when bolus approaches esophagus end, it will reflexively open and close in process called receptive relaxation
secretes into duodenum from pancreas trypsinogen
when trypsinogen secretes into duodenum, it is activated by enterokinase (which has no other function)
When trypsinogen is activated by enterokinase it turns into trypsin
when enzymes are present in blood due to self digestion serum amylase
epoymn for myenteric Auerbach's plexis
enzyme used for lipid digestions. It works best after the bile break the lipids down and makes MGs and FAs pancreatic lipase
the process where bile is broken down by bile salts emulsification
salivary amylase to pancreatic amylase to succus entericus carbs
difficulty with diglutition in general (sore throat to stroke) dysphagia
diffulty moving blus through esophagus specifically. "failure to relax" achalasia
lower end of esophagus is narrower due to (to avoid acid reflux) Auerbach's plexis
narrower area of lower esophagus is called LGJ lower gastrointestinal juncture
A rare disease that causes a tumor of gastrin secreting cells. High acidity right before eating but Ph2 trigger turns off acidic production. Zollinger- Ellison Syndrome (ZE) Type 1
pepsin to trypsin which breaks to dipeptise, then to eripsin with breaks into AA's Proteins
A gastrinoma located in pancreas where PH 2 inhibitor is not detected and acid is produced unchecked. Can be fatal without surgery. Zollinger- Ellison Syndrome type 2
pancreatic lipase changes to MGs and FAs Triglycerides
hormone found in duodenum mucosa. Stimulates gall bladder to contract and opens sphincter of oddi. Mechanical digestion only. Also stimulates pancreas to make enzyme juice Cholecystokinin-Pancreazymin (CCK)
Cholecystokinin-Pancreazymin is stimulated by vasul nerve, amino acids (COOH), and fatty acids
2 enzymes that can only be activated by trypsin chymotrypsinogen, and procarboxypolypeptidase
as Cholecystokinin-Pancreazymin levels go up... Gastrin and peristalsis goes down. This allows emptying process to be slowed down.
the control for Cholecystokinin-Pancreazymin CCK is feedback stimulation as amino accids and fatty acids go away, the hormone slows down.
Enterocrinin is stimulated by [H+]
Enterocrinin action is to stimulate intestinal glands and crypt cells along with epithelial cells
Stimulation of intestinal cells as a result of enterocrinin produces Succus Entericus (SE)
"Juice of Intestines" Succus Entericus
Succus Entericus is used for Protein, Carboxal, and Nucleic Acid digestion
Succus Entericus is made up of sucrase, lactase, maltase, erepsin, nuclease
erepsin enzyme is used for aka amino peptidase. For breakdown of protein
inflammation of pancreas that is mainly caused be alcohol erroding sphincter of oddi pancreatitis
glucose molecules are absobed in process called intusussception
when chymotrypsinogen and procarboxypolypeptidase are activated by trypsin, they become chymotrypsin and carboxypolypeptidase (c-ase)
lymphoidal ring eponym waldeyer's
inactive and can only be activated by trypsin chymotrypsinogen
Created by: shaffce
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