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ANA 113 Lecture 32
Digestive System lecture 2
Question | Answer |
---|---|
Adominopelvic cavity | extends from the diaphragm to the boney pelvis |
quandrants | upper right, lower right, upper left, lower left |
regions | right/left hypochondriac region, epigastric region, right/left lumbar region, umbilical region, right/left iliac region, hypogastric region |
peritonuem | serous membrane that lines theabdominopelvic cavity and supports and covers most of the organs located within this cavity |
Parietal peritoneum | lines body cavity |
Visceral peritoneum | covers organs (stuck on it) |
Peritoneal cavity | space between th parietal and visceral peritoneum which contains a small amount of peritoneal fluid |
Special Peritoneal membranes | (folds, double layers in regions of the GI tract) isolates and protects organs, supports organs and blood vessels, attaches organs to body wall, stores fat |
Greater omentum | suspended from the inferior curvature of the stomach |
lesser omentum | attaches the lesser curvature of the stomach to the liver (superior part of stomach) |
Falciform ligament | tough (dura-like) attaches th liver to the inferior side of the diaphragm and the anterior of the body wall |
Mesentery | attaches the small intestine to the posterior abdominal wall |
Mesocolon | attaches the large intesine to the posterior abdominal wall |
Retroperitoneal | "behind the peritoneum" only covered on the anterior side |
Organs that are retropitoneal | pancreas, kidneys, portion of the duodenum, ascending and descending colon |
Peritonitis | inflammation of the peritoneum. may be serious because infection can readily spred throughout the peritoneal cavity |
Location of the stomach | mostly in the upper left quadrant, between the esophagus and small intestine |
Structure of the stomach | J-shaped, divided into 4 regions |
4 regions of the stomach | cardiac, fundus, body, pylorus |
borders of the stomach | lesser cuvature (superior) and greater curvature (inferior) |
What are the 3 layers of smooth muscle in the stomach? | circular, longitudinal and oblique |
Rugae | folds in the mucosal layer of the stomach, permits the stomachto distend (increases surface area for secretion and digestion) |
Gastric glands | chief cells, parietal cells, mucous cells, enteroendocrine cells |
Chief cells | (zygomatic cells) produce pepsinogen which is converted to active enzyme pepsin for protien digestion |
Parietal cells | produces HCl which decreases the pH of the stomach contents, produces interinsic factor required for B12 absorption |
Mucous cells | (goblet cells) secrete protective mucous |
enteroendocrine cells | secrete hormones which influence digestive organs, example:gastrin -> increases GI activity |
Pyloric sphincter | located between the stomach and duodenum, controls how much chme enters the small intestine |
Chyme | a mix of food with water and enzymes in/leaving the stomach |
Function of the stomach | mechanical mixing of food and production of chyme, intiates protein digestion, storage of chyme until it passes into the duodenum (only lets a small amount through at a time) minimal absorption some drugs and alcohol) |
Small intestine | *major digestive/absorption organ, upper right to lower right quadrant, extends from the pyloriic spincter to th large intestine, occupies the central and lower portion of abdominal cavity, divided into 3 regions |
What are the 3 regions of the small intestine? | duodenum, jejunum, ileum |
Duodenum | C-shaped region of the small intestine, first 10 inches, retroperitoneal, contains duodenal papilla and Brunner's gland |
Duodenal papilla | opening throuh which bile (from the common bile duct) and enzymes (from pancreas) enter the duodenum |
Brunner's gland | secretes alkaline mucous |
Jejunum | middle section of the small intestine, note the slightly larger lumen |
ileum | 3rd region of the small intestine, contains Peyer's patches |
Peyr's patches | clusters of lymphatic tissue |
Function of small intestine | major site of chemical digestion, mechanical mixing, major site for absorption of nutrients, propels undigested nutriens and materials to large intestine |
Nerve supply for small intestine | myenteric nerve plexes (parasympathetic) also vagus nerve |
plicae circulares | deep folds in the mucosa of the small intetines |
villi | small finger like projecions, increase surface area, contain a capillary network and a lacteal which transports nutrients |
microvilli | microscopic processes on columnar cells, promote absorption |
crypts of Lieberkuhn | intestinal glands, secrete enzymes |
Large intestine | begins at ileum in the lower right quadrant, extends superiorly to the liver, passes left to spleen, descends on left to pelvis, terminates at anus |
cecum | dilated pouch at junction of small and large intestine, lower right quadrant |
ileocecal valve | guards opening to cecum |
ascending colon | located on the right side |
transverse colon | passes from right to left |
descending colon | left side |
sigmoid colon | S-shaped, from left side to center of the body |
rectum | located on midline, leads to the anus |
anus | external opening |
What type of muscle is the internal and exernal anal sphincters? | internal:smooth, external:skeletal |
Hepatic/Right colic flexture | (near liver) at junction of ascending and transverse colon |
Splenic/Left colic flexture | at junction of transverse and descending colon |
taeniae coli | 3 distinct bands of smooth muscle |
Haustra | sac-like regions in the large intestine |
Epiploic Appendages | fat-filled pouches in the large intestine |
Function of the large intestine | Completes absorption of water, manufactures vitamins (A,D,E,K :all fat soluble), conatins natural flora (bacteria), formation, storage and expulsion of feces |
Where is the appendix located? | lower right quadrant, usually retro-cecal (behind the cecum) |
Structure of the Appendix | about the size of a pinky, maybe a bit smaller (finger-like profection about 2-3 inches long), blind pouch, contains lyphatic tissue |
Which muscles create movement of food along the GI tract? | longitudinal and circular |
Peristalsis | series of wave-like muscle contractions that moves food aong the GI tract |
Segmentation | Contractions in small intestine that moves the food in both directions for better mixing with the secretions in the intestine |
Mass peristalis | reflex in the large intestine, initated by the presence of food in the stomach. drives the contents of the colon into the retum |
Defecation | emptying of the contents of the rectum. contraction of the longitudinal muscles and relaxtion of the anal sphincters (circular muscle) |