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