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56 Cards in this Set

  • Front
  • Back

Mechanisms of Na+ transport

Na/glucose cotransport


Na/amino acid cotransport


Na-H exchanger


Parallel Na-H and Cl-HCO3 exchange


ENaC

Mechanisms of Cl- transport

Passive Cl absorption


Parallel Na-H and Cl-HCO3 exchange


Cl-HCO3 exchange

Goblet cell

Mucous secretion for immune defence and lubrication

Enteric endocrine cell

Hormone secreting cell within the GIT

Stem/progenitor cell

Found at the base of crypt


Differentiate and migrate up the crypt-villus axis

Paneth cell

Host defence against microbes

Mucous neck cell

Secretes mucous and bicarbonate

Parietal cell

Secretes acid and intrinsic factor

Enterochromaffin like cell

Secretes histamine

Chief cell

Secretes pepsinogen and lipase

D cell

Secretes somatostatin

G cell

Secretes gastrin

Direct triggers for acid secretion

Acetylcholine, histamine and gastrin

Indirect triggers for acid secretion

Acetylcholine and gastrin mediated histamine release

Acetylcholine receptor on stomach cells

M3AChr

Gastrin receptor on stomach cells

Chilecystokinin B receptor (CCKR)

Direct mechanism of acid secretion by somatostatin

Gi GPCR, inhibits adenylyl cyclase antagonising histamine stimulation

Indirect mechanism of inhibition of acid secretion by somatostatin

Inhibits histamine release from ECL cells


Inhibits gastrin release from G cells

Inhibitors of acid secretion

Somatostatin, secretin, CCK

Tonsils

2x adenoid


2x tubule


2x palatine


1x lingual

Papillae of tongue

Vallate


Foliate


Filiform


Fingiform

Parotid gland

Serous saliva


Alpha amylase


Anti microbial

Submandibular gland

Mixed serous and mucous


Alpha amylase


Lysozyme for bacterial cell wall hydrolysis

Sublingual gland

Smallest salivary gland


Mucous saliva


Some amylase and lysozyme

Kupffer cell

Hepatic macrophages in sinusoids


Phagocytosis, regulation of microcirculation, removal of endotoxins

Stellar cells

Perisinusoidal fat and retnoid storage


Multiple membrane processes branching structure


In diseas state transform to a more fibroblast like structure

Phase 1 drug metabolism

Oxidation or reduction to make soluble

Phase 2 drug metabolism

Conjugation to make water soluble

Causes of prehepatic jaundice

Haemolysis - malaria, e.coli...


Gilbert's syndrome - mutation in bilirubin UDP-glucuronyl transferase 1


Neonatal jaundice

Causes of hepatic jaundice

Liver injury disease or damage


Viral hepatitis

Causes for post hepatic jaundice

Gall stones


Pancreatic cancer

Features of prehepatic jaundice

Normal liver enzymes - AST/ALT ALP/gammaGT


Increased unconjugated bilirubin

Feature of hepatic jaundice

Increased bilirubin AST/ALT


Mild increased in ALP/gammaGT

Features of posthepatic jaundice

Increased bilirubin


Modest increase AST/ALP


Increased ALP/gammaGT

Extrinsic muscles of the tongue

Genioglossus


Hyoglossus


Styloglossus


Palatoglossus

Extrinsic muscles of the tongue

Genioglossus


Hyoglossus


Styloglossus


Palatoglossus

Genioglossus muscle

Mandible to tongue


Depress and protrude tongue


CNXII

Extrinsic muscles of the tongue

Genioglossus


Hyoglossus


Styloglossus


Palatoglossus

Genioglossus muscle

Mandible to tongue


Depress and protrude tongue


CNXII

Hyoglossus muscle

Hyoid bone to tongue


Depress and retract tongue


CNXII

Styloglossus muscle

Styloid process to tongue


Retract and elevate the tongue


CNXII

Styloglossus muscle

Styloid process to tongue


Retract and elevate the tongue


CNXII

Palatoglossus muscle

Soft palate to tongue


Elevate posterior tongue


CNX

Intrinsic muscles of the tongue

Longitudinal


Transverse


Vertical

Pancreatic Acinar cell

Polarised


Specialised for protein synthesis

Pancreatic Acinar cell

Polarised


Specialised for protein synthesis

Pancreatic duct epithelial cell

Synthesise and secrete electrolytes and fluid


So that acinar secretions don't block the duct

Pancreatic Acinar cell

Polarised


Specialised for protein synthesis

Pancreatic duct epithelial cell

Synthesise and secrete electrolytes and fluid


So that acinar secretions don't block the duct

Centroacinar cells

First cells of intercalated duct

Vitamin A deficiency

Night blindness


Corneal drying


Corneal degeneration


Blindness


Xerophthalmia


Impaired immunity


Hypo keratosis - decreased stratum corneum


Keratosis polaris

Vitamin A deficiency

Night blindness


Corneal drying


Corneal degeneration


Blindness


Xerophthalmia


Impaired immunity


Hypo keratosis - decreased stratum corneum


Keratosis polaris

Vitamin D deficiency

Impaired bone mineralisation


Bone softening


Rickets


Osteomalacia


?osteoporosis

Vitamin A deficiency

Night blindness


Corneal drying


Corneal degeneration


Blindness


Xerophthalmia


Impaired immunity


Hypo keratosis - decreased stratum corneum


Keratosis polaris

Vitamin D deficiency

Impaired bone mineralisation


Bone softening


Rickets


Osteomalacia


?osteoporosis

Vitamin E deficiency

Neurological problems due to poor nerve conduction