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81 Cards in this Set
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abdomen topography: medicalviculat plan
subcostal plan intertubercular plan |
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median plan and transumbilical plane
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the abdominal wall layers
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skin/ superficial fascia fatty layer ( camper's fascia)/ superficial fascia membranous layer(scrapas fascia)/external oblique muscle / internal oblique muscle/ transversal abdominal muscle / transversalis fascia/ extra peritoneal fascia/ parental peritoneum
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abdominal wall muscle
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rectus muscle( azole jeloee)
external oblique internal oblique transverse oblique |
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abdominal muscle function
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in respiration system with contraction and relaxation ( inhalation) helps breathings
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greater omentum
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very large sheet fat for reserve energy
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mesentry
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The mesentery is a fold of membranous tissue that arises from the posterior wall of the peritoneal cavity and attaches to the intestinal tract.
it connects intestine to body |
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perientonum peritonium
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serious otlr visceral peritenum is continue by parental peritenium
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peritenium
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mucus membrane fun
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protective,secretory,absorptive,
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5 step in gastrointestinal tract
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ingestion, fragment, digestion, absorption, elimination
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hepatic vein
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vein that carries blood out of liver
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dodenum function
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first part of small intestim
bile from liver break fats and pancreases juice digestvall part of foods |
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portal vein
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carries blood from entire digestive tract to liver
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bacteria in large intestine
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makevvitamine
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protein
how digest converte to: |
denaturation by gastric juice
enzimatic hydrolysis to into polypeptide( trypsin, Chymotrypsin,elastas, carboxypeotidase) -->membrane bound peptide hydrolases produce amino acids -->carrier enzymes actively transport individual amino acids |
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carbohydrate
which part digest it |
enzymatic hydrolysis( salivary and pancreatoc Amylase)
membrane bound di and oligosacharidase ,glucouse,fructouse, galactos -->sorbed by facilitated diffusion |
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lipids
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trigliciride convert to course emulsion in stomache
converted into a fine emulsion by combination with bile acids in the duodenum pancreatic lipases break triglyceride down to monoglyceride and to two free fatty acids absprbe and then re-synthesised |
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oesophagus layers from inside
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epithelium( with gland) : startified squmpus non kratinised
2 lamina propria 3 muscular is mucousa: circular and longidinal layers adventia connective tissue |
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stomach histological layers
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1 epithelium( with gland) : simple columnar
2 lamina propria 3muskularis: fibrae obliqae, circular and longidinal layers subserosa peritoneum viscerale |
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colon histological layers
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1 epithelium( with gland)
2 lamina propria 3 muskularis: circular and taenia layers subserosa/ adventita peritoneum viscerale |
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small intestine histological layers
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mukosa:1 epithelium( with gland)
2 lamina propria 3 muskularis: circular and longitude layers subserosa peritoneum viscerale |
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nervous control of GI tract
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1 myentric plexuse ( BTW longitude and circular muscle)
2 submuscosal plexus( BTW circular and muscosal |
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blood supply in abdominal
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celiac( shekami)--> stomach, liver, pancrease ( foregut part)
superior mesentric artrey connected to small intestine and cecenum, ascending, part of transversal inferior mesentric artrey: to large intestine |
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lesser omentum
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connect liver to stomach
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stomach divided to
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1- fundus
2- body( corpus) 3- pylorus : end part of stomach |
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cardia stomach
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entrance of esphogaus
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greater curvature
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inferior part of stomach (gaster)
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lesser curvature
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place of connection of lesser momentum to stomach
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ragae
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curve shape of epithelium of stomache
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pylorus sphincter
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direct food to small intestine
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muscle layer of stomach
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longitude
oblique muscle layer circular muscle layer |
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gastric secretory cells
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mucousae neck cells
parental cell chief (peptic) cells enteroendocrone cells |
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small intestine parts
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dudenuom
jejenum ilium |
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duodenum func
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neutralize stomach acid
enzymatic digestion are received from liver and pancreas |
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bile duct location
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in duodenum
there two hole in duodenum: minor duodenal papilla and major duodenal papilla |
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small intestine jejenum function
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further enzymatic digestion, nutrient absorption
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plicae circulares
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surface of small intestine contain curving epithelium
it contain microvilly |
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ilium fun and location
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further enzymatic digestion, nutrient absorption,
local: lower right( and left quadrant) |
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crypt، villi
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intestinal crypts contain enteroendocrone cells responsible for?
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production of several intestinal hormones, including cholecystokinin and secretion, and enzymes with antibacterial activity
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lamina proper contains
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lymphatic cells
network of capillaries terminal lymphatic: lacteal--> transport material can't enter to capillaries( large lipid) |
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how dudenum keep epithelium
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it has abundant number of glands( submacousal glands), make large quantities of mucus --> protection from acid
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ileum and jeunum epithelial histology
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plicae and villi remain prominent over proximal half of jejenum( reduce absorption)
aggregated lymphoid nodules or Peters patches in ileum.( not allowed the bacteria from large intestine enter |
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colon function
location |
water resorption and electrocyted, micro floraaided digestion and nutrient absorption
absorption of important vitamin produced by bacteria sorting fecal loc: surrounding the small intestine sigmoid is intra- peritoneal( jelly peritetion) |
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colon parts
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ceceum
ascending trasverse sigmoid rectum anal canal |
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omentral appenics?
haustra? |
serous of colon contains numourous teardrop shape
haustra: series of pouches that allow a long at I on in colon |
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taeniae coil
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separate longitudinal ribbon of smooth muscle on outer surface of the colon
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epithelium of colon
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simple columnar epithelium with many foveolae |
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colon histolgy
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thinner wall
lack of villi globlet cells are abundant large intestine has distinctive crypts, deeper gland large lymphoid nodes no longitudinal layer,it reduced to taenia coli |
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rectum location
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retro peritoneal
internal and external sphincters |
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anus canal epithelium
end anus |
stratified sqoumus nonkratinised ( same as mouth)
similar to skin keratinised |
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rectum epithelium
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single layer columnar epithelium
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liver( hepar) location
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it start from right colic flexure( khamshodegie roode bozorg) to left colic flexure, next to spleen
intra peritoneal organ |
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liver lobes
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right lobe
quadrate lobe left lobe |
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falciform ligament
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anterior surface , a ventral mesentery , the falciform ligament mark division between lobs
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four loubs of livet
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left
right quardratic caudate lobe |
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gastry secretory cells tepys: mucousae neck cell fun
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mocouse neck shape cells are columnar in shape, for lubrication
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gastry secretory cells tepy chief cell or peptic cell
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secret pepsinogen convert by acid to pepsin( protein digestion)
newborn baby stomach produce rennin and gastric lipase( milk digestion) |
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gastry secretory cells tepys: mucousae parental cell fun
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intrinsic factor --> fascilitate absorption of vitamin B12and hydrochloric acid HCL---> kills microorganism, breal dpwn cell wall of food
activate secretion of chief cells |
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gastry secretory cells tepys: enteroendpcrine cell fun
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g cells: most abundant in gastric pits of pyloric region( secret gastric)
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gastin hormones fun
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active parental and chief cells and smooth muscle activity
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blood supply to stomach
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three branches of celiac trunk
1- left gastric artrey: lesser curvature and cardiac 2- the splenic artrey: supply the fundus and greater curvature 3- coomon hepatic:lesser and greatur of pylorus |
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plicae circularis
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number of villi projecting into the lumenof the small intestine.
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affarent blood vessels and other structure reach the liver by traveling by connective tissue known as
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porta hepatis
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two blood vessels deliver blood to liver
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hepatic artrey proper
hepatic portal veib |
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liver function
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1-metabolic regulation
2-hematological regulation: remove old rbc , synthesize plasma proteon 3-synthesize and secretion of bile |
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hepatocyte
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liver cell
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kupffer
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type of phagocyte and macrophage cells
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liver fun
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fat metabolism-> oxidizing triglycerides, synthesis of cholesterol and phospholipid
carbohydrate metabolism-> conversion of carbohydrates into fatty acids and triglycirids, regulation of blood glucose by glycogenolysis, glyconeogenisis protein metabolism-> synthesis of plasma proteins( albumin, coagulations),synthesis of non essential amino acids,detoxification or metabolic waste ( ammonia) storage-> glycogen, vitamins A,D,K,B12, iron, copper intermediary metabolism-> detoxification of drugs and toxins( alcohol,industrial chemicals, pharmaceuticals) secretion--> bile, hormones( igf, thrombopoietin,angiotensin) |
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bile canaliculi
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network canals between hepatocytes in liver
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cystic duct
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duct connective gall bladder to common duct
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cystic artrey
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blood vessel of gall bladder
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panxretic acini
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secretory unit in pancreas( exocrine)
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epithelium of collecting ducts
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larger collecting ducts lined by stratified cuboidal epithelium
smaller collecting ducts lined by simple cuboidal epithelium mucouse |
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pancreatic ducts secret buffers
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HCO3( sudium bicarbonate) and water
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pancreatic islet
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endocrine cells in oancreae
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pp cells secret
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pancreatic polypeptide control nutrient absorption
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sigma cells secret
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somatostatine, slows food absorption
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betta cells secretion
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insulin
decrease blood glucose |
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alpha cells absorption
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glucagen
increase blood suger |
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