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24 Cards in this Set

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Gastroenterology

Deals with the structure function diagnosis and treatment of diseases of the stomach and intestines

Digestive process

Are five basic activities ingestion


movement of food digestion


absorption


defecation

Mechanical vs chemical digestion

Mechanical Break down


is the physical breakdown of food



chemical breakdown is the chemical reactions that break food molecules by enzymes which help speed up the chemical reaction

Organization

GI tract is Continuous tube extending from mouth to anus



Accessory structures


Teeth


tongue


salivary gland


liver


gallbladder


pancreas


Histology of GI Tract

Four layers


Mucosa which has 3 layers epithelium has direct contact with content in stomach ,lamina propria is an areolar connective tissue , and muscularis mocosae smooth muscle tissue



Submucosa areolar connective tissue


highly vascular regulate secretion of blood vessels constriction contains lymphatic tissue


Muscularis inner circular fibers


Outer longitudinal fibers


Skeletal muscle in mouth pharynx superior esophagus external anal sphincter


Smooth muscle


Contains nerve supply of GI tract


Serosa


Most Superficial


serous membrane


also called visceral peritoneum inferior to diaphragm



Parietal peritoneum,visceral peritoneum,peritoneal cavity

Parietal peritoneum


Lines the body wall of the abdominopelvic cavity


Visceral peritoneum


Covers organs within the cavity also termed the Serosa


Peritoneal cavity


The space between the parietal and visceral peritoneum contains serous fluid

Mesentery

Between small intestine and posterior

Mesocolon


•Binds the large intestine to the abdominal wall


•Carries blood and lymphatic vessels to the intestines

Falciform ligament

Attaches the liver to the anterior abdominal wall and diaphragm


•Liver is only organ attached to the anterior abdominal wall

Lesser omentum

From stomach to liver and duodenum


Along lesser curvature stomach

Greater omentum

From the stomach ,draping over the transverse colon and in front of the small intestine


Contains adipose tissue and many lymph nodes

Mouth oral cavity

Cheeks


Lips


Labia frenulum the split that connects your lip to your gum


Vestibule bind gum and teeth together


Faucet throat


Hard palate roof of u your mouth


Oral cavity


Soft palate bottom of the mouth


Uvulva muscular process hanging from the free border


Palatoglossal arch


Plato pharyngitis arch


Palatine tonsils between arches


Lingual tonsils at the base of the tongue

Tongue

Extrinsic muscles


Originate outside the tongue and insert


•moves tongue


Intrinsic muscles


Originate and insert in the connective tissue


•Alter the shape and size of tongue for speech and swallowing



Median septum


Divides the tongue symmetrically


Lingual frenulum


Midline of the under tongue


Filiform anterior of tongue


Fungiform near tip


Circumvallete in V on posterior

Salivary gland

•secrete saliva to lubricate mouth


•secrete lingual lipase to digest fat


•Buccal gland and minor salivary glands


•three pairs of major salivary gland

Pharynx and swallowing

Pharynx


3 part


Nasopharynx


Oropharynx


Laryngopharynx



Swallowing


•Voluntary


•Pharyngeal


•Esophageal



esophagus

Muscular tube


lies posterior to trachea


10 inches


begins inferior end if the Laryngopharynx


•Pierces diaphragm through Esophageal hiatus


Upper Esophageal sphincter between Laryngopharynx and esophagus


Peristalsis muscle movement that pushes food


Lower esophageal sphincter


between esophagus and stomach


Stomach

J shaped enlargement of the GI tract


•Inferior to the diaphragm


•Function mixing and holding


Four main areas


Cardia surrounds the superior opening of the stomach


Fundus social security in to the left of the cardia


Body central portion of the stomach


Pylorus region of the stomach connected to the duodenum


Pylotic antrum connects to the body of the stomach


Pyloric canal leads into the duodenum


Rugae larg fold in the mucosa when stomach is empty


Lesser curvature medial border


Greater curvature lateral border


Pancreas

5 to 6 inches


1 inch thick


Three parts


head


body


tail


It is also posterior to the greater curvature


Two ducts connect to the duedenem


• also called duck of wiring


Enters the duodenum at the hepatopancreatic


•Pancreatic juice controlled by the sphincter of oddi


Accessory duct


Inters duodenal superior to the hepatopancreatic ampulla

Liver

Lobes functional unit of the liver made up of liver cells arranged around the central vein


Central vein van in the middle of the lobes responsible for a blood flow


Sinusoids large spaces which blood passes instead of capillaries

Process of bile excretion

Bile secreted by hepatocytes to emulsify lipids


Bile travels through


Right&left hepatic ducts


Common hepatic duct and cystic forms common bile duct

Liver

Bile secretion


•Carbohydrates lipids and proteins metabalism •removal of drugs and hormones


•excretion of bilirubin •synthesis of bile salts •storage of vitamins •phagocytosis of old blood cells


•activation of vitamin D

Gallbladder

Function


Stores bile


concentrate bile

Small intestine

The site of most digestion and absorption


three parts


duodenum


jejunum


ileum



Larg intestines

Functions


•Completion of absorption


• manufacture of certain vitamins


•formation of feces and defecation


•5 feet long


●4 principal regions


Cecum


•Colon = ascending colon goes up


transverse colon goes accross


descending colon going down


sigmoid colon going back toward midline to connect to rectum


•rectum and Anal canal


Anal columns folds in the mucous membrane


anus opening to the outside with internal spincter (smooth muscle) external sphincter cantrol anus (Skeletal muscle) voluntary