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38 Cards in this Set

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  • Back
oral cavity - what important kinds of mucosa are present?
lining mucose and masticatory mucosa.

masticatory is on the gums, hard palate, and dorsum of tongue (think of the tough parts) - this is keratinized.

lining mucosa - this is on the cheeks, lips, floor mouth, everywhere 'cept the gums and hard palate. NON keratanized. exception is the area at the vermilion of the lip - where it meets the facial skin.
what covers the tongue?
mucous projections called papillae.

1. filiform papillae: no taste buds, cover entire tongue, point backwards.

2. fungiform papillae: yes taste buds, look like mushroom tops

3. foliate papillae - yes taste buds, not a lot in humans, line the lateral edge of tongue pointing outwards

4. circumvallate papillae: 8-12 big round papillae at the back of the tongue. yes taste buds. surrounded by a moat! (rampart)
what are the teeth layers?
enamel - hardest substance in body, can't be re-formed once its made

dentin - most abundant

cementin - covers root to anchor it into the bone (which is primary or woven bone)

pulp cavity - leads to the apical foramen which contains nerves and blood supply.
what should we remember about enamel? what forms it?
lines of retzius - striations on the enamel from the development

enamel tufts - areas of failed calcification

made of hydroxyapetite crystals! made by the ectoderm enamel organ.
what makes dentin?
mineralized, but still harder than bone. calcified. contains collagen (enamel as NO collagen).

70% hydroxyapetite crystals, 30% collagen. made by odontoblasts...which persist and make more all the time

note that need to have dentin before you get enamel - so the odontoblast kinda initiates enamel secretion.
what does the parotid gland look like? what does it make?
all serous glands - so lots of protein in what they make. they stain darkly
what's up with the parotid gland?
up under the zygomatic arch, exclusively serous secretions (no mucous!). so, uniformly dark.

has both large, striated ducts

and small, intercalated ducts
what's up with the submandibular gland?
has both serous and mucous sections.
what's up with the sublingual gland?
totally mucous.
what's fun about the muscularis mucosa of the oral cavity?
doesn't exist.
face to vermilion to vestibule: what can you see different?
go from keratinized to parakeratainized at the vermillion. at this transition, there are relatively shallow projections of CT up through the epi (looks ridged). still have STRATUM GRANULOUSUM (dark-staining cells right at the top of the epi).

transition from vermilion to vestibule: STRATUM GRANULOUSUM ENDS. Epi gets thicker.
RBF and GFR, sympathetics and EPI. what's up?
sympathetic response: initially, b1 receptors on the juxtaglomerular cells cause renin release.

moderate sympathetics: start affecting Alpha 1's on afferent and efferents, dropping RBF and GFR (RBF more).

Lots of sympa: affect KF, drop GFR dramatically.

Epinephrine: only vasoactive effects on alpha 1 receptors to lower GFR and RBF. GFR stays constant a low epi, drops a lot at high epi.
late convoluted tubule/CD; what three things affect sodium absorption?
Increase Na/Cl reabsorption by HYPERKALEMIA

INCREASED flow

and Aldosterone.
what's the ring of lymphoid tissue in the mouth called?
waldeyer's ring.
go through the tooth layers:
outside is enamel, then dentin (most abundant), then at the bottom there's cementum keeping it all glued in the alveolous and in to the peridontal membrane.
talk about enamel: organization, where it comes from, cells...
acellular.

no collagen.

95% hydroxyapetite crystals.

made by ecodermally-derived enamel organ.

also made by AMELIOBLASTS (same thing as organ?). once it's made, can't be made again. Ameloblasts are tall columnar cells, with TOMES processes, infuse alkaline phosphotase.
where can you find hydroxyapetite crystals?
enamel, dentin, cementum, and bone.
what triggers dentin formation?
loss of enamel
what does vitamin c deficiency cause?
deficiency in sharpey's fibers, which connect cementum to the peridontal membrane.

note that sharpey's fibers are inside the peridontal membrane/ligament. shock absorbers. made of COLLAGEN
what kind of bone do teeth sit in?
woven bone (primary)
arrangement of the esophagus: what's weird about it?
there are glands in the submucosa - this and the duodenum are the only places where it happens.

in the esophagus, these glands are mucous, pepsinogen, and lysozyme
stomach: where are the goblet cells?
no goblet cells in stomach.
what are the cell layers are you descend into the pits?
at the top are mucous cells.

then, it's mucous neck cells intersperced with parietal cells.

then it's chief cells

at very bottom are argentaffin (enteroendorcine cells).
how can you tell apart cells in the stomach?
going down a pit:

at the top, everything's surface mucous. lighter staining, purple.

get into the neck, the ones that look like that but smaller are mucous neck.

then get into the very bottom, darker=blue cells that look like mucous cells are actually CHIEF CELLS.

parietal cells are kinda pink.
what's different about the pylorus and fundic portions of the stomach?
this is the ration thing:

short pits, long glands in the fundus.

evenly sized pits and glands in the pylorus.
tell me about surface mucosal cells: contrast to mucous neck.
no microvili, make SERIOUS BICARB amounts


mucous neck cells: shorter, more r ER and more bsophilic.

MUCOUS secretion is under vagal control so between meals.

So, no mucous made in the resting stomach.
parietal cells: what's up? how about the BL membrane?
lots of mitochondria (carbonic anhydrase requires ATP to get going). prominent sER

make intrinsic factor and HCl

the BL membrane has special receptors for gastrin, histamine, and Ach: these cause release of acid, KCl, and intrinsic factr
how about chief cells? what do they produce?
basally located nuclei, lots of ribosomes, make PEPSIN.

near base of glands., STRONGLY BASOPHILIC.

produces PEPSIN and a weak LIPASE.

some animals make RENNIN here to curdle milk.
what cells aren't found at the pyloric part of the stomach?
chief cells of parietal cells.
what/where bruner's glands?
they live in the submucosa of the duodenum: identify the stomach/duodenum junction.

they secrete high bicarb secretions to protect pancreatic enzymes so they can do their job.
what does a panneth cell?
panneth are not in the stomach, mostly in the small intestine, and some in the colon.

at the very bottom of a pit, EOSINOPHILIC GRANULES (pink).

secretes lysozyme, antimicrobial, can phagocytoze, big portion of bacteria-mediation in the small intestine. Alpha defensins.
what are the cell types we care about in the small intestine?
enterocytes, goblet cells, panneth cells, stem cells, endocrine cells, M cells (antigen presenting cells).

goblet cells are our mucous cells in the small intestine - there are no others.
how can you identify the ilium?
peyer's patches in between the mucosa and submucosa
physical features of large intestine?
not much of a lamia propria (vili sit right on MM), flat vili, apical cells,

NO PLICAE FOLDS ('cept in rectum)

2 cell types: goblet cells and columnar absorptive (h20). they each make up 50%

also, stem cells and enteroendocrine and scattered lymphocytes.
what are the crypts in large intestine?
Crypts of LIEBERKUHN
what's fun about the anal canal
squamous epithelium returns.

also, you loose your muscularis mucosa (you're not absorbing anymore).
what's up with sympathetic innervation of the pancreas?
it increases blood flow to it. para makes it secrete (acinar and other)
galbladder - what's missing?
no muscularis mucosa OR submucosa : the lamina propia backs up immediately into the muscularis externa.