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19 Cards in this Set

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Heartburn

Burning-type discomfort in epigastric region. Mainly after meals. (dyspepsia)

GP Visit after 1 year

H. Pylori ruled out because eradicated

2nd GP visit after 5 years

Dyspepsia (GORD)


Dysphagia - Food gets stuck

Gastro-oesophageal reflux disorder

Barrett's oesophagus

Oesophagus cells begin to look like intestinal cells. Damaged by stomach acid.

Normal oesophagus - pink and smooth

Barrett's is red and velvety (metaplasia)

Treatment for Barrett's

Proton Pump Inhibitors

GI Tract Functions


Oesophagus


Stomach


Small intestine


Large intestine

Food passage


Mecha and enzyme digestion


Enzymatic and absorption


Absorb H2O and storage

GI Tract Wall

Mucosa


Submucosa


Muscularis


Serosa/ (Adventitia)

MSMS

Mucosa

Epithelium


Lamina propria


Muscularis mucosae

ELM

Serosa vs Adventitia function

Secrete lubricant to reduce muscle friction.


Connective tissue to bind structures together.

Serosa vs Adventitia location

Serosa: Middle of GI, 3S - "Serosa, Stomach, Small intestine"


Adventitia: 1st & last, Oesophagus and Colon

Oesophagus epithelium

Stratified


Squamous


Non-keratinised


(Sloughed by food)

Oesophagus muscle

Top 1/3 - striated skeletal (voluntary)


Mid 1/3 - transition


Low 1/3 - smooth muscle (involuntary)

STS

Stomach does (2) & is (1)

Mechanical digestion


Enzymatic digestion


Highly acidic

Stomach has

Oblique muscles for churning - extras

Stomach epithelium

Simple


Columnar


Mucous-producing


(Form gastric pits)

Small intestine bits


Duodenum


Jejunum


Ileum

Retroperitoneal, Brunner's glands


Main absorptive site


Smaller calibre, GALT (Peyer patch)

Large intestine bits


Cecum


Colon (ATD)


Rectum

Absorbs stuff

Cell types in small intestine

Paneth


-Lysosomes & Defensins


Enteroendocrine


-APUD (Amine Precursor Uptake and Decarboxylase) & Argentaffin