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42 Cards in this Set

  • Front
  • Back

The four basic processes of the digestive system

1) Motility


2) Secretion


3) Digestion


4) Absorption

Layers of digestive tract


Mucosa

lines side surface of tract

Layers of digestive tract


Submucosa

elastic layer with lots of blood vessels and lymphatic

Layers of the digestive tract


Muscularis externa

smooth muscle

Layers of the digestive tract


Serosa

outer covering

MOUTH

palate: arched part of mouth cavity and the soft palate is what collapses in sleep apnea


Teeth: Chewing and breaking up food *mechanical digestion*


Mix food with saliva



PHARYNX

-Where mouth cavity and nasal passages meet


-tonsils are here


-swallowing occurs here (bolus of food)

Sphincters in the esophagus

Gastroesophageal sphincter: prevents contents of stomach from splashing up into esophagus (if this opens then you get acid reflux)


Pyloric: end of stomach and beginning of small intestine (gradually over a period of hours allows chyme to enter small intestine)

STOMACH

-food storage until it can be emptied into small intestine


-Churns up food into chyme *mechanical digestion*


-Some chemical digestion of proteins

Mucosa of the stomach secretes several Things:



-Mucus


-HCL


-Enzymes


-Intrinsic Factor


-Gastrin

Pyloric Sphincter allows chyme to enter the small intestine

-This is controlled by hormones (Secretin and Cholecystokinin)


-These hormones act in stomach lining and inhibit contractions


-Hormones are released by small intestine in response to: Fat, Acid, and Hypertonicity



Peptic ulcer

Erosion of the stomach wall


Mucus barrier does't work great


Acid and enzymes attack lining of stomach


WHY? because Bacterium Helicobacter pylori infects lining of stomach


Treatment: antacids and antibiotics

Accessory organs of the digestive system

Pancreas


Liver


gallbladder



PANCREAS

Mixed organ: has both endocrine and exocrine functions


Endocrine are islet of Langerhans for glucagon and insulin


Exocrine cells secrete things that move through a duct into small intestine

Enzymes for protein digestion

Made as inactive precursors that are activated in the lumen of the small intestine:


Trypsinogen= trypsin for cutting proteins into amino acid chains


Chymotryposinogen= Chymotrypsin for same thing


Procarboxypeptidase= carboxypeptididase for chopping amino acids off of one end of amino acid chains

Enzyme for carbohydrate digestion

Pancreatic Amylase: digests polysaccharides to maltose

Enzyme for fat digestion

Lipase: clips fatty acids off of glycerol

Regulation of pancreatic secretion

-Secretin hormone increases secretion


-Cholyecystokinin increases secretion

LIVER

Largest organ


Functions: makes blue salts (which aid in digestion of fats), Detoxifies drugs and poisons



Bile Salts

-Bile Salts are made from the lipid cholesterol


-They aid in digestion of fats by breaking up large fat droplets into smaller ones


-The are amphipathic (part hydrophobic part hydrophilic)


-Made continuously in the liver


-Stored in the Gall bladder

Gall stones

80% cholesterol and 20% bilirubin


some people get and we don't know why


can cause pain and can be passed but sometimes need surgery to remove the gallbladder

SMALL INTESTINE

-Function is to finish digestion and abrsrob nutrients into the body (most important site of digestion and absorption)


-Three parts: duodenum, jejunum, ileum


-lots of projections in wall of small intestine and folds

LARGE INTESTINE

-No digestion here

-Mostly reabsorbs water from chyme reaching it


-what remains after all that liquid absorbed is feces


-Contains lots of bacteria




Colorectal cancer

-wall of colon becomes cancerous


-Polyp is growth of cancer cells growing into large intestine


-If left, can keep growing and change over time


Colonoscopy: flexible light and camera inserted through anus to examine colon

Celiac disease/ Gluten problems

-Gluten is two proteins in wheat/rye/barely that associate together (when you bake the bubbles that form when you use a leavening agent form stringy strands that trap bubbles


-Some people are allergic to gluten (there immune system recognizes it as an antigen to respond to and initiates inflammation


-Symptoms: bloating, diarrhea, constipation, pale, foul-smelling or fatty stool irritability, depression

Fecal transplant for Clostridium difficile infections

C. difficile is bacterium in most peoples gut, often times after antibiotic treatment, C. difficile becomes the dominant bacterial species which is bad- causes diarrhea and does NOT stop until normal microbes are restored

KIDNEY

Functions: maintaining water balance and plasma volume in body


regulating ion balance in the body


Excreting water soluble

Urinary system

-kidneys


-ureters


-urinary bladder


-urethra





Kidney

Renal cortex (outer part)


Renal medulla (inner part)

The Nephron

This is the functional unit of the kidney. The kidney is mostly lots and lots of nephrons all packed together

The Nephron is just a tube:

-Bowmans capsule


-Proximal tubule


-Loop of Henle (depending and ascending)


-Distal tubule


-Collecting duct

Filtration in the Nephron

-blood enters glomerulus at pretty high pressure

-fluid leaks out of pores in capillary and between cells of bowman capsule


-all cells and proteins stay in capillaries only plasma leaves


This fluid is called filtrate



Reabsorption in the Nephron

of 180L of filtrate, 178.5L is reabsorbed by the peritubular capillaries


*filtration requires no energy and is nonselective


Whatever is left in the nephron is waste and water


1.5L of urine a day but this is an average


Color of urine gives indication of how much water is going out





Secretion in Nephron

Secretion is active transport of stuff out of blood/tissue fluid and into the nephron



Urine

whatever is filtered and not reabsorbed is filtered and not reabsorbed, plus whatever is secreted into nephron

**SEE NOTES FOR DETAILS OF ALL THREE

flirtration, reabsorption, and secretion in the Nephron

Glucose reabsorption

Active transport by transporter protein

Tm (maximum amount that can be transported if every transporter protein is being used


Tm for glucose is 375 mg/min


any higher glucose level and excess stays in urine


Untreated diabetics can have blood glucose in excess of this so glucose appears in urine


Potassium secretion

most (98%) of potassium is intracellular


but concentration in ECF is important! esp for neurons and muscles


*see notes for how it works



drug secretion

some drugs are actively secreted into the filtrate uses ATP and a membrane pump ( ex. penicillins)

Regulation of water balance in the Kidney

-kidney makes urine of different concentrations


-all due to the osmotic gradient in kidney from cortex to medulla


-80% of water is reabsorbed prior to fluid reaching the distal tubule and collecting duct. The 20% left can stay in urine or be reabsorbed



Vasopressin

antidiuretic hormone that is made in the hypothalamus and stored in posterior pituitary


When water needs to be conserved, vasopressin is released

Aquaporins

water channels


Vasopressin causes aquaporins to be inserted into the luminal membrane of these cells