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Flashcards

Intro to the GI System

Lareyna Mcmenemy MD2001 Inglês 32 flashcards

Flashcards do conjunto (32)

  1. 1Describe the passage of food through the GI systemMouth --> Oesophagus --> Stomach --> Duodenum --> Intestines --> Rectum --> Anus
  2. 2What are the functions of the GI system?Absorption
    • Optimised by secretion
    Digestion
    Storage
    Excretion
  3. 3Define: AbsorptionThe process of transporting dietary contents across the GI barrier into the body
  4. 4How are the nutrients prepared for absorption?Mechanical breakdown - involving smooth & skeletal muscle contraction
    Chemical breakdown - Digestion
  5. 5Define: Secretion in the GI systemThe act of transporting molecules or fluid from the body to the GI lumen
    • facilitates digestion by delivering enzymes + water & protects the endothelial surface by secreting HCO3- + mucus
  6. 6Name the layers of the GI lime from inner to outer-mostMucosa -- Submucosa -- Muscularis Externa (Circular - Longitudinal muscle) -- Serosa
  7. 7Composition of the mucosal layerEpithelium -
    • cells shed every 2-3 days
    • extend of villi & crypts vary along the tube
    • apical side = GI lumen, basolateral side = interstitium & vasculature
    Lamina propria -
    • loose connective tissue - elastin & collagen fibres
    • contains sensory nevre, blood + lymph vessels & secretory glands
    Muscularis mucosa -
    • smooth muscle layer w/ folds & ridges
  8. 8Composition of the submucosal layerThick layer similar to lamina propria
    • incorporates blood vessels & nerve bundles that form the submucosal or meissner plexus (an integral part of the Enteric NS)
  9. 9Composition of the muscularis externaCircular muscle + Myenteric plexus (Aurebach plexus) + Longitudinal muscle
    • ENS coordinates contraction
    • Sphincters regulate flow between compartments
  10. 10Composition of serosaOutermost layer of connective tissue + a layer of squamous epithelial cells
    NOTE --> some sections of the GI system don't have a serosa layer but instead connect directly to adventitia
  11. 11What 3 divisions of the ANS regulate GI function?Parasympathetic NS - facilitates secretion & motility
    Sympathetic NS - decreases secretion & motility
    Enteric NS - operate autonomously, via intrinsic regulation & sensory reflexes
  12. 12What nerves supply Parasympathetic innervation to the GI tract?Vagus nerve & Pelvic-splanichnic nerves
    • Have sensory & motor components which respond to; stretch, pressure, temperature + osmolarity
  13. 13Where do the nerves of the sympathetic NS originate & where do they synapse?Originate in the thoracic + lumbar regions & synapse in:
    • celiac ganglia
    • superior or inferior mesenteric ganglia
  14. 14Into what are ENS nerves organised?Myenteric & Submucosal plexuses
  15. 15Role of the myenteric plexusRegulates intestinal smooth muscle & participates in tonic + rhythmic contractions
  16. 16Role of the submucosal plexusRegulates intestinal secretions & local absorptive environment
  17. 17How are GI reflex actions regulated?Neural circuits involving mechanoreceptor or chemoreceptor stimulation in the mucosa
  18. 18Name 7 GI neurotransmitters & neuromoderators• ACh - PSNS
    • Vasoactive Intestinal Peptide -PSNS
    • Norepinephrine - SNS
    • Neuropeptide Y - SNS
    • Gastric-releasing peptide - PSNS
    • Substance P - PSNS
    • Enkephalins - ENS
  19. 19GI hormones• Cholecystokinin - I cells, ↑ pancreatic & biliary secretions
    • Gastrin - G cells, ↑H+ secretions
    • Glucose-dependant insulinotropic peptide - K cells, ↑ insulin release & ↑ H+ release
    • Motilin - M cells, ↑ motility
    • Secretin - S cells, ↑ water + HCO3- secretion & ↓ H+
  20. 20GI Paracrines• Histamine - released from enterochromaffin-like cells + mass cells , ↑H+ production
    • Prostaglandins - ↓ H+ & maintain GI barrier properties
    • Somatostatin - D cells, ↓GI secretions
  21. 21What are the 3 Digestive Phases1. Cephalic phase
    2. Gastric phase
    3. Intestintal phase
  22. 22Describe the Cephalic phaseTriggered by the thought or association of food
    • primarily neural & causes the secretion of ACh + VIP by salivary glands, stomach, pancreas + intestines
  23. 23Describe the Gastric phaseTrigged when food & oral secretions reach the stomach
    • elicits neural, hormonal & paracrine GI response
  24. 24Describe the Intestinal phaseTriggered when the stomach content reach the duodenum
    • primarily initiates a hormonal, but also paracrine & neural, response
  25. 25Function of: The mouthMastication - mechanical & chemical breakdown
    • teeth - cut, tear & pierce / grind & crush
    • jaw muscles - provide force & motion
    • tongue - repositions food
  26. 26Function of: Salivary glandsRelease watery fluid which lubricates the mouth & begins food digestion
    NOTE --> the fluid is hypotonic to plasma & its commotion is determined by ductal modifications of primary secretion
  27. 27What are the 2 functions of the oesophagus?Swallowing -
    • initiated voluntarily
    • PS process - afferent feedback to swallowing centres & efferent response tough other nuclei
    Peristalsis -
    • a series of co-ordinated muscle contractions & relaxations
    • commences after upper oesophageal sphincter
  28. 28Functions of: The Stomach• Accepts & stores food
    • Mixes food w/ secretions
    • Digests food
    • Delivers food to the small intestine
  29. 29Where do secretions come from?Pit, gastric invaginations, containing multiple cells types
  30. 30What are the 3 sections of the small intestine?Duodenum
    Jejunum
    Ileum
  31. 31Name the regions of the large intestine from where it joins the small intestine to the anusCaecum
    Ascending - Transverse - Descending - Sigmoid Colon
    Rectum
    Anus
  32. 32What are the functions of the intestines?Small - absorption of macronutrients, vitamins & minerals
    Large - water & ion absorption

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MD2001 FlashCards sobre Intro to the GI System, criado por Lareyna Mcmenemy em 01-08-2018.
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