digestivesystem 2012

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    The Digestive System

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    Digestion

    Processing of food

    Types

    Mechanical (physical)

    Chew Tear

    Grind

    Mash

    Mix

    Chemical Catabolic reactions

    Enzymatic hydrolysis

    Carbohydrate

    Protein

    Lipid

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    Digestion

    Phases

    Ingestion

    MovementDigestion

    Absorption

    Further digestion

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    Digestive System Organization

    Gastrointestinal (Gl) tract (Alimentary canal)

    Tube within a tube

    Direct link/path between organs

    Structures Mouth

    Oral Cavity

    Pharynx

    Esophagus

    Stomach Duedenum

    Jejenum

    Ileum

    Cecum

    Ascending colon

    Transverse colon

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    Digestive System Organization

    Descending colon

    Sigmoid colon

    Rectum

    Anus

    Accessory structures Not in tube path

    Organs

    Teeth

    Tongue

    Salivary glands Liver

    Gall bladder

    Pancreas

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    Anatomy of the Mouth and

    Throat

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    Human Deciduous and

    Permanent Teeth

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    Dorsal Surface of the Tongue

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    The Major Salivary Glands

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    Deglutition (swallowing)

    Sequence

    Voluntary stage

    Push food to back ofmouth

    Pharyngeal stage Raise

    Soft palate

    Larynx + hyoid

    Tongue to soft palate

    Esophageal stage

    Contract pharyngealmuscles

    Open esophagus

    Start peristalsis

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    Deglutition (swallowing)

    Control

    Nerves

    Glossopharyngeal

    Vagus

    Accessory Brain stem

    Deglutition center

    Medulla oblongata

    Pons

    Disorders Dysphagia

    Aphagia

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    Esophagus

    Usually collapsed (closed)

    3 constrictions

    Aortic arch

    Left primary bronchus Diaphragm

    Surrounded by

    SNS plexus

    Blood vessels

    Functions

    Secrete mucous

    Transport food

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    Peristalsis and Segmentation

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    Esophagus

    Sphincters

    Upper

    Lower

    Abnormalities

    Achalasia

    Atresia

    Hernia Barrets esophagus

    Esophageal varices

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    Stomach

    Usually J shaped

    Left side, anterior to the spleen

    Mucous membrane

    G cellsmake gastrin

    Goblet cellsmake mucous

    Gastric pitOxyntic glandParietal cellsMakeHCl

    Chief cellsZymogenic cells Pepsin

    Gastric lipase

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    Anatomy of the Stomach

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    Stomach

    Muscularis membrane :

    Oblique

    Circular

    Longitudinal

    Serosa membrane

    Regions

    Cardiac sphincter

    Fundus Corpus

    Antrum Pyloric

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    Stomach

    Functions

    Mix food

    Reservoir

    Start digestion of

    Protein

    Nucleic acids

    Fats

    Activates some enzymes

    Destroy some bacteria

    Makes intrinsic factorB12 absorption

    Absorbs

    Alcohol

    Water

    Lipophilic acid B 12

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    Small Intestine

    Extends from pyloric

    sphincterileocecal

    valve

    Regions Duodenum

    Jejenum

    Ileum

    Movements Segmentation

    Peristalsis

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    Small Intestine

    Histology

    Intestinal glandsIntestinal enzymes

    Duodenal glandsAlkaline mucous

    Paneth cellsLysozyme Microvilli

    Lacteals

    Plica circularis

    Smooth muscle Lymphatic tissueGALT

    Vascular

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    Small Intestine

    Absorbs

    80% ingested water

    Electrolytes

    Vitamins

    Minerals

    Carbonates

    Active/facilitatedtransport

    Monosaccharides

    Proteins Di-/tripeptides

    Amino acids

    Lipids

    Monoglycerides

    Fatty acids

    Micelles Chylomicrons

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    Structure of the Villi in the

    Small Intestine

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    Small Intestine

    Secretes digestiveenzymes Peptidases

    Amino-

    Di- Tri-

    Sucrases

    Maltase

    Lactase

    Saccharidases Di-

    Tri-

    Lipase

    Nucleases

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    Small Intestine

    Requires pancreatic

    enzymes & bile to

    complete digestion

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    Large Intestine

    Extends from ileocecal valve to anus

    Regions

    CecumAppendix

    Colon

    Ascending

    Transverse

    Descending

    Rectum

    Anal canal

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    Anatomy of the Large Intestine

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    Large Intestine

    Histology

    No villi

    No permanent circular foldsSmooth muscle

    Taeniae coli

    Haustra

    Epiploic appendages

    Otherwise like rest of Gl tract

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    Large Intestine

    Functions

    Mechanical digestion

    Haustral churning

    Peristalsis

    Reflexes

    Gastroileal

    Gastrocolic

    Chemical digestion

    Bacterial digestion Ferment carbohydrates

    Protein/amino acid

    breakdown

    Absorbs

    More water

    Vitamins

    B

    K

    Concentrate/eliminatewastes

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    Feces Formation and Defecation

    Chyme dehydrated toform feces

    Feces composition

    Water

    Inorganic salts

    Epithelial cells

    Bacteria

    Byproducts of digestion

    Defecation Peristalsis pushes feces

    into rectum

    Rectal walls stretch

    Control

    Parasympathetic

    Voluntary

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    Liver

    Location

    R. Hypochondrium

    Epigastric region

    4 Lobes Left

    Quadrate

    Caudate

    Right

    Each lobe has lobulesContains hepatocytesSurround sinusoidsFeed into central vein

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    Liver

    Functions

    Makes bile

    Detergentemulsifiesfats

    Release promoted by: Vagus n.

    Secretin

    Contains

    Water

    Bile salts

    Bile pigments Electrolytes

    Cholesterol

    Lecithin

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    Liver

    Detoxifies/removes

    Drugs

    Alcohol

    Stores

    Gycolgen

    Vitamins (A, D, E, K)

    Fe and other minerals

    Cholesterol

    Activates vitamin D

    Fetal RBC production

    Phagocytosis

    Metabolizes absorbed foodmolecules

    Carbohydrates

    Proteins

    Lipids

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    Liver

    Dual blood supply

    Hepatic portal vein

    Direct input from small

    intestine Hepatic artery/vein

    Direct links to heart

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    The Duodenum and Related

    Organs

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    The Organs and Positions in the

    Abdominal Cavity

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    Structures of the Alimentary

    Canal