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Two main groups of the digestive system
alimentary canal
accessory digestive organs
Alimentary canal
AKA gastrointestinal (GI) tract
one, long, muscular, hollow tube that extends from the mouth to the anus
includes the mouth, pharynx, esophagus, stomach, and small/large intestines
along this path, food can be broken down into smaller pieces that can be absorbed through the lining
Accessory digestive organs
teeth, tongue, gallbladder, salivary glands, liver, and pancreas
Five main processes of digestion
ingestion
propulsion
mechanical and enzymatic digestion
absorption
elimination
Mechanical and enzymatic digestion begin in the...
mouth
salivary glands produce the carbohydrate metabolizing enzyme amylase in addition to saliva to aid in digestion of food particles
Sections of the small intestine
duodenum
jejunum
ileum
Liver produces...
bile
What does bile do?
helps move lipid particles through the small intestine
Most lipid digestion takes place in the...
small intestine
Lipase is produced in the...
pancreas
The liver converts...
fructose and galactose into glucose
Enzymes are _________ in the stomach
inactivated
What type of acid is in the stomach?
hydrochloric acid (HCl)
The Arcade
the extensive anastomosis network in the vessels of the gut
Muscle(s) of tidal inspiration
External intercostals
diaphragm
Muscle(s) for forced inspiration
Sternocleidomastoid
Muscle(s) of tidal expiration
Diaphragm relaxes
Pulmonary surfactant
surface-active lipoprotein complex (phospholipoprotein) formed by type II alveolar cells
acts to reduce surface tension and reduce fluid accumulation - keeps airways dry
Insufficient surfactant
collapsed alveolus
inadequate oxygen exchange
Sufficient surfactant
expanded alveolus
adequate oxygen exchange
Common iliac vein is...
unique to humans
Primary function of the respiratory system
release CO2 from the body and acquire O2 for use by the body
Respiration can be thought of as four steps:
Pulmonary ventilation
External respiration
Transport of respiratory gasses
Internal Respiration
Pulmonary Ventilation
movement of air in and out of the lungs so that the gasses in the lungs are constantly refreshed with infusions of new air and effusions of old air
External Respiration
Carbon dioxide diffuses to the lungs from the blood, and oxygen diffuses to the blood from the lungs
Transport of Respiratory Gasses
CO2 is transported from the cells of body tissues to the lungs, and O2 is transported from the lungs to the cells of body tissues
Internal Respiration
O2 diffuses from the blood to the cells of the body, and CO2 diffuses from the cells of the body to the blood
Upper Respiratory System
consists of the structures from the nose to the larynx
Lower Respiratory System
consists of the larynx and the structures inferior to it
Function of the Nose
warms and moistens the air
provides a resonating chamber for vocalizations
cleans and filters entering air
houses the olfactory receptors
What causes the difference in nose shapes?
Differences in nasal cartilages
Nose bones are pretty consistent
Superior nasal cavity is lined with...
Olfactory mucosa
Olfactory mucosa
Contains smell receptors
Rest of the nasal cavity is lined with...
pseudostratified ciliated columnar epithelium
Pseudostratified Ciliated Columnar Epithelium contains...
contains goblet cells and seromucous glands
Seromucous glands have:
cells that secrete mucus to trap bacteria and debris
cells that secrete a watery, enzyme rich fluid to humidify and kill bacteria (lysozyme)
Respiratory mucosa epithelial cells secrete...
antibiotic defensins to assist in killing microbial invaders
Cilia of the nasal cavity
sweep contaminated mucus towards the throat to be swallowed and digested
How does cold air effect nasal cilia?
Slows the cilia and thus allows some mucus to dribble out the nostrils
Sneeze Reflex
when irritants contact the rich supply of sensory nerve endings in the nasal cavity
sneezing forced the irritants out to protect the body from them
Veins and plexuses of capillaries near the nose
Function to warm air as it is inspired
Cold air reflexively stimulated these plexuses to engorge with blood allowing for greater heat transfer
Nose bleeds
the superficial location of capillaries and plexuses of the nose exposes and makes them easy to damage, resulting in nose bleeds
Nasal conche
increases surface area and helps create turbulence, which deflects non-gaseous particles onto the mucus coatings
Heat moisture gradient
constantly flipping each time we breathe out and then back in
Paranasal sinuses
Lighten the skull
Prone to inflammation due to infection or allergies
4 Paranasal Sinuses
frontal, sphenoid, ethmoid, maxillary
Sinusitis
inflammation of the sinuses
What happens when the sinuses are inflamed?
Additional mucus is produced and can block the openings between the sinus and the nasal cavity
The air in the sinus is absorbed and a partial vacuum is created, which causes the pain with a sinus headache
Inflammation of the nasal mucosa
can cause excessive mucus production leading to congestion and postnasal drip
What structures move superiorly during swallowing?
The SOFT PALATE and the UVULA move superiorly to block off the NASOPHARYNX
What moves over the larynx during swallowing?
The EPIGLOTTIS moves over the larynx to keep food out of the nasal cavity and lungs
Within the nasopharynx, what propels mucus towards the stomach?
Cilia!
Pharyngeal tonsil
Adenoid
contains lymphatic tissue that traps and destroys pathogens
When the pharyngeal tonsils are swollen,
they can block air passage and force the patient to breath through the mouth which greatly decreases the warming, filtering, and humidifying effects on the air
Pharyngotympanic tubes
connect the middle ear to the nasopharynx so that the air in the middle ear can match pressure with the atmospheric air
this is important for sound conduction and proper hearing
Oropharynx and laryngopharynx
receive both food and air and thus have a more protective stratified squamous epithelium
Respiratory zone
site of external respiration (gas exchange)
made up of the alveoli, alveolar ducts, and respiratory bronchioles
Conducting zone
consists of all the tubes transporting air from the nose to the respiratory bronchioles
air is humidified, filtered/cleansed, and warmed in the conducting zone
Where are the vocal chords/fold housed?
Larynx
Adams Apple
laryngeal prominence of the thyroid cartilage
Why is the Adams Apple more prominent in males?
Because the thyroid cartilage is stimulated by androgens during male puberty to grow larger
estrogens stimulate fat deposition in the necks of women, which obscures their smaller laryngeal prominence
Arytenoid cartilages
anchor the vocal folds
When we are conscious, anything other than air entering the larynx ...
will generate a cough reflex
this is why liquids should never be given to an unconscious patient
Glottis
the vocal folds and the opening between them
Below the vocal folds, into the larynx and trachea, the epithelium changes back to...
pseudostratified ciliated columnar epithelium
BUT the cilia here sweep the mucus upwards towards the pharynx to be swallowed
What does the glottis do during speech?
Opens and closes during intermittent expiration to produce speech
What muscles move the cartilages of the larynx?
laryngeal muscles
What do the laryngeal muscles aid in?
they change the length of the vocal folds and size of the glottis to change pitch and produce vocalization
How does male puberty effect the voice?
when the thyroid cartilage is enlarging, the rest of the larynx and the focal folds (become longer and thicker) enlarge to produce a deeper voice
How is loudness determined?
by the force with which the air is expired across the vocal folds
How do the pharynx, nasal, oral, and sinus cavities effect loudness?
they resonate the sounds to enhance and amplify them
What muscles are used for enunciation?
muscles in the lips, soft palate, tongue, and pharynx
Laryngitis
inflammation of the vocal folds causing them to swell and vibrate incorrectly
results in horse tone and is caused by viral infection
Valsava maneuver
-vocal folds can completely closer over the glottis to stop air passage, such as when straining to defecate
-abdominal muscles contract and the glottis closes to increase intra/abdominal pressure to help empty the rectum
-increases the pressure of the thorax which decreases venous return to the heart by squeezing on major blood vessels
-presses on the Vagus nerve to increase vagal tone, which also slows HR
Volume changes cause...
pressure changes, which cause gases to flow down pressure gradients
Boyle's Law
At a constant temp, the pressure of a gas varies inversely with its volume
A gas will always...
fill the volume of the container they are in
Expiration is largely...
passive
the recoil of the diaphragm up into the thorax
relaxed external intercostals allow the ribs and sternum to depress
Forced deep expiration
contracting the abdominal wall muscles. which pushes the organs superiorly against the thorax
rig cage is pulled inferiorly to further increase pressure in the thorax
Singers have a good ability for...
forced expiration
very similar to the valsava maneuver in that it decreases HR
Inspiration
we release tension on the thorax and increase the volume by contracting the diaphragm and external intercostals to raise the ribs and sternum
this decreases pressure in the thorax until it is lower than the atmospheric pressure, which allows air to flow in and down the pressure gradient
Deep inspiration
Several additional muscles are recruited (pectorals minor and scalenes)
This releases pressure on great vessels, allowing a larger venous return, thus increasing heart rate
HR ___ when we expire, and HR ___ when we inspire
HR decreases when we expire, and HR increases when we inspire
Layers of the trachea
mucosa
submucosa
adventitia
Elastic V Inelastic parts of the trachea
Elastic part of the trachea allows it to move during breathing
The inelastic cartilage hold the trachea open so that air can continuously move
Trachealis muscle
lies between the esophagus and trachea
allows for rapid mvmt of air and mucus out of the lungs and trachea during coughing
Passageways in the lungs where branching produces diameters smaller than 1 mm are termed...
bronchioles
Cartilage distribution in the respiratory system
cartilage rings are present in the upper bronchial tree
they turn into cartilage patches
there is no cartilage in bronchioles
How does the epithelium change within the bronchial tree
as the conducting tubes become smaller, the mucosal epithelium thins until ultimately becoming cuboidal in the terminal bronchioles and containing few cilia & mucous containing cells
How does muscle change within the bronchial tree?
as tubes decrease in diameter, the percentage composition of smooth muscle increases
this allows for constriction and dilation to control the resistance to air passage to control physiological demands (ex: dilation during exercise)
Alveolar sac
cluster of alveoli coming off an alveolar duct
Alveoli
single thin layer of squamous epithelial cells make up the alveolar walls
densely covered with pulmonary capillaries
Respiratory membrane
capillary and alveolar walls with their fused basement membranes
where gas exchange occurs
Ventilation-perfusion coupling
blood that is low in O2 and high in CO2 is always washing onto the alveoli
air that is high in O2 and low in CO2 is constantly being refreshed into the alveoli
Ventilation
amount of gas reaching the alveoli
Perfusion
blood flow in the pulmonary capillaries
Type II alveolar cells
secrete antimicrobial proteins and SURFACTANT
How are alveoli connected to each other?
Alveolar pores
provide alternate pathways for air to get to alveoli that might be blocked
pores allow for equalization of air pressure throughout the entire lung
The lungs take up the thoracic cavity except for the ...
mediastinum
houses the heart, great vessels, esophagus, bronchi, and other organs
What directly surrounds the lungs?
the PLEURA!
parietal (more superficial) and visceral (directly on lungs) layers