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digestive system (GI)
consists primarily of the gastrointestinal tract
upper GI tract consists of
the mouth, pharynx, esophagus, stomach
lower GI tract consists of
small intestine, large intestine, rectum, anus
gastrointestinal (GI) tract
part of the digestive tract below the diaphragm
accessory digestive glands
salivary glands, liver, pancreas
palate
roof of the mouth
hard palate
anterior portion of the palate
soft palate
flexible posterior portion; during swallowing, closes off the nasal passage
uvula
hangs from the free edge of the soft palate; plays a role in some speech sounds
maxillary arch
upper jaw; bones of the lower surface of the skull
mandibular arch
lower jaw; separate bone; only movable component of the joint
incisors and canines
teeth used for biting and tearing
molars
teeth used for chewing and grinding
gingiva (gums)
mucous membrane; covers the bone of the dental arches and surrounds the neck of the teeth
primary dentition
baby teeth; 20 teeth that are replaced by permanent teeth
permanent teeth
32 teeth designed to last a lifetime
saliva
colorless liquid maintains moisture in the mouth; contains digestive enzyme amylase
lower esophageal sphincter (cardiac sphincter)
muscular ring between the esophagus and stomach, opens to allow the flow of food into the stomach, closes to prevent the stomach contents from regurgitating
trachea
tube that transports air to and from the lungs; lies anterior to the esophagus
larynx
voice box
pyloric sphincter
ring-like muscle at the stomach base; controls the flow of partially digested food
chyme
digested food
pyloric canal
canal connecting the stomach to the small intestine
rugae
folds of the mucosal lining; allow the stomach to increase/decrease in size; glands within the folds produce gastric juices
duodenum
1st part of the small bowel
jejunum
2nd part of the small bowel; part of the duodenum that turns downward
ileum
3rd part of the small bowel; connects small bowel to the cecum (1stpart of large bowel)
ileocecal orifice (ileocecal valve/sphincter)
the entry of the small bowel into the large bowel; prevents food from re-entering the small bowel
vermiform appendix (appendix)
hangs from the lower portion of the cecum; no known physiologic purpose; said to have help with immune system
large bowl contains
vermiform appendix, cecum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum
cecum
pouch on the right side of the abdomen; start of the large bowel
ascending colon
travels superior from the cecum to the posterior of the liver
transverse colon
passes transversely across the abdominal cavity from right to left toward the spleen
descending colon
travels inferiorly on the left side of the abdominal cavity to the sigmoid colon
sigmoid colon
s-shaped structure that continues from the descending colon superiorly and joins the rectum inferiorly
rectum
widest division of the large intestine; ends at the anus
anorectal
refers to the anus and rectum as a single unit
The Liver
removes toxins from the blood, turns food into fuel, uses bile to aid digestion of fats
The Biliary Tree
provides channels through which bile is transported, small ducts join together like branches
The Gallbladder
located under the liver, stores and concentrates bile, contracts when bile is needed, forcing bile out through the biliary tree
The Pancreas
soft, oblong gland, located behind the stomach, produces and secretes pancreatic juices that aid in digestion (exocrine), aids in digestion and plays a role in the endocrine system
digestion
process by which complex foods are broken down into nutrients
digestive enzymes
responsible for breakdown of foods
nutrients
primary or macronutrients; provide the body with calories, carbohydrates, fats, and proteins
micronutrients
required only in small amounts, vitamins and minerals
metabolism
includes all of the processes involved in the body’s use of nutrients
absorption
process of transporting completely digested nutrients to the cells throughout the body
villi
finger-like projections that cover the mucosa lining the small intestine; absorb nutrients directly from the digestive system into the bloodstream
mastication (chewing)
breaks food down into smaller pieces, mixes it with saliva, and prepares it to be swallowed
bolus
mass of food that has been chewed and is ready to be swallowed
peristalsis
series of wave-like contractions of the smooth muscles; moves food downward with the help of gravity
gastric juices
hydrochloric acid
chyme
semifluid mass of partly digested food; passes out of the stomach, through the pyloric sphincter, and into the small intestine
duodenum
chyme is mixed with pancreatic juice and bile, bile breaks apart large fat globules, pancreatic juices digest fats through emulsification action
small intestine
converts food into usable nutrients completed as chyme is moved through the small intestine by peristaltic action
jejunum
secretes large amounts of digestive enzymes; continues the process of digestion
defecation(bowel movement) (BM)
evacuation or emptying of large intestines
feces
solid body waste or stool; expelled through the rectum or anus
gut microbiota
billions of bacteria present in the large intestine; protect against infection and help maintain the immune system
borborygmus
rumbling noise; movement of gas in the intestine
flatulence (flatus or fart)
pass of gas
canker sores
gray-white pits with a red border in the soft tissues lining the mouth; associated with stress, certain foods, or fever
oral thrush
fungal infection in the mouth caused by candida albicans
trismus (lockjaw)
any restriction to the opening of the mouth
xerostomia (dry mouth)
lack of adequate saliva; diminished salivary gland secretions
cleft lip
birth defect; deep groove of the lip running upward to the nose; failure of this portion of the lip to close during prenatal development
cleft palate
failure of the palate to close during the early development of the fetus; can involve the upper lip, hard palate, and/or soft palate; if not corrected, makes it difficult for the child to eat and speak
bruxism
involuntary grinding of the teeth that usually occurs during sleep
dental caries (tooth decay)
caused by bacteria that destroy the enamel and dentin of the tooth
dental plaque
consists of bacteria and bacterial by-products; forms near the gums and between the teeth; cause of dental caries and periodontal disease
edentulous
without teeth, describes the situation after natural permanent teeth have been lost
halitosis
bad breath; can be caused by dental diseases or respiratory or gastric disorders
malocclusion
any deviation from the normal positioning of the upper teeth against the lower teeth
dental calculus (tartar)
dental plaque that has calcified (hardened) on the teeth
gum recession
shrinking of gingival tissue often associated with aging
gingivitis
earliest stage of periodontal disease; inflammation affects only the gums
dysphagia
difficulty in swallowing
gastroesophageal reflux disease (acid reflex)
upward flow of acid from the stomach into the esophagus
Barrett’s esophagus
cells in the epithelial tissue of the esophagus are damaged by chronic acid exposure
fundus
superior part of the stomach
body
major central part of the stomach
antrum
inferior portion before the pylorus of the stomach
pylorus
sphincter opening into the small bowel of the stomach
pyrosis (heartburn)
burning sensation in the chest; return of acidic stomach contents into the esophagus
esophageal varices
enlarged, swollen veins at the lower end of the esophagus; can cause severe bleeding if one of these veins ruptures
hiatal hernia
a portion of the stomach protrudes upward into the chest, through an opening in the diaphragm
gastritis
common inflammation of the stomach lining; can cause nausea and vomiting
gastroenteritis
inflammation of the mucous membrane lining the stomach and intestines
gastroparesis
gastric motility slows down; causes delayed gastric emptying
peptic ulcer disease
sores that affect the mucous membranes of the digestive system, can be found in various places in the GI tract
perforated ulcers
complication of a peptic ulcer; the ulcer erodes through the entire thickness of the organ wall
cachexia
physical wasting away due to the loss of weight and muscle mass
dehydration
fluid loss exceeds fluid intake; disrupts a body’s normal electrolyte balance
failure to thrive (FTT)
when an infant or child does not grow as expected
malabsorption
small intestine cannot absorb nutrients from food that passes through it
malnutrition
lack of proper food or nutrients in the body
body mass index (BMI)
ratio of weight in kilograms divided by height in meters squared
severe obesity
having a body mass index value greater than 40
aerophagia
excessive swallowing of air while eating or drinking
dyspepsia (indigestion)
pain or discomfort during the digestion process