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What is the definition of digestion ?
process of breaking down food into nutrients for energy, growth, and cell repair
List in order from mouth to anus the path of food.
pharynx, esophogus, stomach, small intestine, large intestine, anus
When does the food become a bolus ?
in the oral cavity during chewing
When does food become chyme ?
in the stomach through mechanical churning
When does food become feces ?
in the large intestine between absorption and defecation
What digestive activities are happening in the mouth?
ingestion, mechanical breakdown, propulsion and digestion
What digestive activities are happening in the stomach?
mechanical breakdown
What digestive activities are happening in the small intestine?
mechanical breakdown, digestion, and absorption
What digestive activities are happening in the remaining GI tract?
propulsion (peristalsis)
What digestive activities are happening in the large intestine?
digestion, absorption, and defecation
Mechanical digestion
physically breaking down the size of food particles into smaller pieces without changing their chemical structure, ex: chewing and churning
Chemical digestion
enzyme driven process of breaking down large, complex, food molecules into small and absorbable nutrients through hydrolisis. Ex: saliva, pancreatic enzymes
What is peristalsis and where does it occur?
main method of propulsion in the adjacent segments of the GI tract as they contract and relax
What is segmentation ?
nonadjacent segments of the alimentary canal contract and relax to mix food and mechanically break it down by moving it foward and backwards in segments
What is the peritoneum ?
serous membrane that surrounds most abdominopelvic organs and the alimentary canal
Which later of the peritoneum lines the organs ?
visceral peritoneum
Which layer of the peritoneum lines the body wall ?
Parietal peritoneum
How does the peritoneum relate to the serosa layer of the alimentary canal?
contains serous fluid to lubricate the organs
What is peritonitis and how does a burst appendix cause it ?
inflammation of the peritoneum, bacteria from the gut in a burst appendix
What are the mesenteries and what are their main functions?
serous membanes that estend from forsal and ventral body walls to most abdomonopelvic organs and suspend some intraperitoneal digestive organs from the body wall
What is hepatic portal circulation?
drains nutrient-rich blood from the digestive organs and delivers it to the liver for processing
What are the four layers of the alimentary canal?
mucosa, submucosa, muscularis external, serosa
Mucosa
lines the lumen of the alimentary canal, secretes mucous digestive enzymes, and hormones
What cell types does the mucosa contain ?
connective tissue and smooth muscle
What digestive functions does the mucosa aid in ?
absorption of digestive end products and protects against infections due to the precense of MALT
In which layer is MALT found ?
Mucosa
Submucosa
consits of alveolar connective tissue that contains glands, blood and lymphatic vessels, lymphoid follicles and nerves
Muscularis externa
primarily smooth muscle responsible for peristalsis which moves food through the alimentary canal
What are sphincters in the muscularis externa/GI tract?
valves formed by the circular layer of muscularis externa
Serosa
visceral peritoneum that contains simple squamous epithelium and areolar connective tissue and the mesentary layer
1 mechanical stimuli that provides intrinsic control of the GI tract.
stretch
Name 3 chemical stimuli that provide intrinsic control of the GI tract
pH, nutrients, and solutes
Name 3 hormones that regulate GI tract activity.
Gastrin, CCK and secretin
Gastrin
released by stomach in response to food intake, targets cells in the stomach to secrete acid, small inestine to contract and large intestine to initiate defication
CCK
made in the duodenal mucosa and is stimulated by fatty chyme, targets the stomach to inhibit secretion from stomach and targets liver, gallbladder and pancreas to increase output of digestive juices
Secretin
msde in the duodenal mucosa and is stimulated by acidic chime, targets the stomahc to inhibit gastric gland secretion and targets the pancreas and liver to increase output
Which branch of the ANS stimulates digestion ?
parasympathetic fibers via vagus nerve
Which branch of the ANS inhibits digestive activities ?
sympathetic fibers
Short reflexes of the enteric nervous sytem.
intrinsic stimuli act within GI wall → stretch or changes in pH, nutrients, or solutes
Long reflexes of the enteric nervous sytem.
extrensic stimuli act through CNS
Which subdivisions of the nervous sytem provide inputs for long reflexes?
CNS
Whay digestive processes occur in the mouth and which accessory organs are necessary for these processes ?
ingestion, mechanical and chemical digestion by salivary glands, teeth and tongue
What is the lingual frenulum ?
anchors the tongue to the floor of the oral cavity
Which epithelial tissue type lines the mouth ?
stratified squamous epithelium to protect from abrasions
List the 3 salivary glands
pratoid, submandibular, sublingual
What is the function of saliva ?
dissolves food chemicals for taste, moistens and compacts food into bolus, beginds breakdown of starch w/enzymes
What are the components of saliva ?
water (electrolytes), enzymes (salivary amylase and lingual lipase), mucin, metabolic wastes, antimicrobials
How many baby teeth are there ?
20
Name the four classes of teeth
incissors, canines, premolars (bicuspids), molars
incisors
chisel shaped, cut
Canines
fanglike teeth, tear or pierce
Premolars (bicuspids)
broad crowns, rounded cusps, grind and crush
Molars
broad crowns, rounded cusps, best grinders
What are the three regions of the crown
crown, root, neck
Crown of a tooth
part above gingiva (gum), covered by enamel
root of tooth
portion embeded in jawbone
neck of tooth
connects crown to root
What are wisdom teeth ?
third molars
What is heartburn ?
when stomach acid regurgitates into esophogus
Which epithelial type lines the pharynx and esophogus ?
stratified squamous epithelium
What is chyme ?
acid slurry of ingested food formed in the stomach
What does the pyloric valve do ?
sphincter controlling stomach emptying
What digestive actions occur in the stomach ?
where the bolus of food becomes chyme, acid in the stomach pulverizes food
Can anything be absorbed in the stomach ?
yes
What are the cell types found in the gastric pits ?
Parietal, chief, enteroendocrine cells
What is secreted by parietal cells in the gastric pit ?
hydrochloric acid and intrinsic factor (required for vitamin B12 absorption)
What do chief cells secrete in the gastric pits ?
pepsinogen (inactive form of pepsin), and lipases (fat-digesting enzymes)
What is secreted by enteroendocrine cells in the gastric pit ?
paracrines and hormones (gastrin)
What is the function of gastrin ? In which organ?
stimulates secretion of HCl and hormones from the small intestine
Name the three phases of gastric activity.
cephalic phase, gastric phase, intestinal phase
Cephalic phase
CNS control, stomach responds to sensations or thoughts of food and emotional state
Gastric phase
intrinsic control, stomach distension, nutrient levels, gastric pH
Intestinal phase
intestinal control, stretching of duodenum, presence of nutrients in duodenum
what does salivary amylase breakdown ?
starch
What does lingual lipase breakdown ?
fats
Where is IgA found ?
secretions: sailiva, tears, breastmilk
when do wisdom teeth pop out ?
between the ages of 17-25
What causes sensitive teeth ?
when dentin is exposed without enamel
What type of cells line the mucosa ?
stratified squamous epithelium
place where the circular layer of the muscularis externa is thickened
sphincter
What does an exposure to acid do to cells ?
changes esophogeal cells → can turn into cancer
What is the intrinsic factor required for ?
B12 absorption
What are protease ?
enzymes that breakdown proteins (pepsin)
What is the autocatalytic affect ?
because pepsin breaks down proteins, and pepsinogen is a protein, pepsin is going to cleave pepsinogen to make more pepsin
What is hepatitis?
Inflamattion of the liver, causes include : viral infection, drug toxicity, wild mushroom poisoning
What is cirrhosis ?
progressive, chronic liver inflammation. Liver becomes fatty and fibrous. Causes include : chronic hepatitis, alcoholism
What digestive substance does the liver produce ?
bile
What type of molecule is broken down by bile ?
fats
Common hepatic duct
drains bile from liver
Cystic duct
drains bile from gallbladder
Bile duct
has a sphincter before it terminates in a portal into the small intestine
Where is bile stored and concentrated ?
gallbladder
What are gallstones ? Why do they form ?
crystalized cholesterole caused when there isnt enough biles salts or too much cholesterol, very painful
Does the gallbladder produce bile ?
No
Name the digestive enzymes found in pancreatic juice.
pancratic amylase and lipase, nucleases, trypsin, chymotrypsin, and carboxypeptidase
Why is the pH of pancreatic juice basic ?
to neutralize the acidic chyme that comes from the stomach
Proteases are produced by the pancreas in inactive forms. How does this help to protect the pancreas ?
it helps the pancreas not digest itself
Where are the proteases activated ?
duodenum
What are the 3 segments of the small intestine ?
duodenum, jejunum, ileum
Of the 3 segments of the small intestine, which does the most absorption ?
jejunum