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Types of teeth
Incisors cut, canines tear/shred, premolars/bicuspids tear/shred/crush/grind, molars crush and grind (all mechanical digestion)
Tongue functions
Manoeuvres food for chewing, shapes it into a bolus, forces the bolus to the back of the mouth for swallowing
Lingual lipase
Secreted by lingual glands; breaks down about 30% of dietary triglycerides into simpler fatty acids and diglycerides
Major salivary glands
Parotid (anterior to the ear), sublingual (under the tongue), submandibular (under the mandible/jaw)
Salivary gland secretions
Parotid = watery, high in amylase; sublingual = thick, mostly mucous, little amylase; submandibular = amylase mixed with mucous
Regions of the pharynx
Nasopharynx (respiration only), oropharynx (respiration + digestion), laryngopharynx (respiration + digestion)
Nasopharynx epithelium
Pseudostratified columnar ciliated epithelium with goblet cells; traps and transports inhaled particles
Stages of deglutition
Voluntary (tongue pushes bolus into oropharynx), pharyngeal-involuntary (soft palate/epiglottis close off airway, bolus moves through pharynx), oesophageal-involuntary (peristalsis pushes bolus to stomach)
Peristalsis
Coordinated contraction and relaxation of the circular and longitudinal muscularis layers that propels a bolus or chyme forward
Oesophageal sphincters
Upper oesophageal sphincter is skeletal muscle; lower oesophageal sphincter is smooth muscle
Stomach regions
Cardia, fundus, body, pyloric part
Stomach muscle layers
Oblique, circular, and longitudinal (oblique is unique to the stomach)
Gastric secretory cells
Surface/mucous neck cells secrete mucus; parietal cells secrete HCl and intrinsic factor; chief cells secrete pepsinogen and gastric lipase; G cells secrete gastrin into the bloodstream
HCl secretion
Carbonic anhydrase forms carbonic acid from H2O + CO2, which dissociates into H+ (pumped into the lumen by H+/K+ ATPase) and HCO3- (exchanged for Cl-, which is secreted with H+ as HCl)
Chyme and gastric emptying
Chyme is the soupy liquid formed by mixing waves; gastric emptying is the periodic release of small amounts of chyme into the duodenum through the pyloric sphincter
Vomiting complications
Prolonged vomiting can cause alkalosis (high blood pH), dehydration, and damage to the oesophagus and teeth
Small intestine regions
Duodenum (~25 cm, C-shaped), jejunum (~1 m), ileum (~2 m, longest, joins large intestine at the ileocaecal sphincter)
Absorptive surface features
Circular folds (plicae circulares), villi, and microvilli increase surface area for absorption
Villus structure
Contains an arteriole, venule, blood capillary network, and a lacteal; nutrients pass through capillary or lacteal walls into blood or lymph
Segmentation vs peristalsis
Segmentation mixes chyme with digestive juices via alternating circular contractions without propelling it; peristalsis (via migrating motility complexes) propels chyme forward after a meal is absorbed
Brush border enzymes
Digestive enzymes on microvilli membranes, e.g. dextrinase, maltase, sucrase, lactase, some peptidases, nucleotide-digesting enzymes, phosphatases
Digestion end products
Carbohydrates to monosaccharides; proteins to amino acids/dipeptides/tripeptides; triglycerides to fatty acids/glycerol/monoglycerides
Large intestine regions
Caecum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, anal canal, anus
Teniae coli and haustra
Teniae coli are three thickened longitudinal muscle bands; their tonic contractions gather the colon into pouches called haustra
Large intestine digestive functions
Recovery of water and electrolytes, formation and storage of faeces, fermentation of indigestible matter by bacteria
Chemical digestion in the large intestine
None occurs; it's completed in the small intestine and the large intestine produces no digestive enzymes
Bacterial fermentation products
Short-chain fatty acids, gases like methane, and vitamins B and K
Constipation causes
Irregular eating habits, spasms or obstructions, poor abdominal/pelvic floor musculature, or Hirschsprung disease (absence of ganglion cells so peristalsis can't occur)
Diarrhoea types
Fatty (fat not digested/absorbed), inflammatory (mucosa inflamed), watery (too much water secreted — osmotic, secretory, or functional)
Crohn's disease vs ulcerative colitis
Crohn's can affect any part of the GI tract through all wall layers; ulcerative colitis is limited to the mucosa of the colon and rectum, usually with rectal bleeding