Friday, November 5, 2010

Digestive system Finished



Digestive System
            Musculo Membranous tube
                        Also called alimentary canal or GI tract
            Inside this tube can be considered outside the body
            Smooth muscle lined with mucous membrane
            Purposed for Digestion & absorbtion of nutrients
                       
Ingestion
Food entering at the mouth
Digestion
Chewing and enzymes breaking down molecules in a series of changes to break larger molecules into smaller ones to be absorbed
Movement
Peristalisis = radially symmetrical contraction and relaxation of muscles which propagates in a wave down the muscular tube
Absorption
Passing of nutrients through wall of digestive tube to reach blood & lymph
Egestion
Elimination of waste products of digestion

Broad Path of food
  1. Mouth
  2. Pharynx
  3. Esophagus
  4. Stomach
  5. Small intestine
  6. Large Intestine
  7. Anus

Accessory Organs à macroscopic or easily visible
            Teeth
            Salivary Glands
            Liver
            Gall Bladder
            Pancreas
            Tongue

Mouth
            Vestibule = entryway between teeth & gums (interiorly) and the lips & cheek(exteriorly)
            Gingiva = gums, a dense fibrous tissue attached to bone
            Superior & Inferior frenulum linguae
                        small fold of tissue that secures or restricts the motion of tongue

            Oral Cavity
                        Central to teeth and gums
                        Inferior to hard & soft palate
                        Superior to tongue and Mandible
                        Isthmus of fosces goes into oropharynx

            Teeth
                        Crown is above gum line
                                    Covered with enamel
                        Root extends into gum line
                                    Covered with cemetum
                        Neck is between root and crown
                        Teeth are made of dentinge à a bone like substance
                        Cavity within denting called pulp which contains pulp
                                    The pulp is LCT that supports vessels and nerves
                        Root Canal is space within the root of a tooth that allows for vessels and  nerves to enter and leave

Deciduous teeth à baby teeth
            Appear anywhere from 6 months ~ 2 years old on average
            When sufficiently calcified it pushes through the gums and the root supplies the  force
            Lost between 6 years ~ 13 years on average
           
            20 total teeth avg
            8 of which are incisors
            4 are canines
            8 are Molars

Permanent Dentition
            32 total teeth avg
            Larger than baby teeth
            8 are incisors
            4 canines
            8 Premolars
            8 Molar
            4 Wisdom Teeth

Tongue
            Involved in mastication, swallowing (degulation) and speech
            Located on the floor of the mouth
            Root connected to hyoid
            Tip lies behind lower incisors
            Lingual Frenulum attachement
            Rough surface due to lingual papillae
            Tastes buds at the base
            Has mucoid & serous glands which can be mixed

Salivary Glands
            3 pairs
            produce Saliva & the enzyme Amylase
            Parotid
                        Largest & anterior to external ear
                        Exocrine gland empties into vestibule
                        7 cm long
                        the secretion produced is mainly serous in nature
                        enters vestibule via Stensen's duct
            Submandibular
                        are a pair of glands located beneath the lower jaw
                        Empties in the floor of the mouth under the tongue
                        Enters via Whartons ducts
                        mixture of both serous fluid and mucus
            Sublingual
                        pair of glands located beneath the tongue
                        mainly mucous secretions
                        several tiny excretory ducts release

Pharynx
            Common to respiratory & digestive systems
            Can elevate & dilate to help move stuff down
            3 regions
                        nasopharynx à behind nose
                        oropharynx à behind mouth
                        laryngopharynx à behind larynx
           
            Starts in the skull at about C6
            Continues into the esophagus
            7 openings
                        1 mouth
                        2 nasal
                        2 tympanic
                        1 Esophagus
                        1 Larynx
           
            3 layers
                        Inner Mucosa
                                    Different types of epithelium depending on location
                        Fibrous Layer
                                    Fibrous tissues attached to skull
                        Muscular Layer
                                    Both skeletal and smooth muscle present

Esophagus
            23~25 cm long
            only has mucoid glands
            Rapid movement
            Connects laryngopharynx to stomach
            Narrowest
            Travels through 3 body regions
                        Neck thorax and abdomen
            4 layers
                        Tunica Mucosa 2 layers too
                                    Linning mucosa
                                                Cells depend on function
                                    Lamina propria
                                                LCT for blood & nerves
                        Tunica Submucosa
                                    LCT for glands
                        Tunica Muscularis
                                    Smooth muscle in a circular and longitudinal arrangement
                        Tunica Serousa (visceral peritoneum)
                                    Largest serous membrane in the body

Stomach
            2 openings controlled by sphincters
                        Cardiac orifice
                        Pyloric orifice
            Features
                        Lesser Curvature
                        Greater curvature
                        Cardia
                        Pyloris
                        Body
                        Fundus
                        Rugae – internal folds
                        Outer longitundinal layer
                        Circular layer
                        Oblique layer



Gastric glands
            Tubular
            Zygomenic Cells
                        Produce pepcinogen
                        Converts to pepcin with HCl
                        Pepcin begins digestion of proteins
            Oxyentic
                        Produces the HCl to activate the pepcinogen
            Mucous
                        More prevalent in the cardiac region of the stomach
                        Produces an Alkaline mucous to protect the body from high acid content
            Anterendocrine
                        Produces gastrin hormone
                        Gastrin controls production of HCl and Pepcin
                        Gastrin increase the churning of the stomach
Chyme
            a thick fluid mass of partially digested food and gastric secretions passed from the stomach to the small intestine

Small Intestine
            Longest at 7 meters long
            Begins at pyloric sphincter
            Ends at ileocecal valve
            Completes digestions & absorbs nutrients
            Plicae circularis
                        The circular folds slow the passage of the food along the intestines, and  afford an increased surface for absorption & doesn’t not flatten out
                        They are covered with small fingerlike projections called villi
                                    Each villus is covered with microvilli
                                                microvilli absorb fats and nutrients from the chyme.
            3 Regions
                        Duodenum
                                    First 25 cm
                                    Supported by Mesentery
                                    Has glands
                        Jejunum
                                    Next 2 meters
                                    No distinguishing feature to set it apart from rest of small intestine
                        Ileum
                                    Last 3.5 meters
                                    Joins large intestine
                                    Has Peyer’s Patches

            Intestinal glands
                        At the base of the villi
                        Produces intestinal juice
                        Duodenal glands (Brunner’s)
                                    Produces Alkaline mucous for protection at the duodenum
                        Bile & pancreatic juice enter at the duodenum at the hepaticpancreatic  ampula on raise area called duodenal papilla

Large Intestine
            1.5 meters long
            wider in diameter than small intestine
            extends illececal valve
            ends at anus
            absorbs water
            mucous secreting glands for lubrication
                       
            parts of the large intestine
                        Cecum
                                    blind receiving pouch that the small intestine empties into
                        Appendix
                                    Attached to cecum and is another blind pouch looks like a worm
                        Colon
                        Ascending Colon
                                    Up back & to the right
                                    Under the liver
                                    Turns left
                        Transverse colon
                                    Across the body
                                    Turns downwards
                        Descending colon
                                    Narrowest part
                        Sigmoid colon
                                    S shaped
                                    Comes back to the midline
                        Rectum
                                    Last 20 cm
                        Anal canal
                                    2~3 cm
                                    anal clumns
                        Anus
                                    Internal smooth muscular sphincter
                                    External skeletal muscle sphincter
                       
                        taenia coli
                                    three separate longitudinal ribbons of smooth muscle on the                                          
                                   outside of the ascending, transverse, descending and sigmoid                                              
                                   colons. The teniae coli contracts length wise to produce the                                                  
                                    haustra, the bulges in the colon

Liver
            Largest gland in the body
            2 lobes
                        larger right side
                        separating ligament
                        smaller left lobe
            Right lobe has 2 smaller lobes
                        Quadrate
                        Transverse fissure between
                        Caudate

            Lobules have chords/strands of hepatic cells that radiate out from central vein
            Sinusoids replace typical capillaries
                        For filtering
           
            The liver receives a dual blood supply from the hepatic portal vein and  hepatic arteries
                        Hepatic portal vein carries venous blood drained from the spleen, GI tract, and its associated organs.
                        Hepatic arteries supply arterial blood to the liver
           

            Blood flows through the sinusoids and empties into the central vein of each lobule. The central veins combine into hepatic veins, which leave the liver and        empty into the inferior vena cava
                         
        Central vein à hepatic vein à IVC

            Kupffer Cells
                        specialized macrophages located in the liver lining the walls of the sinusoids that form part of the reticuloendothelial system (RES)
                       
            The cords of hepatic cells (hypatocytes) produce Bile
                        Route of bile
1.      canaliculi
2.      ducts
3.      Right or Left Hepatic Duct
4.      Common Hepatic Duct
                  Joins with the Gall bladders Cystic Duct
5.      Common Bile Duct
                  & Pancreatic Duct from pancreas
6.      Hepatopancreatic Duct
7.      Ampulla of Vater OR hepatopancreatic ampulla
8.      The Sphincter of Oddi 
                  controls the introduction of bile and pancreatic  secretions into the duodenum, as well as preventing                             the entry of duodenal contents into the Ampulla







Gall Bladder
            Mucous membrane lined
            Muscular sac
            Stores and concentrates bile
            Smooth muscle contractions move bile out
           
Pancreas
            12~17cm
            behind the stomach
            in fron the of the IVC, Aorta & left Kidney
            Retroperitoneal
            Soft oblong tubuloasinar gland
            Fits into greater curvature of the stomach
            Mixed gland
                        Partially exocrine & endocrine
                                    Exocrine
                                                Pancreatic juices
                                                Acini cell
                                    Endocrine
                                                Glucagon
                                                Insulin
                                                Few others
                        

 Respiratory system to follow

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