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84 Cards in this Set

  • Front
  • Back
Gastrointestinal Tract (alimentary canal)
hollow tube that runs from the oral cavity through the ventral body cavities, to the anal orifice

lined by epithelial tissue
Mucosa (of GI tract)
lining of the lumen

composed of 3 layers- epithelial cells, areolar connective tissue, and smooth muscle

contains lymphatic tissue
Submucosa
high vascular

connective tissue

contains submucosal enteric neural plexus---> controls GI secretions and localized blood flow

has glands which open into the lumean via ducts

contains lymphatic tissue
Muscularis externa
1. skeletal muscle tissue

VOLUNTARY motor control

found in the mouth, pharynx, upper esophagus and lower portion of the anal canal

2. Smooth muscle
found in remainder of GI Tract

two layers: circular and longitudinal

contains the portion of the enteric neural plexus that is responsible for mobility of GI tract
Serosa (visceral peritoneum)
superficial layer of the viscera organs located in the adominopelvic cavity

2 layers: connective tissue and simple squamous epithelium

scretes serous peritoneal fluid (reduces friction)
Functions of the Oral Cavity (Mouth)
mastication

chemical digestion of starch--> amylase

sensations-- taste, texture, temp

lubrication--> formation of bolus
Anterior boundary (oral cavity)
inner surface of lips
Lateral boundary (oral cavity)
cheeks
superior boundary (oral cavity)
hard palate and soft (muscular) palate

separates oral cavity from nasal cavity
inferior boundary (oral cavity)
floor of mouth

very muscular
posterior boundary (oral cavity)
opens to oropharynx
Teeth
more mineralized than bone = harder

enamel (white) covers dentin (yellow)

held within the alveoli of the maxilla and mandible--> joint = gomphosis

peridontal ligament

FUNCTION AS ORGANS OF MASTICATION, AND PROVIDE THE INITIAL STAGE OF MECHANICAL DIGESTION
root
extension of dentin into alveolus
crown
enamel part of tooth

washed by saliva
Deciduous dentition
20 teeth (baby teeth)

5 teeth per quadrant= 1 central incisor, 1 lateral incisor, 1 canine, 2 molars

begin to erupt by 6 months
Permanent dentition
begin to erupt at 6 years

replace deciduous teeth until 12-13 when the 2nd permanent molars come in

full 32 permanent teeth usually by age 18-21 when 3rd molars erupt (wisdom teeth)
Sensory Innervation of Teeth
maxillary and mandibular divisions of the Trigeminal nerve (CNV)
Tongue
taste and speech

chewing and swallowing

solid mass of SKELETAL MUSCLE

covered by mucous membrane and taste sensors

highly mobile
INTRINSIC muscles of Tongue
alter the shape and size

responsible for precise movements during speech

assists with chewing-> places food between teeth
EXTRINSIC muscles of Tongue
protrude
retract
depress
elevate

responsible for larger, gross movements of tongue

contractions assists in swallowing
Anatomy of Tongue
triangular shape
base (attached portion), body, and tip
Sulcus terminalis (tongue)
divides the tongue into an ANTERIOR and POSTERIOR portion

oral= anterior 2/3
pharyngeal= posterior 1/3
Papillae (tongue)
raised bumps (most contain taste buds)

taste buds- sensory info. carried by:
anterior 2/3= facial nerve (CNVII)
posterior 1/3= glossopharyngeal nerve (CNIX)
Lingual Frenulum (tongue)
folds of mucous membrane

anchors body of tongue to floor of mouth

ducts of submandibular and sublingual glands open alongside
sublingual venous plexus
useful for body temp measurement and drug delivery
Somatic Motor Innervation of Tongue
carried by SENs

hypoglossal nerve (CNXII)
Sensory Innervation of Tongue
carried by SANs

pain, touch, and temp:
ant. 2/3= trigeminal nerve (CNV)
pos. 1/3= glossopharyngeal nerve (CNIX)

taste:
ant. 2/3= facial nerve (CN VII)
pos. 1/3= glossopharyngeal nerve (CN IX)
Salivary Glands
secrete saliva to moisten oral cavity, lubricate food, and being digestion of starch

parotid glands

submandibular glands

sublingual glands
Parotid Glands
largest of salivary glands

anterior and inferior to ears

parotid duct: anteriorly across the masseter, facial nerve passes through the parotid tissue but does NOT innervate it
Submandibular Glands
inferomedial surface of the mandible

70% of daily saliva

ducts ipen lateral to the lingual frenulum (in floor of mouth)
Sublingual Gland
floor of the mouth, superior to submandibular glands, below the tongue

5% of daily saliva

ducts open alongside lingual frenulum
Sympathetic vs. Parasympathetic innervation of salivary glands
SYMpathetic stimulation: thicker saliva, sensation of dry mouth (usually when you are nervous)

PARAsympathetic stimulation: watery saliva, when you think about food or are about to eat, etc.
Parasympathetic innervation of SUBMANDIBULAR and SUBLINGUAL glands
Facial nerve (CN VII)

VENs
Parasympathetic innervation of PAROTID gland
glossopharyngeal nerve (CNIX)

VENs
Masseter
attachment: zygomatic arch and mandibular ramus

action: elevates and protrudes jaw

comments: rectangular muscle that can be palpated at angle of jaw when teeth are clenched
Temporalis
attachments: temporal lines of skull and coronoid process of mandible

action: elevates and retracts jaw

comments: fan-shaped muscle that can be palpated on the sides of the head when teeth are clenched
Medial Pterygoid
attachments: lateral pterygoid plate and mandibular ramus

action: elevate and protrude jaw, side to side movements (grinding)

comments: located deep to the ramus of the mandible
Lateral Pterygoid
attachments: lateral pterygoid plate and TMJ capsule and neck of mandible

action: protrude jaw, depress chin, side to side movements

comments: located deep to the ramus of the mandible
Opening of the Mouth
suprahyoid and infrahyoid muscles
Innervation of the muscles of mastication
Somatic motor (SENs) from trigeminal nerve, mandibular division (CN V3)
Buccinator
muscle of facial expression

compresses cheeks to keep food in mouth while chewing

innervated by facial nerve
Orbicularis Oris
muscle of facial expression

sphincter of the mouth

compresses and purses the lips

innervated by facial nerve
Pharynx (Functions)
respiratory- conducts air to and from trachea

disgestive- deglutition (swallowing) and transports a bolus of food from the oral cavity to the esophagus
Nasopharynx
communicates with nasal cavity
soft palate separates it from oral cavity
opening of eustachian tube
Oropharynx
posterior continuum of oral cavity, bounded inferiorly by epiglottis.
contains the uvula, palatine tonsils, and lingual tonsils
Laryngopharynx
inferior continuation of oropharynx
communicates with the larynx or esophagus
Muscles of the Pharynx
skeletal muscle lined by mucous membrane

pharyngeal constrictors-circular muscle layer
Muscles of the Pharynx (swallowing)
tongue, supra-and infrahyoid muscles, and muscles of the solf palate
Motor Innervation of pharyngeal constrictor muscles
Vagus Nerve (CN X)
Sensory Innervation to the Pharynx
Glossopharyngeal Nerve (CN IX)
Esophagus
continuous with laryngopharynx

transports substances to stomach by peristalsis

lies posterior to the trachea and upper thorax, and posterior to the heart in the mediastinal cavity

anterior to the vertebral column

pierces diaphragm (T10) to enter ab. cavity
Musculature of Espohagus
skeletal muscle layers (upper esophagus)

smooth muscle (middle and lower portions of esophagus)
Upper espohageal sphincter
opens reflexively during swallowing
Lower Esophageal Sphincter (LES)
Physiologic sphincter- only opens if food passes through it
Innervation of esophagus
PARAsympathetic fibers of the Vagus Nerve (CNX)
smooth= para VENS
skeletal= SENs
Stomach
mechanical digestion
temporary bulk storage of ingested food
secretes gastric juices
Gastric Juice
Mucous- protects the stomach lining

enzymes- initiate protein digestion

HCl- neutralizes biological contaminants (bacteria, fungus, mold)

Intrinsic factor- binds to B12, protects molecule from digestive juices
Distention of mechanoreceptors
Triggers formation and secretion of bile and pancreatic juice
Rugae
internal anatomy of stomach

gastric mucosal folds on luminal surface
flatten to accommodate food
Anatomy of Stomach
J-shaped

LUQ immediately inferior to diaphragm

Gastroesophageal junction at T11

Pyloric region at L1
Cardia (stomach region)
esophagus opens to stomach
Fundus (stomach region)
superior to cardia- touches diaphragm
Body (stomach region)
main portion
inferior to fundus
Pyloric region
pyloric antrum + pyloric canal
Pyloric Sphincter
connects stomach to duodenum, controls the flow of chyme to duodenum
controlled by ANS, enteric NS, and gastric hormones
Lesser Curvature
along superomedial surface
Greater Curvature
along inferolateral surface
Stomach relationship to abdominal viscera
most of stomach = LUQ
anterior to pancreas and L. Kidney
anterior-medial to spleen
Small Intestines
primary site of nutrient digestion and absorption, and water absorption

continuous tube extending from the pylorus of the stomach to the ileocal junction

fills most of abdominal cavity

microvilli

peristalsis- propels chyme

segmentation- mixes chyme with digestive enzymes
Duodenum
shortest segment of S.I.

shaped like a C

extends from the pylorus to the duodenojejunal flexure

"anatomic romance" with pancreas

receives chyme from stomach, which is mized with bile from gallbladder/liver and pancreatic juice
Jejunum
begins at the duodenojejunal flexure

40% of overall length of S.I

LUQ and umbilical region
Ileum
distal 60% of S.I.

RLQ and in pelvis

terminates at the ileocecal valve
Large Intestines
begins at ileocecal junction and ends at anus

larger diameter than S.I.

final absorption of water and electrolytes

formation and temporary storage of feces

manufacture of vitamins through bacterial action

final digestion of carb by bacterial fermentation--> GAS
Cecum
initial part of L.I

RLQ in R iliac fossa
Vermiform Appendix
lymphoid organ

vital in fetal development, immune defense system

McBurney's Point- point of attach. to the cecum
Ascending Colon
ascends on the right side of the abdomen--> right colic (hepatic) flexure
Transverse Colon
crosses the abdomen transversely from the right colic (hepatic) flexure --> left colic (splenic) flexure
Descending Colon
Descends along the left side of the abdomen from the left colic flexure --> level of the iliac crest
Sigmoid Colon
forms an S-shaped curve as it descends from the iliac crest to the 3rd sacral vertebrae

attached to the body wall by sigmoid mesocolon
Rectum
terminal segment of GI tract

anterior to sacrum and coccyx

ampulla of the rectum- distends= need to go to bathroom

temporary storage of feces
Anal Canal
anus

rectum

pelvic diaphragm
Anal Orifice (anus)
internal and external anal sphincters
Internal Anal Sphincter
smooth muscle- VENs

autonomic, involuntary control
External Anal Sphincter
skeletal muscle- striated, SENs

voluntary control