Health Sciences 3300A/B Lecture Notes - Lecture 1: Diagnostic Peritoneal Lavage, Muscular Layer, Blunt Trauma

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Lecture 1- Digestive System 10/16/2014 4:08:00 PM
**TOP HAT: aspiration of a foreign object beyond larynx ends up lodged in the right bronchus
because it is: shorter than the left primary bronchus, more vertical than the left primary bronchus,
wider than the left primary bronchus
Digestive System-Components
Alimentary Canal(GI Tract)
mouth (head to neck)
pharynx (thorax)
esophagus (abdominal cavity)
stomach (abdominal cavity)
small intestine (abdominal cavity)
large intestine (abdominal cavity)
anus (pelvic cavity)
Accessory digestive organs
teeth
tongue
salivary glands
liver
gallbladder
pancreas
Digestive Processes
Indigestion
taking in food
usually through the mouth (can be taken through nasal gastric tubes)
o entry to the GI
Propulsion
moves food through alimentary canal (forward movement generally)
1st stage: involves swallowing
o voluntary/involuntary
peristalsis coordinated muscle contraction of walls of GI tract that move bolus of
food that we have eaten along the GI tract
o begins at esophagus
o involuntary
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o reverse peristalsis is when stomach doesn’t agree with food and brings the
food back up
o layer of GI tract of longitudinal muscle and circular muscle work to push
bolus of food along the GI tract
o segmentation: breaks up the bolus of food, segments it into smaller, digestible
bits
in intestines
back and forth of the muscles of the stomach or intestinal wall, bolus
stays in a central spot but is broken apart
local phenomenon
Mechanical Digestion
occurs in 2 locations
o oral cavity
o stomach
physically prepares food
chewing
mixing with saliva
churning food in stomach
o 3 layers
o allows to be mixed with digestive enzymes of the stomach
Chemical Digestion
release of enzymes to break down food into components
begins in mouth
complete by small intestine
Mechanical vs. Chemical
- Mechanoreceptors
stretch of organ wall by food
- Chemoreceptors
osmolarity, pH
- Initiates reflexes
enteric NS
stimulates secretions
mixing of luminal contents
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movement along the GI
Reflexes: Enteric Nervous System
Submucosal nerve plexus
in submucosa
regulates activity of glands in gut
activates smooth muscle of mucosa
Myenteric nerve plexus
between longitudinal and circular muscle in muscularis externa
major nerve supply of GI tract
controls GI mobility regulates peristalsis
Histology
-within mesentery
arteries
veins
nerves
-GI tract made up of 4 layers
innermost layer mucosa
o surrounds lumen/cavity of organ
o cavity is lined with mucosa
second layer submucosa
o glands
o submucosa nerve plexus
third layer muscularis externa
o dual layer of muscle
o circular on the inside and longitudinal on the outside (myenteric nerve plexus)
outer layer serosa
o outer connective tissue of organ
Digestive Processes
Absorption
in most of small intestine and large intestine
passage from lumen of GI tract into blood
absorption of nutrients and water that we digest
enters mucosal cells first
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Document Summary

**top hat: aspiration of a foreign object beyond larynx ends up lodged in the right bronchus because it is: shorter than the left primary bronchus, more vertical than the left primary bronchus, wider than the left primary bronchus. Alimentary canal(gi tract: mouth (head to neck, pharynx (thorax, esophagus (abdominal cavity, stomach (abdominal cavity, small intestine (abdominal cavity) large intestine (abdominal cavity, anus (pelvic cavity) Accessory digestive organs teeth liver tongue: salivary glands, gallbladder, pancreas. Indigestion taking in food: usually through the mouth (can be taken through nasal gastric tubes, entry to the gi. Mechanical digestion: occurs in 2 locations, oral cavity, stomach, physically prepares food, chewing, mixing with saliva, churning food in stomach, 3 layers, allows to be mixed with digestive enzymes of the stomach. Chemical digestion release of enzymes to break down food into components: begins in mouth, complete by small intestine. Mechanoreceptors: stretch of organ wall by food.

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