Know differences between the different parts of the small intestineDuodenumJejunumIliumLiver has first shot at anything in our diet.Good and toxic thingsFirst organ exposed to anything digested in our systemAccessory Digestive organsLiverEndocrine and exocrine functionsMetabolic and hematologic regulationRemoves waste products and toxinsMonitors circulating levels of glucoseAlso make coagulation factorsBlood reservoirProduces bile pigmentsMakes plasma proteins (alpha and beta globulins)Dual blood supply and portal vein4 lobes- left, right, quadrate lobes, and caudate lobegallbladder just underneath right lobefalciform ligament and continues with coronary livergallbladderstores bilesmall gallstones are badget stuck in hepatic portion so bile is being made but can be releasedblock common bile duct or pancreatic ductbile dissolves lipidsonly way to break it downpancreasin curve shape of duodenum and then goes back towards the spleenhas two separate arteries off the aortaendocrine and exocrinethere for good blood supply and a duct systemacinar cells- exocrineislets of langerhan- endocrine has capillariesoccur in the tailmaglinant in head and can remove without making the patient diabetic (since endocrine is in the tail)cell typesalpha cells- glucagonbeta cells- insulind cells- somatostatincan’t tell difference between cells histomaticallyfunctions of insulinstimulate uptake of glucose from circulation2 receptors (for insulin and glucose) and both must be presentAgeSlowing of perstalsisClinical terms at the end of this chapter!!!Ch 25 Digestive System Part 2 15/04/2010 18:22:00← Know differences between the different parts of the small intestine- Duodenum- Jejunum- Ilium←← Liver has first shot at anything in our diet.- Good and toxic things- First organ exposed to anything digested in our system← Accessory Digestive organs- LiveroEndocrine and exocrine functionsoMetabolic and hematologic regulationRemoves waste products and toxinsMonitors circulating levels of glucoseAlso make coagulation factorsoBlood reservoiroProduces bile pigmentsoMakes plasma proteins (alpha and beta globulins)oDual blood supply and portal veino4 lobes- left, right, quadrate lobes, and caudate lobegallbladder just underneath right lobeofalciform ligament and continues with coronary liver← gallbladder- stores bile- small gallstones are badoget stuck in hepatic portion so bile is being made but can be releasedoblock common bile duct or pancreatic duct- bile dissolves lipidsoonly way to break it down← pancreas- in curve shape of duodenum and then goes back towards the spleen- has two separate arteries off the aorta- endocrine and exocrineothere for good blood supply and a duct system- acinar cells- exocrine- islets of langerhan- endocrine has capillariesooccur in the tail- maglinant in head and can remove without making the patient diabetic (since endocrine is in the tail)- cell typesoalpha cells- glucagonobeta cells- insulinod cells- somatostatinocan’t tell difference between cells histomatically- functions of insulinostimulate uptake of glucose from circulationo2 receptors (for insulin and glucose) and both must be present← Age- Slowing of perstalsis- Clinical terms at the end of this chapter!!!15/04/2010 18:22:00←15/04/2010
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