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GI
Foregut Structures, Blood Supply and Innervation
Structures
Esophagus
Lower Respiratory Tract
Stomach
Proximal Duodenum
Liver
Gallbladder
Pancreas
Spleen
Vascular Supply
Celiac Artery
Innervation
Vagus Nerve
2 mins
Midgut Structures, Blood Supply and Innervation
Structures
Distal Duodenum
Jejunum
Ileum
Appendix
Ascending Colon
Proximal 2/3 of Transverse Colon
Vascular Supply
Superior Mesenteric Artery
Innervation
Vagus Nerve
Lesser Splanchnic Nerve
2 mins
Hindgut Structures, Blood Supply and Innervation
Structures
Distal 1/3 of Transverse Colon
Descending Colon
Sigmoid Colon
Rectum
Pectinate (Dentate) Line
Urogenital Sinus
Vascular Supply
Inferior Mesenteric Artery
Innervation
Lumbar Splanchnic Nerves
Pelvic Splanchnic Nerves
2 mins
Large Intestine
Characteristics
Colon
Electrolyte Reabsorption
Water Reabsorption
Microflora Produce Vitamins
Rectum Stores Feces
1 min
Pancreas
Characteristics
Acinar Cells Release Digestive Enzymes
Ductal Epithelial Cells Release Bicarbonate
Islets of Langerhans
Beta Cells Release Insulin
Alpha Cells Release Glucagon
Delta Cells Release Somatostatin
Somatostatin Inhibits Alpha and Beta Cells
3 mins
Inguinal Canal
2MALT
2 Muscles Form the Roof
Internal Oblique
Transverse Abdominus Muscle
2 Aponeuroses Form the Anterior Wall
External and Internal Abdominal Oblique Aponeuroses
2 Ligaments Form Floor
Lacunar Ligament
Inguinal Ligament
2 T's Form the Posterior Wall
Transversalis Fascia
Conjoint Tendon
Deep Ring is Defect in Transversalis Fascia
Superficial Ring is Formed by Defect in the External Abdominal Oblique Aponeurosis
2 mins
Cholecystokinin (CCK)
LOCATION
Secreted by I Cells
Duodenum and Jejunum
Physiology
Increase Pancreatic Secretions
Increase Gallbladder Contraction
Induce Relaxation of Sphincter of Oddi
Decrease Gastric Emptying
Increases Satiety
Regulation
Increased by Fatty Acids and Amino Acids
3 mins
Somatostatin
Secreted by D Cells
Pancreas
GI Tract
Action
Decrease Secretion of Gastric Acid and Pepsinogen
Decrease Pancreatic and Small Intestine Fluid Secretion
Hepatic Portal Circulation Transports Absorbed Nutrients To The Liver
Liver Processes Absorbed Nutrients
Large Lipids and Fat-Soluble Vitamins Transported as Chylomicrons
Lacteals Transport Chylomicrons
3 mins
Bilirubin Metabolism Overview
Blood
Unconjugated Bilirubin
Bound to Albumin
Heme
Red Blood Cells
Macrophages
Liver
Conjugated Bilirubin
Secreted into Bile
Bowel
Urobilinogen
Eliminated in Feces
Eliminated in Urine
Enterohepatic Circulation
3 mins
Gastroesophageal Reflux Disease (GERD) Assessment
Pathophysiology
Relaxed Lower Esophageal Sphincter
Signs and Symptoms
Dyspepsia (Indigestion)
Belching
Nighttime Coughing
Dysphagia
Epigastric Pain
Regurgitation
Heartburn (Pyrosis)
Globus
2 mins
Types of Hernias
Hiatal
Gastroesophageal Reflux Disease (GERD)
Inguinal
Men
Femoral
Women
Incisional
Umbilical
Consideration
Strangulation
1 min
Hernia Interventions
Reduce Intra Abdominal Pressure
Avoid Straining and Lifting
Open Mouth Sneezing
Excision
Herniorrhaphy
Hernioplasty
Consideration
Scrotal Support
1 min
Proton Pump Inhibitors (PPIs)
"-prazole" Suffix
Indications
Zollinger-Ellison Syndrome
Gastritis
Peptic Ulcer
Gastroesophageal Reflux Disease (GERD)
Mechanism
Inhibit H+/K+/ATPase
Side Effects
Hip fracture
Pneumonia
2 mins
H2 Receptor Blocker
"-tidine" Suffix
Indications
Gastroesophageal Reflux Disease (GERD)
Peptic Ulcer
Mechanism
Block Histamine H2 Receptors
Parietal Cells
52 secs
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