anatomy of stomach,functions of stomach, location, shape position and parts of stomach,orifices of stomach, curvature of stomach, relations of stomach, blood supply, innervation, lymphatic drainage, clinical relation , GERD, peptic ulcer,
Movements in the GIT( the guyton and hall physiology)Maryam Fida
movements in GIT
1. Propulsive Movements -------- Peristalsis
2. Mixing Movements
Moves food forward along GIT at an appropriate rate for digestion and absorption
A contractile ring appears around the gut and then moves forward
Stimulation at any point in the gut can cause a contractile ring to appear in the circular muscle, and this ring then spreads along the gut tube
Directional movement toward Anus
Can occur in either direction but normally occurs towards anus
Requires active myenteric plexus
Stimulus for intestinal peristalsis
Distention of the gut
Irritation
Parasympathetic nervous signals
Peristalsis is absent:
Congenital absence of myenteric plexus
Atropine (paralyzes cholinergic nerve endings)
Peristalsis also occurs in
Bile ducts
Glandular ducts
Ureters
Many other smooth muscle tubes of the body
Law of the Gut or Peristaltic Reflex or Myenteric reflex:
Peristaltic reflex plus anal direction of movement of peristalsis is called "law of the gut”
Contractile ring normally begins on orad side of distended segment
The gut sometimes relaxes several centimeters downstream toward the anus, called "receptive relaxation," thus allowing food to be propelled easily anally
GASTROINTESTINAL PHYSIOLOGY (The Guyton and Hall Physiology)Maryam Fida
ANATOMY OF GASTROINTESTINAL TRACT
Consists of
Gastrointestinal (GI) tract
Accessory glandular organs
Anatomy and functions of the GI tract
GI tract
◦ mouth, pharynx, esophagus,
◦ stomach, small intestine,
◦ large intestine, anus
◦ Accessory Glandular Organs
salivary glands, liver, gallbladder, pancreas
Histology/organization of the Gut Wall
From esophagus to anus, GI tract has the same basic arrangement of tissues.
There are following layers from outer surface to inward.
Serosa
Longitudinal smooth muscle
Circular smooth muscle layer
Submucosa
Mucosa
Layers of Alimentary Canal
Gastrointestinal Smooth Muscle Functions as a syncytium
The individual smooth muscle fibers in the gastrointestinal tract are 200 to 500 micrometers in length and 2 to 10 micrometers in diameter, and they are arranged in bundles of as many as 100 parallel fibers.
In the LONGITUDINAL MUSCLE LAYER, the bundles extend longitudinally down the intestinal tract.
In the CIRCULAR MUSCLE Layer, they extend around the gut.
Within each bundle, the muscle fibers are electrically connected with one another through large numbers of GAP JUNCTION .
Because of these gap junction electrical signals that initiate muscle contractions can travel readily from one fiber to the next within each bundle but more rapidly along the length of the bundle than sideways.
Each muscle layer functions as a SYNCYTIUM . That is , when an action potential is elicited anywhere within the muscle mass, it generally travels in all directions in the muscle.
MAIN FUNCTIONS
1. Ingestion or consumption of food substances.
2. Breaking them in to small particles.
3. Transport of small particles to different areas of the digestive tract.
4. Secretion of necessary enzymes and other substances for digestion.
anatomy of stomach,functions of stomach, location, shape position and parts of stomach,orifices of stomach, curvature of stomach, relations of stomach, blood supply, innervation, lymphatic drainage, clinical relation , GERD, peptic ulcer,
Movements in the GIT( the guyton and hall physiology)Maryam Fida
movements in GIT
1. Propulsive Movements -------- Peristalsis
2. Mixing Movements
Moves food forward along GIT at an appropriate rate for digestion and absorption
A contractile ring appears around the gut and then moves forward
Stimulation at any point in the gut can cause a contractile ring to appear in the circular muscle, and this ring then spreads along the gut tube
Directional movement toward Anus
Can occur in either direction but normally occurs towards anus
Requires active myenteric plexus
Stimulus for intestinal peristalsis
Distention of the gut
Irritation
Parasympathetic nervous signals
Peristalsis is absent:
Congenital absence of myenteric plexus
Atropine (paralyzes cholinergic nerve endings)
Peristalsis also occurs in
Bile ducts
Glandular ducts
Ureters
Many other smooth muscle tubes of the body
Law of the Gut or Peristaltic Reflex or Myenteric reflex:
Peristaltic reflex plus anal direction of movement of peristalsis is called "law of the gut”
Contractile ring normally begins on orad side of distended segment
The gut sometimes relaxes several centimeters downstream toward the anus, called "receptive relaxation," thus allowing food to be propelled easily anally
GASTROINTESTINAL PHYSIOLOGY (The Guyton and Hall Physiology)Maryam Fida
ANATOMY OF GASTROINTESTINAL TRACT
Consists of
Gastrointestinal (GI) tract
Accessory glandular organs
Anatomy and functions of the GI tract
GI tract
◦ mouth, pharynx, esophagus,
◦ stomach, small intestine,
◦ large intestine, anus
◦ Accessory Glandular Organs
salivary glands, liver, gallbladder, pancreas
Histology/organization of the Gut Wall
From esophagus to anus, GI tract has the same basic arrangement of tissues.
There are following layers from outer surface to inward.
Serosa
Longitudinal smooth muscle
Circular smooth muscle layer
Submucosa
Mucosa
Layers of Alimentary Canal
Gastrointestinal Smooth Muscle Functions as a syncytium
The individual smooth muscle fibers in the gastrointestinal tract are 200 to 500 micrometers in length and 2 to 10 micrometers in diameter, and they are arranged in bundles of as many as 100 parallel fibers.
In the LONGITUDINAL MUSCLE LAYER, the bundles extend longitudinally down the intestinal tract.
In the CIRCULAR MUSCLE Layer, they extend around the gut.
Within each bundle, the muscle fibers are electrically connected with one another through large numbers of GAP JUNCTION .
Because of these gap junction electrical signals that initiate muscle contractions can travel readily from one fiber to the next within each bundle but more rapidly along the length of the bundle than sideways.
Each muscle layer functions as a SYNCYTIUM . That is , when an action potential is elicited anywhere within the muscle mass, it generally travels in all directions in the muscle.
MAIN FUNCTIONS
1. Ingestion or consumption of food substances.
2. Breaking them in to small particles.
3. Transport of small particles to different areas of the digestive tract.
4. Secretion of necessary enzymes and other substances for digestion.
these slides are prepared to understand digestive system IN EASY WAY
Important links- NOTES- https://mynursingstudents.blogspot.com/
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An overview of the GIT with detailed study of the organs, along with their anatomy and physiology. It will find u easier to go through this complex function within our body.
Anatomy and Physiology of Digestive system.
Different Digestive process for absorption of food in GIT.
Different parts GIT Tract where food move from Mouth to the anus.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
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2 Case Reports of Gastric Ultrasound
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Are There Any Natural Remedies To Treat Syphilis.pdf
Small intestine digestion and pancreas
1. Human Anatomy and Physiology-II
Digestive system
(Digestion of food in small intestine and
Exocrine function of Pancreas)
Part-VI
Mr N.JEGAN
Associate Professor
K.M.COLLEGE OF PHARMACY.
MADURAI.
2. Small intestine -Location
• The small intestine is continuous with the
stomach at the pyloric sphincter and leads into
the large intestine at the ileocaecal valve.
• It lies in the abdominal cavity
• Surrounded by the large intestine.
3. Small intestine – Length and Size
• It is about 6 meter long.
• It is approximately 2.5–3 cm in diameter.
• As it is too long, it lies coiled and folded in the
abdominal cavity
5. Small intestine – Parts
It is divided in to three Parts
1.Duodenum
2. Jejunum
3.Ileum
6. Duodenum
• The duodenum is the first section of the small intestine.
• It is about 25 cm long
• C- Shape
• It surrounds the head of the pancreas
• Thicker layer of tissue
7. JEJUNUM
• It is middle section of the small intestine
• About 6-7 metres long.
• Its absorb almost all nutrients except water
• It contain small villi for absorption
8. Ileum
• The final section of the small intestine
• It is about 3 m long, and contains villi similar to
the jejunum.
• It absorb water and Vitamin B 12
• The ileum joins to the cecum of the large intestine at
the ileocecal junction.
10. Structure of the small intestine
It is made up with 4 layers
1. Peritoneum
2. Muscular layer
3. Mucosa
4.Submucosa
11. villi
The surface area of the small intestine mucosa
is greatly increased by permanent circular folds, villi
and microvilli
The villi are tiny finger-like projections, 0.5 to 1 mm
long
They are large and numerous in the duodenum and
jejunum, but are smaller and fewer in the ileum.
12. It consist of columnar epithelial cells, or enterocytes,
with tiny microvilli (1 μm long) on their free border.
Goblet cells that secrete mucus
These epithelial cells enclose a network of blood and
lymph capillaries.
The lymph capillaries are called lacteals because absorbed
fat gives the lymph a milky appearance.
15. Intestinal glands or Crypts of
Lieberkühn
• Situated below the surface between the villi
• The glands and intestinal villi are covered
by epithelium which contains multiple types
of cells.
1. Enterocytes-Absorbing water, electrolytes.
2.Goblet cell -secreting mucus
3.Enteroendocrine cell- secreting hormones
4.Paneth cells-secreting anti-microbial peptides
18. Functions of the small intestine
1.Secretion of intestinal juice
2.Completion of chemical digestion of carbohydrates,
protein and fats in the enterocytes of the villi.
3. Absorption of nutrients.
4. Protection against infection by microbes.
5. Secretion of the hormones cholecystokinin (CCK) and
secretin.
20. Small intestine- succus entericus
• Secretion from small intestine is called succus entericus
• Volume : 1800 mL/day
• The principal constituents of intestinal secretions are:
water
mucus
mineral salts
enzyme: enterokinase (enteropeptidase).
• The enzymes involved in completing the chemical
digestion of food in the enterocytes of the villi are:
peptidases
lipase
sucrase, maltase and lactase
23. Absorption in small intestine
Villi and microvilli in small intestinal mucosa
increases the surface area of mucosa. This facilitate the
absorptive function of intestine.
Digested products of following mostly absorbed in
small intestine.
Proteins
Carbohydrates
Fats
Vitamins,
Minerals
Water
24. Absorption -Place
1. Absorption of the majority of nutrients
takes place in the jejunum.
2. Iron is absorbed in the duodenum.
3. Vitamin B12 and bile salts are absorbed in
the terminal ileum.
25. Absorption Process
1. Diffusion. Monosaccharides, amino acids, fatty
acids and glycerol slowly.
2. Active transport- Disaccharides, dipeptides and
tripeptides.
26. ABSORPTION OF CARBOHYDRATES
Monosaccharides- glucose, galactose
and fructose into the capillaries in the villi and
reach to blood vessels(portal vein) by facilitated
diffusion.
27. Absorption of Protein
Proteins are absorbed in the form of amino
acids from small intestine by sodium cotransport,
facilitated diffusion.
28. Absorption of Fat
The lymph capillaries in
villi called lacteals
because absorbed fat
from the intestine gives
the lymph a milky
appearance.