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1B-Medicine
2. SUBMUCOSA
- Composed
of
LCT(some
areas
have
Dense
CT),
blood
vessels,
nerves
often
termed
plexuses,
lymphatics
3. MUSCULARIS
EXTERNA/TUNICA
MUSCULARIS
Beginning
&end
(mouth
&
anus)
- skeletal
muscle
denotes
VOLUNTARY
control
in
these
areas
In
between(lower
esophagus
to
rectum)
- smooth
muscle:
INVOLUNTARY
General
arrangement
- Inner
circular;
outer
longitudinal
Mucosa
and
Submucosa
are
thrown
into
folds
that
vary
in
name
in
relation
to
its
location:
Stomach:
Rugae
Small
Intestines:
Plicae
circularis
Large
Intestines:
Plicae
semilunaris
SALIVARY
GLANDS
2
Types
According
to
Size:
1. Major
large
glands
(sublingual,
submandibular,
parotid)
2. Minor
small
glands
(labial,
buccal,
lingual,
palatine)
GENERAL
HISTOLOGY
OF
THE
GIT
Composed
of
4
layers:
(Mucosa,
Submucosa,
Muscularis
externa
&
Serosa)
1. MUCOSA
(innermost)
- LE:
Stratified
squamous
or
simple
columnar
(only
2
types
of
LE
to
remember
in
GIT)
For
parts
that
are
constantly
subjected
to
stress
(mouth,
upper
esophagus,
anus)
LE
is
protective:
Stratified
squamous
The
rest
that
specializes
in
absorption
or
secretion:
Simple
columnar
- Lamina
Propria
(LP):
Loose
Connective
Tissue
(LCT)
- Muscularis
mucosa(MM):
smooth
muscle
1
1B-Medicine
Functional
Classification:
o Serous,
Mixed,
Mucous
Epithelial
components
of
submandibular
gland
lobule
Secretory
portions
are
composed:
o Serous:
rounded
nucleus;
dark
staining
o Mucous:
flattened
nucleus
near
the
base;
light
staining
o Both
are
lined
with
pyramidal
cells
&
surrounded
by
myoepithelial
cells
Intercalated
ducts:
lined
by
simple
cuboidal
epithelium;
small
caliber
Striated
ducts:
lined
by
simple
columnar
cells;
larger
caliber
(apparent
striations
at
the
base)
The
closer
is
the
gland
the
oral
cavity,
the
secretion
is
predominantly
mucous
The
farther
it
is,
the
secretion
is
predominantly
serous
Parotid
gland:
predominantly
serous
Submandibular:
mixed
predominantly
serous
Sublingual:
mixed
predominantly
mucous
GENERAL
HISTOLOGY
OF
SALIVARY
GLANDS
1. ACINI
- Lined
by
pyramidal-shaped
cells
v Staining
characteristics
depend
on
type
of
secretion:
Mucous:
low
affinity
to
dye;
appear
light
Serous:
high
affinity
to
dye;
appear
darker
- All
are
surrounded
at
the
base
by
myoepithelial
cells
(posses
contractile
proteins
to
squeeze
out
secretions)
- Eventually
drain
into
a
salivary
gland
duct
2
1B-Medicine
PAROTID GLAND
TONGUE
- Can
be
described
as
skeletal
muscle
covered
by
mucous
lined
by
stratified
squamous
epithelium
- Function
is
to
give
pleasure
J
(because
it
posseses
tastebudseating
is
one
of
the
gustatory
pleasures
of
life)
- Contents:
2
types
of
muscle:
instrinsic
&
extrinsic
Numerous
minor
salivary
glands
(Von
Ebner-
serous,
Blandin
&
Nuhn-mucous)
Lingual
papilla:
projections
on
the
surface
of
the
tongue
(filiform,
foliate,
fungiform
&
circumvallate)
Striated
duct:
prominent
basal
striations
produced
by
mitochondria
located
in
the
folds
of
the
basal
aspect
SUBMANDIBULAR
GLAND
4
Kinds
of
Lingual
Papilla
1. FILIFORM
(pointed)
-
Smallest
&
most
numerous
- Only
one
where
LE
is
highly
keratinized
- Keratinization
plus
pointed
end
gives
its
function
that
is
to
provide
friction
to
help
move
food
during
chewing
- In
animals,
its
function
is
for
grooming
(see
how
cats
lick
themselves
as
hygiene?)
2. FOLIATE
(blunt
top)
- best
developed
in
children
&
hardly
seen
in
adults
- a
lot
of
taste
buds
on
the
lateral
aspect
3. FUNGIFORM
(mushroom
shaped)
- Scattered
all
throughout
the
tongue;
irregularly
interspersed
among
the
filiform
papillae
- Taste
buds
located
on
the
superior
surface
4. VALLATE/CIRCUMVALLATE
(mushroom
but
buried)
- Largest
&
least
numerous
- found
in
posterior
aspect
of
the
tongue,
anterior
to
sulcus
terminalis
- surrounded
by
furrow
arranged
in
a
V
shaped
manner
- most
numerous
tastebuds
located
laterally
SUBLINGUAL
GLAND
1B-Medicine
ESOPHAGO-GASTRIC
JUNCTION
Notice
abrupt
change
from
stratified
squamous
epithelium
of
esophagus
to
simple
columnar
epithelium
of
stomach
TASTE
BUDS
Composed
of:
1. Gustatory
(taste)
cells
- Have
microvilli
on
their
surface
that
projects
to
an
opening
called
the
taste
pore
2. Supporting
cells
STOMACH
- Function
is
to
acidify
chyme,
produce
gastric
enzymes
&
hormones
Distinct
characteristics
of
each
layer:
1. MUCOSA
- Thrown
into
longitudinal
foldsrugae
- Found
on
the
surface
are
gastric
pits
- LE:
Simple
columnar
- LP:
gastric
glands,w/c
open
into
the
gastric
pits,
occupy
the
entire
thickness
- MM:
3
layers
Inner
circular,
Outer
longitudinal,
Outermost
circular
2. SUBMUCOSA
- Dense
irregular
collagenous
tissue
- Has
adipocytes
- Meissners
plexus
:bundle
of
nerves
3. MUSCULARIS
EXTERNA/T.
MUSCULARIS
3
layers
of
smooth
muscles:
a. Incomplete
inner
oblique
b. Thick
middle
circular(forms
the
pyloric
sphincter)
c. Outer
longitudinal
*Auerbachs
/
Myenteric
plexus
found
in
between
ESOPHAGUS
- Muscular
tube
for
food
conduction
1B-Medicine
GASTRIC
GLANDS
- Simple
branched
tubular
glands
in
LP
- Parts:
Isthmus
(part
that
opens
into
the
gastric
pits),
neck
and
base
- Cells
found:
a. Parietal/Oxyntic
cells
Parenchyma
of
the
stomach
Big
spheroidal
or
pyramidal
shaped
cells
Acidophilic/
Eosinophilic
Found
in
between
chief
cells
Secrete
HCl
&
Intrinsic
factor
b. Chief/Principal/Zymogenic
cells
Low
columnar
or
cuboidal
basophilic
cells
Secrete
Pespsinogen
c. Mucous
neck
cells
Found
on
the
surface
and
neck
Pale
staining
Secrete
mucous
for
protection
d. Entreoendocrine
cells
(APUD
cells)
Small
pyramidal
or
flattened
cells
irregularly
scattered
can
be
seen
in
silver
stain
only
(manual
says
in
chromium
too)
*thus
the
name
Argentaffin
or
Entero-
Summary
of
gastric
gland
cells:
Stain
Mucous
neck
cells
Pale
staining
Parietal
cells
/
Eosinophilic
Oxyntic
Chief
cells/
Basophilic
Zymogenic
Enteroendocrine
Silver
stain
cells/
APUD
cells
chromaffin cells
Secretion
Mucous
HCl
(Gastric
acid)
Inrinsic
factor
Pepsinogen
Gastric
lipase
Serotonin
Histamine
Gastrin