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				Outline 
				  
				I. Branched 
				Tubuloacinar Glands 
				       
				A. Acini 
				       
				B.  Ducts 
				  
				II. Salivary 
				glands  [FAP 24-2; Fig 24-7] 
				       A. 
				Structure 
				                     
				branched tubuloacinar glands 
				                     
				cell types - mucous and serous 
				       B. 
				Saliva 
				- function and makeup 
				       
				C. 3 
				pairs of glands - location, cell types, innervation 
				                 parotid - serous; NIX 
				                 submaxillary (submandibular) - mixed; NVII 
				                 sublingual - mixed (mostly mucous); NVII 
				  
				III. Liver  
				[FAP 24-6; Figs 24-19 to 24-21] 
				        
				       A. Origin - 
				outpocketing of duodenum 
				       B. 4 Lobes - 
				right, left, caudate, quadrate 
				       C. Lobule - 
				basic structural and functional unit 
				               
				central vein (hepatic vein branch) 
				               
				hepatic triad 
				                     
				hepatic artery branch 
				                     
				hepatic portal vein branch 
				                     
				bile duct 
				                     
				lymphatic branch 
				               
				hepatocytes  
				                     
				radiating cords 
				                     
				multiple functions - glycogen storage, detoxification, bile 
				production 
				               
				sinusoids 
				               
				Küpffer cells 
				               bile 
				canaliculi 
				               
				pattern of blood and bile flow 
				       D. Gall 
				bladder 
				               
				histological features 
				                     
				simple columnar epithelium 
				                     
				highly infolded walls when empty 
				               
				functions - storage and concentration of bile 
				               action 
				of CCK 
				       E. Route of 
				bile flow 
				       F. Hepatic 
				portal system 
				               organs 
				drained 
				               
				functions 
				               
				enterohepatic circulation of bile 
				  
				IV. Pancreas  
				[FAP 24-6; Fig 24-18] 
				  
				       A. Origin - 
				outpocketings of duodenum 
				       B. Exocrine 
				portion 
				               
				branched tubuloacinar glands 
				               
				product - pancreatic juice 
				                     
				digestive enzymes and precursors 
				                     
				alkaline fluid 
				               
				hormonal control - CCK vs. secretin effects 
				       C. Endocrine 
				portion 
				               islets 
				of Langerhans (discussed in endocrinology lecture) 
				  
				V. Digestive Control 
				[FAP Spotlight Fig 24-15] 
				  
				       
				A. Hypothalamic satiety center 
				       
				B. Autonomic actions 
				                
				Sympathetic 
				                
				Parasympathetic 
				       
				C. Local mechanoreceptors 
				       
				D. Digestive phases 
				               
				cephalic 
				               
				gastric 
				               
				intestinal 
				  
				VI. Digestive 
				Hormones  [FAP Figs 24-22, 24-23] 
				  
				       
				A. Histamine 
				       
				B. Gastin 
				       
				C. Secretin 
				       
				D. CCK/Pancreozymogen 
				       
				E. VIP 
				       
				F. GIH 
				       
				G. Enterocrinin 
				   
				VII. Nutrition 
				[FAP Spotlight Fig 24-27; Table 24-1] 
				  
				      A. 
				Nutrient classes 
				             
				carbohydrates 
				                 
				digestion 
				                 
				breakdown to simple sugars 
				                 
				cellular respiration - glycolytic and oxidative pathways 
				                 
				glycogenesis, glycogen storage, glyclysis 
				                 
				gluconeogenesis 
				             
				proteins 
				                 
				proteolysis 
				                 
				essential amino acids 
				                 
				transamination and deamination 
				                 
				protein metabolism, ketone bodies and nitrogenous wastes 
				                 
				ketoacidosis 
				                 
				phenylalanine and phenylketonuria 
				             
				lipids 
				                 
				cholesterol vs triglycerides 
				                 
				essential fatty acids 
				                 
				emulsification 
				                 
				absorption of lipids 
				                 
				beta-oxidation 
				                 
				lipid metabolism and ketosis 
				                 
				free-fatty acid transport - lipoproteins 
				                 
				lipogenesis and fat storage 
				             
				vitamins  [FAP Table 24-2] 
				                 
				essential organic nutrients in trace concentarations 
				                 
				water-soluble vs. fat-soluble vitamins 
				                 
				roles as metabolic co-factors 
				             
				minerals [FAP Table 24-2] 
				                 
				essential inorganic nutrients in trace amounts 
				                 
				osmolarity, membrane charge, cofactors 
				             
				water  [FAP Fig 24-28] 
				                  
				 
				      B. 
				Diet [review FAP Ch 25 on metabolism and nutrition] 
				             
				caloric need   [FAP Fig 25-7] 
				                  
				basal metabolic rate 
				                  
				thermoregulatory requirements 
				                  
				activity requirements 
				             
				food groups and "balance" 
				                  
				food pyramid 
				                  
				"myplate"caloric need    
				           
				 
				                 
				 
				
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