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an elderly male paitent with stomach cancer recently had a feeding tube…

- - - - DNA
      - RNA
      - pancreatic nuclease
      - brushborder enzymes
    - - a
      - b
      - c
      - d
      - e
      - k
    - - digestion
      - diffusion
      - emulsification
      - fatty acids
      - monoglycerides
    - - water to small intestine
      - osmosis
      - ferritin
      - transferrin
    - - large polypeptides
      - small polypeptides
      - small peptides
      - amino acid monomers
        
        tripeptides
        
        dipeptides
      - panceratic protien
      - brush border enzymes
  - - - holding area for food
      - propulsion to deliver chyme
      - mechan ical breakdow
      - digestion and absorbtion
    - - gall bladder
        
        store and concentrate bile
        
        water absorbtion
      - pancreas
        
        pancreas juice
        
        secretion of inculin and glucagon
      - liver
        
        bile salts
        
        bilirum
        
        largest gland in body
        
        digestive function
        
        lobes
        
        left
        
        caudate
        
        right
        
        quadrate
    - - tube from laryngopharnyx to stomach
      - can collapse
      - joins cardial orifice
    - - major organ of digestion
      - absorption
      - 7-13 feet
      - subdivisons
        
        jejunum
        
        8ft long
        
        duodenum
        
        10in long
        
        IIeum
        
        12ft long
    - - pass food
      - deglutition
        
        swollowing
      - 22 muscle groups
  - - - alimentary canal
      - accessory digestive organs
    - - ingest
      - mechanial breakdown
      - initiates propulsion
      - starts digestion
      - palate
        
        hard palate
        
        soft palate
      - tongue
      - salivary glands
        
        submandibular
        
        sublingual
        
        parotid
      - teeth
        
        periodontal ligament
        
        dentin
        
        cement
        
        pulp cavity
        
        root
        
        crown
        
        root canal
        
        shape
        
        canine
        
        fanglike teeth tear or pierce
        
        premolar
        
        broad crowns
        
        incisors
        
        shaped for cutting
        
        molar
        
        best grinders
    - - gastroesophageal sphinter
      - muscular tube
      - food from mouth to oropharynx
    - - chyme
      - cardial region
      - fundus
      - body
      - pyloric region
      - pyloric vavle
      - greater curvature
      - lesser curverture
    - - pancereas
      - gall bladder
      - liver
    - - duodenum
      - jejunum
      - ileum
      - curcular folds
      - villi
      - microvilli
    - - cecum
      - appendix
      - colon
        
        transverse
        
        desending
        
        asending
        
        sigmoid
      - rectum
        
        rectual vavles
        
        flatus
      - anal canal
        
        internal sphincter
        
        smooth muscle
        
        external sphincter
        
        skeletal muscle
        
        anus
  - - - pancreas
    - - pancreas
    - - mouth
    - - stomach
    - - pancreas
- - - - stomach
      - duodenum
      - esophagus
    - - removed several years ago
- - - - lipids
      - proteins
      - vitamins
      - nucleic acids
      - carbohydrates
      - electrolytes
    - - could cause malabsorption