2.3 Digestive, Endocrine & Nervous Systems
Key Takeaways
The digestive tract pathway is: mouth → esophagus → stomach → small intestine (duodenum, jejunum, ileum) → large intestine → rectum → anus
Accessory digestive organs include the liver (bile production, detoxification), gallbladder (bile storage), and pancreas (enzymes and insulin)
The endocrine system uses hormones to regulate metabolism, growth, and reproduction; the pituitary gland is called the "master gland"
Insulin (from pancreatic beta cells) lowers blood glucose; glucagon (from alpha cells) raises blood glucose — imbalance causes diabetes mellitus
The nervous system is divided into CNS (brain + spinal cord) and PNS (cranial + spinal nerves); autonomic division controls involuntary functions
The sympathetic nervous system triggers "fight or flight" responses; the parasympathetic system promotes "rest and digest" functions
Digestive (Gastrointestinal) System
GI Tract Pathway: Mouth → pharynx → esophagus → stomach → small intestine → large intestine → rectum → anus
| Organ | Function | Key Details |
|---|---|---|
| Mouth | Mechanical digestion (chewing), chemical digestion begins | Salivary amylase breaks down starches |
| Esophagus | Transports food to stomach | Peristalsis (wave-like contractions); lower esophageal sphincter prevents reflux |
| Stomach | Chemical digestion; protein breakdown | HCl acid, pepsin; churning mixes food into chyme; pH 1.5-3.5 |
| Small intestine | Major site of digestion and absorption | Duodenum (bile + enzymes), jejunum (primary absorption), ileum (B12, bile salts) |
| Large intestine | Water absorption, feces formation | Ascending → transverse → descending → sigmoid colon |
| Rectum/anus | Storage and elimination | Voluntary and involuntary sphincters |
Accessory Organs:
| Organ | Function |
|---|---|
| Liver | Produces bile (emulsifies fat); detoxifies blood; stores glycogen; produces clotting factors; metabolizes drugs |
| Gallbladder | Stores and concentrates bile; releases bile into duodenum when fat is present |
| Pancreas | Produces digestive enzymes (lipase, amylase, trypsin); produces insulin and glucagon (endocrine function) |
Key Digestive Enzymes:
| Enzyme | Source | Substrate | Product |
|---|---|---|---|
| Salivary amylase | Salivary glands | Starch | Maltose |
| Pepsin | Stomach | Protein | Peptides |
| Pancreatic lipase | Pancreas | Fat | Fatty acids + glycerol |
| Trypsin | Pancreas | Protein | Amino acids |
| Bile | Liver (stored in gallbladder) | Fat globules | Emulsified fat (smaller droplets) |
Common GI Conditions:
- GERD — Gastroesophageal reflux disease; stomach acid flows back into esophagus
- Peptic ulcer disease — Erosion of stomach or duodenal lining
- Crohn's disease — Inflammatory bowel disease affecting any part of GI tract
- Ulcerative colitis — Inflammatory bowel disease affecting the colon and rectum
- Diverticulitis — Inflammation of small pouches (diverticula) in the colon wall
- Celiac disease — Autoimmune reaction to gluten damaging the small intestine
Endocrine System
The endocrine system produces hormones that regulate metabolism, growth, reproduction, and homeostasis through chemical signaling.
Major Endocrine Glands and Hormones:
| Gland | Hormones | Functions |
|---|---|---|
| Pituitary (anterior) | Growth hormone (GH), TSH, ACTH, FSH, LH, prolactin | "Master gland" — regulates other endocrine glands |
| Pituitary (posterior) | ADH, oxytocin | Water balance; uterine contractions; milk ejection |
| Thyroid | T3, T4, calcitonin | Metabolism regulation; calcium lowering |
| Parathyroid | Parathyroid hormone (PTH) | Raises blood calcium levels |
| Adrenal cortex | Cortisol, aldosterone, androgens | Stress response; sodium/water retention; sex hormones |
| Adrenal medulla | Epinephrine (adrenaline), norepinephrine | Fight-or-flight response |
| Pancreas (islets) | Insulin (beta cells), glucagon (alpha cells) | Blood glucose regulation |
| Ovaries | Estrogen, progesterone | Female sexual development; menstrual cycle |
| Testes | Testosterone | Male sexual development; sperm production |
| Pineal | Melatonin | Sleep-wake cycle regulation |
| Thymus | Thymosin | T-cell maturation (immune function) |
Glucose Regulation:
- Insulin (beta cells) — Lowers blood glucose by facilitating cellular uptake and glycogen storage
- Glucagon (alpha cells) — Raises blood glucose by stimulating glycogen breakdown in the liver
- Type 1 Diabetes — Autoimmune destruction of beta cells; requires insulin injections
- Type 2 Diabetes — Insulin resistance; treated with oral medications and/or insulin
Common Endocrine Conditions:
| Condition | Description | Key Features |
|---|---|---|
| Hypothyroidism | Underactive thyroid | Fatigue, weight gain, cold intolerance, slow heart rate |
| Hyperthyroidism | Overactive thyroid | Weight loss, heat intolerance, rapid heart rate, tremors |
| Diabetes mellitus | Impaired glucose regulation | Polyuria, polydipsia, polyphagia (the "3 Ps") |
| Cushing syndrome | Excess cortisol | Moon face, buffalo hump, weight gain, hypertension |
| Addison disease | Adrenal insufficiency | Fatigue, weight loss, hypotension, skin darkening |
Nervous System
Divisions:
| Division | Components | Function |
|---|---|---|
| Central Nervous System (CNS) | Brain + spinal cord | Processing, integration, coordination |
| Peripheral Nervous System (PNS) | 12 cranial nerves + 31 spinal nerves | Sensory input, motor output |
| Somatic NS | Voluntary motor nerves | Controls skeletal muscles (conscious movement) |
| Autonomic NS | Involuntary motor nerves | Controls organs, glands, smooth muscle |
| Sympathetic | "Fight or flight" | Increases heart rate, dilates pupils, diverts blood to muscles |
| Parasympathetic | "Rest and digest" | Decreases heart rate, constricts pupils, stimulates digestion |
Neuron Structure:
- Dendrites — Receive incoming signals
- Cell body — Contains the nucleus; processes information
- Axon — Transmits signal away from the cell body
- Myelin sheath — Insulates the axon; speeds signal transmission
- Synapse — Gap between neurons where neurotransmitters are released
- Neurotransmitters — Chemical messengers (acetylcholine, serotonin, dopamine, norepinephrine)
Common Nervous System Conditions:
- Alzheimer disease — Progressive dementia; memory loss and cognitive decline
- Parkinson disease — Dopamine deficiency; tremor, rigidity, bradykinesia
- Multiple sclerosis — Demyelination of CNS nerves; weakness, numbness, vision problems
- Epilepsy — Seizure disorder due to abnormal electrical activity in the brain
- Stroke (CVA) — Interrupted blood flow to the brain; can be ischemic or hemorrhagic
- Meningitis — Infection/inflammation of the meninges (membranes covering brain and spinal cord)
Which organ is the primary site of nutrient absorption in the digestive system?
Stomach
Small intestine
Large intestine
Esophagus
Which hormone LOWERS blood glucose levels?
Glucagon
Cortisol
Insulin
Epinephrine
The sympathetic nervous system is often described as the "fight or flight" response. Which of the following is a sympathetic response?
Decreased heart rate
Constricted pupils
Stimulated digestion
Dilated pupils and increased heart rate
Sections you finish are checked off in the contents.