Chapter 22, Problem 22.10a
Which of the following statements about accessory organ secretions is not true?
a. Hepatocytes produce bile, which drains out of the liver via the common hepatic ducts.
b. Saliva contains secretory IgA and lysozyme, which play an important role in preventing the growth of pathogenic bacteria in the oral cavity.
c. Pancreatic juice contains digestive enzymes and bicarbonate ions to neutralize the acidic chyme.
d. The gallbladder produces bile, which drains out of the gallbladder via the cystic duct.
Video transcript
Mr. Williams presents to your clinic with a complaint of abdominal pain in the right upper quadrant. He says that the pain worsens when he eats, particularly when he eats fatty meals. He has noticed that his stool has been an unusual clay color recently. You perform an ultrasound of his abdomen and find that gallstones are blocking his common bile duct, preventing bile from entering the duodenum.
a. Why are his symptoms worse when he consumes a high-fat meal? Would you expect his symptoms to worsen or lessen when he consumes a meal consisting only of carbohydrates? Explain.
Mr. Williams presents to your clinic with a complaint of abdominal pain in the right upper quadrant. He says that the pain worsens when he eats, particularly when he eats fatty meals. He has noticed that his stool has been an unusual clay color recently. You perform an ultrasound of his abdomen and find that gallstones are blocking his common bile duct, preventing bile from entering the duodenum.
b. You test Mr. Williams's stool and find high amounts of undigested fats. Explain this finding.
Mr. Williams presents to your clinic with a complaint of abdominal pain in the right upper quadrant. He says that the pain worsens when he eats, particularly when he eats fatty meals. He has noticed that his stool has been an unusual clay color recently. You perform an ultrasound of his abdomen and find that gallstones are blocking his common bile duct, preventing bile from entering the duodenum.
c. Explain why his feces have become a clay color instead of a normal brown color.