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Gastrointestinal Drugs Anatomy Diseases Therapeutic Agents
GIT Structure & Function ,[object Object],[object Object],[object Object],[object Object]
Anatomy
Esophagus Lower Esophageal Sphincter LES tone Stomach Body Pylorus Delayed Gastric Emptying Duodenum
Electron Micrograph  of the  small intestine  in cross  section
Damaged Mucosal Tissue in Peptic Ulcer Disease
GI Transit Time  Composition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GIT Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GERD ,[object Object],[object Object],[object Object],[object Object]
GERD Treatment Non-Drug  Drug ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANTACIDS
Therapeutic Agents ~~Antacids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antacid M O A
Histamine 2 Blockers
Therapeutic Agents ~~  H2 Receptor  Antagonists ,[object Object],[object Object],[object Object],[object Object],[object Object]
H2 Blocker MOA
Proton Pump Inhibitors
Proton Pump Inhibitors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
P P I's  MOA
Remember the neurotransmitters?
Treatment Agents  cont. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Antidiarrheals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Constipation ~~ Therapeutic Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Constipation Agents  cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy of Vomiting Chemo Receptor Trigger Zone Vomiting Center Smell Center Sight Center Vestibular Stimulation GI tract Skeletal Muscle Dopamine, Serotonin, Opiate Receptors
Mechanisms Underlying Nausea and Vomiting
Antiemetics~ OTC  Rx ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Eaten Alive –  Parasites and their Human Hosts
Parasites Schistosoma mansoni  (6,650 x electron micrograph) Large worm is male with female's head projecting from a middle fold. Permanant mating position 300 eggs/day released
...the larvae head for the nearest snail host
...they gobble up whole cell debris...
Even when potent drugs are found, parasites refuse to surrender.
Therapeutic Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Malaria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Irritable Bowel Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Summary Slide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary Slide (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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gastrointestinal agents