Shared Flashcard Set

Details

6. Heart
Circulatory System
31
Medical
Graduate
11/06/2012

Additional Medical Flashcards

 


 

Cards

Term

Blood Vessels 3 layers:

 and the exception

Definition
  1. Tunica intima
  2. Tunica media
  3. Tunica adeventitia

***capillaries are exception- only have tunica intima resting on basal lamina

Term
Tunica intima
Definition

Single layer of endothelial cells

Underlying subendothelial loose CT

Term
Tunica media
Definition

Mostly smooth muscle cells- can regulate BP

 

-Elastic fibers, type III collagen, and proteoglycans

Term
Tunica adventitia
Definition
  • Becomes continuous with CT surrounding vessels
  • Fibroblasts
  • Coll. type I fibers
  • Longitudinally oriented elastic fibers
  •  Vasa vasorum
Term
Vasa Vasorum
Definition

-In tunica adventitia

-Supplies adventitia and media

-Necessary b/c larger vessel layers too thick to occur solely by diffusion

 

Term
3 Types of Arteries
Definition

1. Elastic (conducting)- aorta and branches

2. Muscular (distributing)- named arteires

3. Arterioles (and meta-arterioles)- regulatory into capillaries

Term
Why elastic arteries need to be elastic
Definition

Systole- contraction, high pressure

Dystole- relaxation, low pressure

*Recoil- Windkessel effect- serves to maintain arterial pressure and flow of blood through tissues

Term
What makes elastic arteries elastic?
Definition

Tunica media- layers of smooth muscle intercalated by elastic laminas

 

-Appears wrinkly- streaightens when strecthed

Term
In tunica media of elastic and muscular BVs, the smooth muscle cells are connected via:
Definition
Gap junctions- allows coordinated contraction (like heart)
Term
What are absent in tunica media and intima of blood vessels?
Definition
Fibroblasts
Term
Aortic Desection
Definition

Weak spot in aortic wall causes false lumen

*Marfan syndrome- mutation in fibrillin gene--> bad elastic fibers

Term
Internal Elastic Lamina
Definition
  • Separates tunica intima from media
  • Only found in arteries, not veins

 

Term
Muscular Arteries include:
Definition
Major arteries, except those coming off aortic trunk and terminal bification of abdominal aorta
Term
Identifying characteristic of muscular arteries
Definition
Relatively thick tunica media composed of mostly smooth muscle cells
Term
Arterioles- elastic lamina and smooth muscle description
Definition
  • No external elastic lamina
  • Eventually lose internal elastic lamina
  • Branch into metarterioles- discontinuous layer of smooth muscle
  • *If any muscle cells around vessel- it is metarteriole and NOT capillary
Term
Differences b/t vein and artery vessel walls and histologically
Definition

Veins have smaller tunica intima

***Veins have much smaller tunica media

*Veins have lots of smooth muscle in adventitia

 

Histologically, veins have:

Thinner walls

 Larger lumen

 

Veins may have blood cells in cross section

Term
Vein valves purpose and structure
Definition

Prevent backflow due to lower pressure

 

Valves- portion of intima jutting into lumen

-Reinforced with collagen and elastic fibers

 

Term
Why do you walk around during a long flight to prevent blood clots?
Definition

More valves in veins- fight gravity

-Contraction of skeletal muscle squeezes vein, increasing blood pressure in that section-->upstream (source) valve closes, downstream valve opens -->blood flow

 

Walking helps pump blood back to heart

Term
Varicose Veins
Definition

Valves fail to close properly, blood pools in vein

 

Over time, pooling forces vein walls outward-->enlargement, bulging, rope like appeareance of veins

 

Factors:

Women>men due to skeletal muscle differences

Overweight- more pressure on SVC

Pregnant women should sleep on their side

Term
Capillaries main function:
Definition
***Enable gas, water, nutrient, waste exchange b/t blood and surrounding tisse

Due to small size
Term
Virtually all cells of the body are within 0.01mm of a capillary except
Definition
Cartilage
Term
5 micron diameter of capillaries means RBCs
Definition
RBCs are 8 microns
Must fold to enter capillary- spectrin and ankrin
Term
2 examples of non-nutritional function of capillaries
Definition
1. Glomeruli of kidney- capillary flow forms glomerular filtrate
2. Skin- local body temperature- hand in hot water
Term
Shunt to bypass true capillaries
Definition
Metarteriole-thoroughfare channel

Closed- wound
Open- heat
Term
Regulation of blood flow into capillaries by:
Definition
Local and systemic signals:
Vasodilation- NO
Vasoconstriction- NE via ANS
Term
Pericytes
Definition
-NOT muscle, just contractile unit
-Contain actin, myosin, tropomyosin
-Capillaries lack tunica media- pericytes instead
-Surrounded by basal lamina continous with basal lamina of endothelial cells
Term
3 types of capillaries (least to most leaky)
Definition
1. Continuous (least leaky)
2. Fenestrated
3. Sinusoidal (most leaky)-->bone marrow
Term
Continuous (somatic) capillaries
Definition
-Least leaky, most common
-Location: muscle, brain, thymus, bone, lung
-Caveolae
-Transcytosis
-Continuous basal lamina
Term
Fenestrated
Definition
More permeable to water and small solutes than non-fenestrated capillaries
-Location: where rapid exchange occurs- kidney, endocrine gland, intestine
-*Always continuous basal lamina- faces BV lumen and basal lamina
-->Sleeving effect
Term
Discontinuous (Sinusoidal) Capillary
Definition
a. No diaphragms
b. No pinocytotic vesicles- not necessary
c. Endothelial cells form discontinuous layer separated by wide spaces
d. ***Interchange b/t blood and tissues greatly facilllitated by structure of capillary wall
e. *Irregular blood pools or channels that conform to shape of structure in which they are located
f. ****Found mainly in liver, hematopoietic organs like BM and spleen
i. Megakaryocytes, new blood cells pass through holes
g. *Discontinuous basal lamina
Term
Blood Brain Barrier
Definition
anything larger than 500 daltons can’t go through
• Very extensive tight junctions
• ***Tight junctions resemble tight junctions of epithelial cells
• No diffusion through cleft or via vesicles
• Few pinocytotic vesicles
• *Astrocytes secrete factors that induce capillary endothelial cells to produce extensive tight junctions
o Several areas of brain not “behind” BBB- pineal gland→secretes melatonin into systemic circulation
Supporting users have an ad free experience!