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Bio 175 Chapter 13 to Final
2nd Half of Semester
337
Physiology
Undergraduate 1
10/22/2008

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Term

Function of Circulatory System

Definition

Transportion:  Respiration of gases, Nutrients, Hormones, Waste Substances.

 

Regulation:  Body Tempurature, Blood Clotting, Immune Function.

Term
Components of Circulatory System
Definition
Cardiovascular System and Lymphatic System
Term
Cardiovascular System
Definition
Heart pumps blood through cardiovascular system; Blood Vessels carry blood from heart to cells and back. Includes arteries, arterioles, capillaries, venules and veins. Blood
Term
Lymphatic System
Definition
Lymph Nodes, Lymph Vessels, Lymph. Part of immune system.
Term
Composition of Blood
Definition
Blood Volume is 5L. 1) Plasma: straw colored fluid comprised of H2O and dissolved solutes (46 - 63%). Serum is fluid left when blood clots. 2) Formed Elements: (37 - 54%) RBC, WBC, Platelets
Term
Plasma
Definition
Comprised of: Plasma Proteins (7%), Other Solutes (1%), Water (92%). Makes up 46-63% of blood.
Term
(Plasma) Albumins
Definition
60% of Plasma Proteins. Helps control blood pressure, osmotic pressure, transport of lipids, seteroid and hormones. Blood Volume.
Term
(Plasma) Globulins
Definition
35% of Plasma Proteins. Trasnports ions, hormones, lipids; immune function.
Term
(Plasma) Fibrogen
Definition
4% of Plasma Proteins. Essential component of clotting system. Can be converted to insoluable fibrin. <1% left in plasma components are regulatory proteins: enzymes, proenzymes, hormones.
Term
Other Plasma Solutes
Definition
Electrolytes, Organic Nutrients, Organic Wastes
Term
Formed Elements
Definition
Red Blood Cells (99.9%) White Blood Cells and Platelets (0.1%)
Term
Red Blood Cells
Definition
AKA Erythrocytes. Count is 4.3 - 5.8 million. Contain Hemoglobin which carries oxygen. Anaerobic Respiration. No Mitochondria or nucleus. Concave shape increases surface area for diffusion. Produced in bone marrow.
Term
White Blood Cells
Definition
AKA Leukocytes. Have nucleus, mitochondria and amoeboid ability. Count is 5,000 - 9,000. Two types: Granular and Agranular.
Term
Granular WBC
Definition
Eosinophils, Basophils, and Neutrophils
Term
Agranular WBC
Definition
Lymphocytes (30%) and Monocytes (largest). Phagocytic and produce antiobodies.
Term
Platelets
Definition
AKA Thrombocytes. Smallest of formed elements. Constitute most of mass of blood clots. Releases serotonin to vasocontrict and reduce blood flow to clot. Growth factors to maintain blood vessel wall. Survives 5 - 9 days. Count is 130,000 - 400,000
Term
Hematopoiesis
Definition
is the formation of blood cells from stem cells in the marrow (Myeloid and Lymphoid tissue)
Term
Myeloid Tissue
Definition
Red bone marrow of long bones. Erythropoienis and Leukopoiesis occurs here.
Term
Lymphoid Tissue
Definition
Lymph Nodes, Tonsils, Spleen, Thymus. Lymphocytes porduced in bone marrow travel here; role in specific immunity.
Term
Erythropoiesis
Definition
Formation of RBC in bone marrow (2.5 million/sec). Stimulated by Erythropoietin (EPO) from Kidney. Old RBC removed by Liver, Spleen and Bone Marrow.
Term
Leukopoiesis
Definition
Formation of WBCs. Stimulated by veriety of cytokines. Autocrine regulators secreted by immune system.
Term
Blood Types
Definition
Antigens in RBC determine blood type. Antibodies in Plasma. Cross-Reaction (aggulutination) occures when Antigens meet Antibodies.
Term
Type A
Definition
Contains Antigen A. Antibodies against B.
Term
Type B
Definition
Contains Antigen B. Antiobodies against A.
Term
Type AB
Definition
Contains Antigen A and Antigen B. No Antibodies. Universal Receiver
Term
Type O
Definition
No Antigens. Antibodies against A and B. Universal Donor.
Term
Rh Factor
Definition
Rh+ contains Rh Antigen. Rh- does not contain Rh Antigen.
Term
Rh Factors and Pregnancy
Definition
Problem when mother is Rh- and baby is Rh+. Can cause Erythroblastosis fetalis if not treated with RHOgam during and after pregnancy.
Term
Hemostasis
Definition
Stopping of bleeding (by Positive Feedback). 1) Vasoconstriction restricts blood flow to area. 2) Platelet plug forms. 3) Plus and surrounding area are infilitrated by web of fibrin, forming clot.
Term
Role of Platelets
Definition
Formation of Platelet Plug. Platelet Aggregation. Damage to Endothelium allows platelets to bind to exposed collagen. Sticks to collagen and realeases ADP, serotonin and Thromoxane A2; called Platelet Release Action.
Term
(role of platelets) Serotonin and Thromboxane A2
Definition
Stimulates vasoconstriction, reducing blood flow to wound. ADP and Thromboxane A2 cause other platelets to become sticky and attach and under platelet release reaction. Continues until platelet plug is formed and blocks site of leakage.
Term
Role of Fibrin
Definition
Platelet plug becomes infiltrated by meshwork of Firbrin which is formed of protein plasma. Fibinogen (Thrombin converts fibrinogen to fibrin). Clot now contains Platelets, Fibrin and RBCs. Platelet plus undergoes Plug Contraction to form more compact plug.
Term
Anticoagulants
Definition
Drugs that prevent formation of blood clots by adding: Sodium Citrate; EDTA; Heparin; or Coumadin. Inhibits activation of Vit K which is required for blood clotting.
Term
Cardiovascular System
Definition
The Heart and Blood Vessels
Term
Heart
Definition
Size of a fist. Works as a pump. Made of muscled called Myocardium.
Term
Epicardium
Definition
outside covering of heart
Term
Endocardium
Definition
lining inside of heart
Term
Pericardium
Definition
Sac that surrounds heart. Contains thin film of fluids for lubrication. Two layers: Visceral which is close to heart and Parietal which is close to chest wall. Collection of fluids in Pericardial sac is condition called Pericardial Effusion.
Term
Structures of Heart
Definition
Divided by septum into two halves: Right (oxygen poor blood) and Left (oxygen rich blood) FOUR Chambers: 2 Atria receive blood from venous system; 2 ventricles pump blood to arteries. Two sides of heart are 2 pumps separated by muscular septum.
Term
Heart chambers
Definition
Upper chamber is the Atrium. Lower chamber is the Ventricle. Myocardium of Atria separated from ventricular myocardium by fibrous tissue. Atria contracts before Ventricles.
Term
Valves of the Heart
Definition
Four Valves which allow blood to flow in one direction. 1) Tricuspid-between right Atrium and right Ventricle. 2) Mitral(Bicuspid)-between left Atrium and Left Ventricle. These two valves are called the AV (Atrioventricular) Valves. 3) Pulmonary-between right Ventricle and Pulmonary Artery. 4) Aortic-between left Ventricle and Aorta. These two are the Semilunar valves.
Term
The Blood Vessels
Definition
Arteries (carry oxygen rich blood from heart) Veins (carry oxygen poor blood back to heart) Capillaries (between for exchange of gases)
Term
Structure of Blood Vessels
Definition
Innermost layer of all vessels is Endothelium made of simple squamous epithelium.
Term
Arteries
Definition
Made of three layers: Tunica Externa (connective tissue) Tunica Media (smooth muscle) Tunica Interna (Endothelium and Elastin. Thick walls. Carries oxygen rich blood away from heart (except Pulmonary Artery). Pressue is high. Small arteries are called Arterioles. Large Arterioes are elastic containing lots of Elastin. Expand during systole/recoil during diastole. Small Arteries and Arterioles are muscular.
Term
Veins
Definition
Three layers: Tunica Externa (connective tissue) Tunica Media (smooth muscles) Tunica Interna (endothelium and Elastin) Thin walls. Carries oxygen poor blood to heart (except for Pulmonary veins). Pressure is low. Small veins called venules. Blood moved to heart by skeletal muscle pumps and pressure drops in chest during breathing. One-way venous valves ensure blood move only to heart. Only vessels with valves.
Term
Capillaries
Definition
Connects between Arteries and Veins. Exchange of gases occures between blood in capillaries and different body cells. BLOOD GIVES ITS OXYGEN TO BODY CELLS AND TAKES AWAYT CARBON DIOXIDE.
Term
Types of Capillaries: Continuous
Definition
Endothelial cells tightly joined together. Narrow intercellular channels permit exchange of molecules smaller than protein. Found in muscle, lungs and adipose tissue.
Term
Types of Capillaries: Fenestrated
Definition
Wide intercellular pores. Very permeable. Found in kidneys, endocrine glands, and intestines.
Term
Types of Capillaries: Discontinuous
Definition
Large caps in eoothelium; leaky and large. Found in liver, spleen, and bone marrow.
Term
Circulation
Definition
1. Pulmonary Circulation 2. Systemic Circulation
Term
Pulmonary Circulation
Definition
Blood circulates between Heart and Lungs. Blood gets rid of carbon dioxide and becomes loaded with oxygen. Pulmonary Artery is the only artery that carries oxygen poor blood. Pulmonary veins are the only veins that carry oxygen rich blood.
Term
Systemic Circulation
Definition
Blood circulates between Heart and Different Organs (systems) of the body. Blood gives oxygen to body cells and takes away carbon dioxide.
Term
Order of Circulation
Definition
Heart->Aorta->Arteries->Arterioles->Capillaries (exchange of gases) -> Venules->Veins->Heart
Term
Path of Pulmonary and Systemic Circulation-Cardiac Cycle
Definition
Deoxygenated blood returns to Right Atrium via the two main veins: Superior and Inferior Vena Cava. Blood flows from Right Atrium to Right Ventricle through Tricuspid Valve. The Right Ventricle contracts to pump blood into the Pulmonary trunk which divides into Right and Left Pulmonary Arteries. In the lungs, exchange of gases takes place between blood in capillaries and air in the lung Alveoli. Blood bcomes oxygenated. Oxygenated blood returns to the Left Atrium via Pulmonary Veins. Blood flows from the Left Atrium to the Left Ventricle through the Bicuspid (Mitral) Valve. The Left Ventricle contracts to pump blood into the Aorta through the Aortic Valve. The Aorta gives branches (arteries) to different body organs. Arteries branch into smaller vessels called Arterioles which give even smaller and tiny vessels called Capillaries. Exchange of gases occures between blood inside Capillaries and Body cells. Now blood becomes deoxygenated. Deoxygenated blood collects into small veins (venules) which join to form bigger veins. Veins from the lower poart of the body join to make the Inferior Vena Cava whle veins from the upper part of the body make the Superior Vena Cava. The SVC and IVC bring Deoxygenated blood back to the Right Atrium and another Cardiac Cycle begins.
Term
Cardiac Cycle
Definition
The pattern of contraction and relaxation of the heart: Systole-contraction phase(ventricles); Diastole-relaxation phase(ventricles). Both Atria contract simultaeouly. Ventricles follow 0.1 - 0.2 seconds later. Atria always opposite.
Term
Cardiac Cycle cont.
Definition
End-Diastolic Volume (Total) is the volume of blood in Ventricles at the end of diastole. Stroke Volume (Spent) is the amount of blood ejected from Ventricles during Systole (per beat) End-Systolic Volume (Left) is the amount of blood left in Ventricles at the end of Systole. Cardiac Output- is Stroke Volume times beats per minute-amount pumped per minute.
Term
Four Phases of Cardiac Cycle
Definition
1. Isometric Ventricular Contract 2. Ventricular ejection 3. Isometric Ventricular Relaxation 4. Ventricular Filling
Term
Cardiac Cycle 1. Isovolumetric Ventricular Contraction
Definition
Valves close-no volume change; pressure increases (exceeding that in Aorta) causing opening of Semilunar Valves.
Term
Cardiac Cycle 2. Ventricular ejection
Definition
Ventricle contracts pushing valves open and ejects blood. Pressure becomes less, closing valves.
Term
Cardiac Cycle 3. Isovolumetric Ventricular Relaxation
Definition
Pressure in Ventricle has become less than in Aorta; back pressure closes Semilunar Valves. Relaxed (all valves closed) pressure decreaases, less than in Atria. Blood flows from Atria to Ventricle.
Term
Cardiac Cycle 4. Ventricular Filling
Definition
When pressure in Ventricles falls below Atria, AVs open and Ventricles fill again. Atrial Systole sends its blood into Ventricles. The Ventricles begain filling again and cycle starts all over again.
Term
Heart Sounds
Definition
Closing of AV (Tricuspid and Bicuspid) and Semilunar Valves (Aortic and Pulmonary valves) produces sounds that can be heard using a stethoscope. 1st sound-Lub produced by clsing of AV Valves. 2nd sound-Dib produced by clsing of Semilunar Valves.
Term
Heart Murmurs
Definition
Abnormal sounds produced by abnormal patterns of blood flow in heart. Caused by Defective heart valves, Congenital defects, Rheumatic fever.
Term
Mitral Stenosis
Definition
Mitral valve becomes narrow impairing blood flow from Left Atrium to Left Ventricle. Accumulation of blood in Left Atrium can cuase Pulmonary Hypertension.
Term
Incomplete Valves
Definition
Valves don't close properly. Can be from damage t Papillary Muscles or the Valve Cusps.
Term
Atrioventricular Valves
Definition
blood flows from Atria into ventricles through one-way AV valves
Term
Semilunar Valves
Definition
during ventricular contraction blood is pumped through aortic and pulmonary semilunar valves; closed during relaxation.
Term
Lub
Definition
Closing of AV valves. SL valves open. RV and LV contracting (systole). Blood flowing from RV to Pulmonary Arteries (to lungs) and from LV to Aorta. Immediately after QRS wave as AV valves close. Atrial diastole and Ventricular systole.
Term
DUB
Definition
Closing of SL Valves. AV valves open. Atrial systole; Ventricular diastole. Blood flowing from atria to ventricles. Comes as T wave begins and semilunar valves close. Ventricular Filling.
Term
Electrical Activity of Heart
Definition
Myocardial cells are: short, branched and interconnected by gap junctions. Entire muscle that forms is called myocardium and contracts as one unit. Chambers are separated by nonconductive tissues.
Term
SA Node
Definition
Pacemaker. Depolarizes spontaneously to threshold (pacemaker potential)
Term
Conducting Tissues of Heart
Definition
From one muscle to the next. APs from SA Node spread through Atrial myocardium. BUT it needs a special pathway to Ventricles. AV Node at base of right Atrium and Bundle of His (AV bundle) conduct APs to Ventricle. In spetum of ventricles, His divides into right and left bundle branches which gives rise to Purkinie fibers in walls of Ventricles. Stimulates contraction of Ventricles.
Term
Conduction of APs
Definition
APs from SA Node spread at a rate of 0.8 ti 1 n.sec in Atrial wall. Time delay occures as APs pass through AV Node; slow conduction of 0.03 ti 0.05 m/sec. AP speed increases in Purkinje fiberto 5 m/sec. VENTRICULAR CONTRACTION BEGINS 0.1 ti 0.2 seconds after contraction of Atria.
Term
Myocardial APs
Definition
Upstroke occures as VG Na+ channels open. MP rapidly declines to 15 mV. Stays there for 200 to 300 msec (plateau phase). Plateau results from balance between slow Ca2 influx and K+ efflux. Repolarization due to opening of extra K+ channels.
Term
Excitation-Contraction Coupling
Definition
Depolarizaiton of myocaridal cells open VG Ca2+ channels in sarcolemma. This depolarization opens Ca2+ release channels in SR. (calcium stimulated calcium release) Ca2+ binds to troponin and stimulates contraction (for cross bridges) During repolarization, Ca2+ is pumped out of cell into SR.
Term
Refractory Periods
Definition
Heart contracts as synctium (one unite or one cell). thus cannot sustain force. Has a Refractory Period almost as long as AP. CANNOT be stimulated to contract again until relaxed. This allows for filliing phase.
Term
ECG
Definition
recording of electical activity of heart conducted through ions in body to surface.
Term
ECG Recording
Definition
Three distinct waves
Term
P Wave
Definition
caused by Atrial depolarization
Term
QRS complex
Definition
caused by entricular depolarization
Term
T Wave
Definition
result of Ventricular repolarization
Term
ST Segment
Definition
represents plateau phase
Term
P-R Interval
Definition
from start of P wave to start of QRS complex
Term
P-R segment
Definition
from end of P wave to start of QRS complex
Term
S-T segment
Definition
from end of S wave to start of T wave
Term
Q-T Interval
Definition
from start of QRS complex to end of T wave
Term
Functions of Lymphatic System
Definition
Transports intertitial fluid back to blood (between cells). Transports absorbed fat from small intestine to blood. Helps porvide immunological defenses against pathogens.
Term
Cardiac Output (CO)
Definition
Cardiac Output is volume of blood pumped by each Ventricle per minute. Stroke Volume is volume of blood pumped by each Ventricle per beat. CO=SVxHR. Average CO is about 5.5 L/min. Total blood volume is about 5.5L.
Term
Regulation of CO
Definition
depends on Heart Rate and Stroke Volume.
Term
Regulation of HR
Definition
without neuronal influences, SA NODE will drive heart at the rate of its spontaneous activity. AUTONOMIC innervation of the SA Node is the main factor that controls HR. Sympathetic and Parasympathetic nerve fibers modify rate of spontaneous depolarization (chronotropic effect)
Term
Regulation of HR - cont.
Definition
Sympathetic (NorEpinephrine and Epinephrine) of Adrenal Gland INCREASES HR. Parasympathetic (acetylcholine) DECREASES HR. THE ACTUAL HR depends on the net effect of these two antagonistic influences.
Term
Cardiac Control Center
Definition
Medullat Oblangata coordinates activity of Autonomic Innervation of heart.
Term
Three Variables of Stroke Volume
Definition
1) End-Diastolic Volume 2) Contractility 3) Total Peripheral resistance
Term
End-Diastolic Volume
Definition
Volume of blood in Ventricles at End Diastole. AKA Preload (before Ventricles contract) INCREASE IN THE EDV leads to increase in SV. Depends on Venous Return. INCREASE Venous Return increases End Diastolic Volume -> increases Stroke Volume
Term
Contractility
Definition
Strength of Ventricular contraction. Strength of contraction increases with increased EDV. STRONGER contractions increase SV.
Term
Total Peripheral resistance
Definition
AKA Afterload (after Ventricles contract) Resistance to blood flow in Arteries. MORE resistance decreases SV.
Term
Venous Return
Definition
dependant on: Blood volume and venous pressure; skeletal muscle pumps. Pressure drops in chest cavity during inhalation. Venconstriction caused by Sympathetic fibers.
Term
Contractility of Heart Muscle
Definition
the strength of Heart contractions (Ventricles). Controlled by two mechanisms: Intrinsic and Extrinsic
Term
Intrinsic Control of Contractility
Definition
Frank-Startling Law of the Heart: THE STRENGTH of Ventricular contractions varies directly with EDV. As EDV increases, myocardium is stretched more, causing stronger contraction that leads to increase in SV. Force of contraction depends on initial length of cardiac muscle fiber.
Term
Extrinsic Control of Contractility
Definition
Contractility (strength of contraction) depends on level of Sympathoadrenal activity: Norepinephrine and Epinephrine (suprarenal. Produces an increase in contraction strength(Positive Intropic Effect) ALSO increases the HR (Chronotropic Effect)
Term
Ejection Fraction
Definition
Percentage of SV to the EDV. At rest 60%; EDV is 110-130ml; SV is 70-80ml. Exercise can increase this to up to 90%.
Term
Blood Volume
Definition
Intracellular Compartment contains 2/3rds H2O. Extracellular Compartment contains 1/3rd total body H2O; 8-% of this is interstitial and 20% is blood plasma.
Term
Exchange of Fluid between Capillaries and Tissues
Definition
Distribution of ECF between blood and intestitial compartments is the state of Dynamic Equilibrium. Two Froces: Hydrostatic Pressure (BP) and Osmotic Pressure (Colloid Pressure)
Term
Hydrostatic Pressure
Definition
BP. Moves (forces out) fluids from capillaries to interstitial spaces. Movement out of capillaries driven by Hydrostatic pressure exerted against capillary walls. Promotes formation of tissue fluid. Net Filtration Pressure=HP in Capillaries minus HP of ECF.
Term
Osmotic Pressure
Definition
Colloidal Pressure created by plasma. Moves water from interstitial spaces back to capillaries. Osmotic (Colloid) Pressure caused by proteins in fluids. Difference between Osmotic pressures inside and outside of capillaries affects water movement: plasma osmotic pressure = 25mmHg; interstitial osmotice pressure = 0mmHg. PROMOTES movement of water from interstitial fluid back to blood in capillaries.
Term
Edema
Definition
Excessive accumulation of ECF. Caused by: High BP, Venous Obstruction, leakage of protein plasmas into ECF, low plasma protein caused by liver disease, Myxedema (excess production of glycoprotein in EC matrix) from Hypothyroidism.
Term
Regulation of Blood Volume
Definition
Adjusted according to needs of the body by hormones: ADH-released by Poserior Pituitary when Osmoreceptors detect High Osmolality in plasma; ADH is inhibited by Low Osmolality; Aldosterone-helps maintain blood volume and pressure through reabsorption and retention of salt and water. Released by: salt deprivation, low blood volume and low BP.
Term
Blood Flow
Definition
Two Main Factors: 1) Pressure difference-greater the pressure difference, the more blood flow. 2) Diameter of Blood Vessels (resistance)-small Arteries and Arterioles are most important. **Vasodilation decreases resistance and increases blood flow. ** Vasoconstriction increases resistance and decreases blood flow.
Term
Regulation of Blood Flow-Mechanisms
Definition
Two Mechanisms: 1) Extrinsic Regulation: ANS-Symapthetic and Parasympathetic; Endocrine Systme 2) Intrinsic Regulation: Myogenic and Metabolic
Term
Extrinsic Regulation of Blood Flow
Definition
Sympathoadrenal causes: Increased CO and HR; Vasocontstriction of Arterioles in skin and viscera; Increased blood flow to skeletal muscles. **Blood is diverted away from viscera and skin to skeletal muscles. Parasympathetic only innervates digetive tract, genitalia and salivary glands-NOT as important in blood flow.
Term
Intrinsic Regulation of Blood Flow (Autoregulation)
Definition
Maintains fairly constant blood flow despite BP variations. 1) Myogenic Control Mechanisms 2) Metabolic Control Mechanisms
Term
Myogenic Control Mechanisms (Intrinsic Regulation)
Definition
occurs in some tissures because vascular smooth muscle contracts when stretched and relaxes when not stretched. Eg: decreased arterial pressure causes cerebral vessels to dialate and visa versa.
Term
Metabolic Control Mechanisms (Intrinsic Regulation)
Definition
Increase blood flow to local tissues to meet their metabolic requirements in response to: lower O2 levels, lower CO2 levels, lower PH (lactic acid). Leads to vasodilation which increases blood flow (reactive hyperema)
Term
Cerebral Circulation
Definition
Not normally influenced by sympathetic activity. Regulated by Intrinsic Mechanism. Myogenic Regulation when BP increases, cerebral Arterioles constrict; when BP decreases, cerebral Arterioles dialate. Myobolic Regulation: Arterioles dialate and constrict in response to CO2 levels. ** Areas of brain with high metabolic activity receive most blood.
Term
Cutaneous Blood Flow
Definition
Thermoregulation. 37 degrees C (98.6F) Sympathetic activity closes surface capillaries during cold and during Fight-and Flight. Opens them in Heat and Exercise.
Term
Blood Pressure
Definition
Pressure of blood against arterial wall. Arterioles play important role. Controlled by: HR, SV, Peripheral Resistance, Increase in any of these results in increased BP. Sympathoadrenal activity raises BP by: Arteriole vasocontriction and increased CO. Kidney plays role in BP by regulating blood volume and thus SV.
Term
Arterioles in BP
Definition
Blood flow to capillaries is controlled by diameter of Arterioles. Capillary BP is decreased because they are downstream of High Resistance Arterioles. Capillary BP is also low because of Large Total Cross-Sectional Area. BP of Arteriolar end of capillaries is 37mmHg and only 17mmHg at the Ventricular End. ** BP is 0 @ SVC and Right Atrium junction.
Term
Baroreceptor Reflex
Definition
Activated by changes in BP. Located in Aortic Arch and Carotid Sinuses. **Decrease in BP causes Sympathetic stimulation. ** Increase in BP causes parasympathetic stimulation. They sent APs: Vasomotor; Cardia Control Centers in Medulla Oblangata. **Most sensitive to sudden decrease in BP (going from laying to standing)
Term
Measurement of BP
Definition
Systolic-1st sound; Diastolic-when no sound can be heard (Korotkoff sounds)
Term
Pulse Pressure
Definition
Systolic Pressure minus Diastolic Pressure. Mean Arterial Pressure (MAP): Diastolic pressure + 1/3 Pulse Pressure.
Term
Hypertension
Definition
Primary or Essential-caused by complex and poorly understood processes. Secondary caused by known disease processes.
Term
Essential Hypertension
Definition
Contitutes most cases. Prolonged high BP causes thickening of Arterial walls resulting in Arteriosclerosis. Kidney unable to excrete Na+ and H2O.
Term
Dangers of Hypertension
Definition
Silent Killer. Ventricular Hypertrophy. Congestive Heart Failure.
Term
Circulatory Shock
Definition
Inadequate Blood Flow or Inadequate O2 supply to tissues.
Term
Hypovolemic Shock
Definition
Circulatory Shock due to Low Blood Volume; decreased CO and BP. Signs: Low BP, Rapid weak pulse, Cold clammy skin, Low urine output
Term
Septic Shock
Definition
Severly low BP due to Sepsis. Occurs as result of Endotoxin released from Bacteria; induces NO production causing vasodilation causing fall in BP
Term
Other causes of Circulatory Shock
Definition
Anaphylactic Shock, Neurogenic Shock, Cardiogenic Shock
Term
Anaphylactic Shock
Definition
severe allergic reaction causing fall in BP due to release of Histamine causing vasodilation
Term
Neurogenic Shock
Definition
decrease in sympathetic tone following spinal cord damage or anesthesia leading to vasodilation
Term
Cardiogenic Shock
Definition
follows Cardiac Failure resulting from infarction that causes significatn myocaridal loss
Term
Congestive Heart Failure
Definition
CO is insufficient to maintain adequate blood flow. Caused by MI, Congenital Defects, Aortic Valve Stenosis.
Term
Respiratory Physiology
Definition
Three Functions: Ventilaion, Gas Exchange, and O2 Utilization
Term
Ventilation
Definition
Movement or Air in and out of lungs
Term
Gas Exchange
Definition
External: Between Air and Lungs. Internal: Between Blood and Body Cells.
Term
O2 Utilization
Definition
Usage of O2 by cells and tissues AKA Cellular or Aerobic Respiration
Term
Respiratory Structures
Definition
Conductin Zone and Respiratory Zone
Term
Conducting Zone
Definition
Conducts, cleans, filters and humidifies air. No exchange of gases.
Term
Repiratory Zone
Definition
Exchange of gases. Gas exchange is Passive Transport-Simple Diffusion
Term
Diaphragm
Definition
Contracts during inspiration INCREASING volume. Relaxes during expiration DECREASING volume.
Term
Thoracic Cavity
Definition
contains: Heart, Lungs, Trachea, Esophagus and Large Blood Vessels
Term
Plueral Sac
Definition
surrounds each lung
Term
Ventilation Influenced By
Definition
Compliance, Elasticity and Surface Tension. Air moves from High pressure to lower pressure.
Term
Compliance
Definition
Ability of lung to expand under pressure
Term
Elasticity
Definition
ability of lungs to return to original size; due to high content of Elastin Proteins
Term
Surface Tension
Definition
Term
During Inspiration
Definition
Intrathoriacic pressure decreases and air flows inside
Term
During Expiration
Definition
Intrathoracic pressure increases; Air flows outside
Term
Pulmonary Function Test
Definition
Tidal Volume, IRV, ERV, VC, Total Lung Capacity, Inspiratory Capcity, Functinal Residual Capacity, Residual Volume, Autonomical Dead Space
Term
Tidal Volume
Definition
Amount of air inspired or expired per breath in normal quite breathing
Term
Inspiratory Reserve Volume
Definition
Maximum volume of air that can be inspired during forced breathing in addition to TV.
Term
Expiratory Reserve Volume
Definition
Maximum Volume of air that can be expired during forced breathing in addition to TV.
Term
Vital Capacity
Definition
Inspiratory Reserve + Tidal Volume + Expiratory Reserve
Term
Total Lung Capacity
Definition
Amount of air after Maximum Inspiration
Term
Inspiratory Capacity
Definition
Maximum amount of air that can be inspired after a normal Tidal Expiration
Term
Functional Residual Capacity
Definition
Amount of air remaining in the lungs after a normal Tidal Expiration
Term
Residual Volume
Definition
Volume of air remaining in lungs after maximum expiration
Term
Anatomical Dead Space
Definition
Air in Conducting Zone
Term
Partial Pressure
Definition
concentration gradient factor that causes simple diffusion in exchange of gases. Pressure that particular gas in mixture exerts independently
Term
Dalton's Law
Definition
Total pressure of a Gas Mixture is the sum of Partial Pressure of each in the Mixture
Term
Gas Exchange in the Lungs
Definition
driven by Partial Pressure of gases between Alveioli and capillaries. High partial pressure to low partial pressure.
Term
Pulmonary Circulation
Definition
Rate of blood flow through Pulmonary circuit EQUALS flow through Systemic circulation BUT pressure is pumped at lower presssure because Pulmonary Vascular Resistance is lower than Systemic capillaries. This avoids Pulmonary Edema.
Term
Control of Ventilation
Definition
Brain Stem Respiratory Centers. Medulla Oblangata and Pons.
Term
Barin Stem Respiratory Centers
Definition
Medulla Oblangata and Pons
Term
Effects of Blood PCO2 and pH on Ventilation
Definition
Chemoreceptors
Term
Hemoglobin
Definition
4-O2 molecules; 4 heme ferrous ions (iron) make bonds
Term
Oxyhemoglobin
Definition
O2 in blood is bound to Hb inside RBs as (not in plasma)
Term
Caroxyhemoglobin
Definition
Hb combined with carbon monoxide
Term
Myoglobin
Definition
red pigment found exclusively in striated muscle. Releases O2 only at low PO2.
Term
CO2 Transport
Definition
transported in blood as: Dissolved CO2(10%), Carbominohemogloving (20%) and Bicarbonate ion (70%)
Term
Acid-Base in Blood
Definition
7.35 to 7.45 pH. Most import buffer is Bicarbonate to keep acidity down
Term
Hyopventilation
Definition
Not enough CO2 breathed out of lungs. Acidity builds causing Respiratory Acidosis.
Term
Hyperventilation
Definition
too much CO2 is breathed out of lungs. Acidity drops, causing Respiratory Alkalosis
Term
Lactate Threshold
Definition
Maximum rate of oxygen consumption before blood lactic acid levels rise as a result of Anaerobic Respiration
Term
Path of Respiration
Definition
Air passes from mouth to trachea to right and left bronchi to bronchioles to respiatory bronchioles to alveoli
Term
Physical Aspects of Ventilation
Definition
Ventilation results from pressure differences induced by changes in lung volume. High to low
Term
Boyle's Law
Definition
Pressure of gas is inversely proportional to its volume. Increased volume = decreased pressure and visa versa.
Term
Intrapulmonary Pressure
Definition
During insrpiation, negative pressure (low) created causes air to move into lungs. * Negative pressue is due to increase in volume (more space) *There is greater pressure outside as compared to inside causing the movement of air to area of lower pressure
Term
Mechanics of Breathing
Definition
Pulmonary ventilation consists of inspiration and expiration. * Accomplished by alternately increasing and decreasing volumes of thorax and lungs
Term
Inspiration
Definition
*Insiration occurs because diaphragm contracts, increasing thoracic volume. *Increasing in volume creates low/negative intrapulmonary pressure and air moves in.
Term
Expiration
Definition
*Passive recoil of diaphragm and intercostal muscles *Decreases thoracic volume *Results to increase intrapulmonary pressure and air move out
Term
Chemoreceptors
Definition
Automatic breathing is influenced by activity of chemorecptors that monitor blood PCO2, PO2 AND pH. *Central and Peripheral
Term
Central Chemorecptors
Definition
In medulla
Term
Peripheral Chemoreceptors
Definition
in large arteries near heart (aortic) and carotids
Term
BOHR SHIFT
Definition
As pH of blood becomes acidic (lower pH) the affinity (binding) of Hb for oxygen lowers, resulting to the release of more oxygen to tissues
Term
Four Functions of Digestive System
Definition
Ingestions, Digestion, Absorption, Elimination
Term
Ingestion
Definition
of food. Food intake, Mastication and Swallowing (Deglutition)
Term
Digestion
Definition
Break down of food into simple nutrients
Term
Absorption
Definition
Passage of simple nutrients into blood stream and Lymph. Absorption of Nutrients
Term
Elimination
Definition
of waste. Indigestible components of blood (defecation)
Term
Anatomy of Digestive System
Definition
Two Components: 1) Digestive Tract (Alimentary Canal) aka Gastrointestinal tract. Tube extends from mouth to anus. 2) Accessory Digestive Organs: Salivary Glands, Liver, Gall Bladder, Pancreas
Term
Digestive Tract (Alimentary Canal) or Gastrointestinal Tract
Definition
Tube extends from mouth to anus.Made up of Mouth and Oral Cavity, Pharynx, Esophogus, Stomach, Small Intesting (Duodenum, Jejunum and Ileum), Large Intestine (cecum, appendix, ascending colon, descending colon, sigmoid colon, rectum, anal canal and anus)
Term
Accesory Digestive Organs
Definition
secretes substances to help digestion. Consists of Salivary Glands, Liver, Gallbladder and Pancreas
Term
Microscopic Structure of GI Tract
Definition
Four layers (Tunica): Mucosa, Submucosa, Muscularis Externa, Serosa
Term
1. Mucosa
Definition
Inner most layer-simple columnar. *Absorptive and secretory layer lining lumen of GI tract *Has folds called Villi * contiains Mucus-secreting goblet cells and thin layer of muscle (muscular mucosa
Term
2. Submucosa
Definition
Vascular Connective Tissue
Term
3. Muscularis Externa
Definition
Two layers of smooth muscle: Inner Circular and Outer Longitudinal
Term
4. Serosa
Definition
Outermost layer; binds and protects. Consists of Areolar-Connective tissue covered with layer of simple squamous epithelium
Term
Regulation of GI Tract
Definition
*By ANS-Parasympathetic and Sympathetic *Intrinsic System-The
Enteric Nervous System *Hormonal and Paracrine Signals influence GI Motility
Term
ANS GI Tract Regulation-PARASYMPATHETIC
Definition
*Vagus Nerve *Stimulates Motility and secretions of GI Tract
Term
ANS GI Tract Regulation-SYMPATHETIC
Definition
Reduces, slows, inhibits peristalsis and secretions of GI tract
Term
ANS GI Tract Regulation-SYMPATHETIC
Definition
Reduces, slows, inhibits peristalsis and secretions of GI tract
Term
Regulation of GI Tract-Enteric Nervous System
Definition
Intrinsic system that controls movement
Term
Regulation of GI Tract-GI Motility
Definition
Influenced by Hormonal and Paracrine signals
Term
Regulation of GI Tract-Hormonal Signals
Definition
Chemical substances released by organ to affect another organ through the blood stream
Term
Regulation of GI Tract-Paracrine Signals
Definition
substance secreted by one tissue to affect another tissue in the same organ
Term
Digestive Tract
Definition
Mouth, Pharynx, Esophagus, Stomach, Small Intestine, Large Intestine or Colon
Term
Mouth
Definition
Teeth, Lips, Tongue. *Chewing (Mastication) breaks down food and mixes it with saliva which contains the enzyme salivary Amylas for digestion of starches * Swallowing (Deglutition) 3 Phases: 1) Oral Phase-voluntary and forms food bolus 2) Pharyngeal 3) Esphageal-involuntary and cannot be stopped. TO SWALLOW, larynx is raised so that epiglottis covers entrance to respiratory tract
Term
Pharynx
Definition
*commons pathway for both food and air. NO DIGESTION occurs
Term
Esophogus
Definition
*Tube from pharynx to stomach *Non keratinized stratified squamous epithelium *Passes through Diaphragm via Esphageal Hiatus. NO DIGESTION HERE
Term
Movement of Food through Digestive Tract
Definition
*Peristalsis-wave-like muscular contractions produced by circular and longitudinal muscle layer; moves food. *Gastroesophageal Sphincter constricts preventing reflux.
Term
Stomach
Definition
Three Regions: Fundae, Body, Pylorus
Term
**Gastric Glands
Definition
Gastric Glands contains five cells that secrete different products that form Gastric Juice: Parietal Cells, Chief cells, Goblet cells, G cells, and Enterochromaffin-like cells
Term
Parietal Cells
Definition
secrete HCL and Intrincis factor necessary for Vitamin B12 absorption in Intestine
Term
Chief Cells
Definition
secretes Pepsinogen (inactive precursor for Pepsin)
Term
Goblet Cells
Definition
secretes mucos protecting wall of stomach from acid
Term
G Cells
Definition
secretes Gastrin
Term
Enterochromaffin-like Cells
Definition
secretes Histamine
Term
HCL in Stomach
Definition
Secreted in response to hormone Gastrin (G cells) and ACH from Parasympathetic. Bother indirectly stimulate release of Histamine (Enterchromamaffin-like cells) which stimulates Pariteal Cells to secrete HCI. *Gastric Juice is very Acidic (<2 pH) *Converts Pepsinogent to Pepsin which is more active at low pH
Term
Protective Mechanism of Stomach
Definition
Parital and Chief cells are impermeable to HCI *Layer of Alkaline Mucus (Goblet Cells) containing HCO3 *Tight junctions between adjacent epithelial cells *Rapid cell division-entire epithelium replaced very three days
Term
Digestion and Absorption in Stomach
Definition
**Proteins are patially digested in stomach by Pepsin (Chief Cells) *Carbs and lipids are not digested *Carb digestion by Salivary Amylas is inactivated by acidity *Alcohol and Aspirin are absorbed in the stomach
Term
Functions of the Stomach
Definition
Receives food, Inital digestion of Proteins, Killing Bacteria, Keeping food till it becomes Chyme, Moving Chyme into Duodenum
Term
Functions of Small Intestine
Definition
Digestion: *Carbs in mouth *Proteins in stomach *Lipids in small intestine. Absorption: *Nutrients-small intestines, Water
Term
Small Intestine
Definition
Longest part of GI Tract. Includes: Duodenum, Jejunum, and Ileum. Surface area increased by folding projections *Large Circular Folds are Pilcae Circularis *Microscopic finger-like projections are Villi *Apical hair-like projections of Plasma Membrane are Microvillia (Brush Border) *Villi covered with Simple Columnar Epthelial cells with Goblet Cells that secrete mucos *Epithelial Cells covering Villi contain Microvilli *INside each villus are: capillaries and Central Lacteral
Term
SI-Duodenum
Definition
1st section 25 cm after pyloric sphincter. 1) Bile from liver for the digestion of fats 2) Pancreatic Juice from Pancreas
Term
SI - Jejunum
Definition
next 2/5ths
Term
Si- Uleum
Definition
*Last 3/5ths *Empties into Large Intestine *Joins LI at Ileocecal Valve
Term
Intestinal Enzymes
Definition
Attached to microvilli are Brush Border Enzymes that are not secreted into lumen*Disaccharides (digestion of) Sucrase, maltase, and lactase*Peptisdase
Term
Intestinal Contractions and Motility
Definition
Two Types: 1) Peristalsis (weak and slow) 2) Segmentation-contraction of circular smooth muscle to mix and move chyme. *Occurs Automatically endogenous Pacemaker activity *Contractions are modified by ANS- ACH from Parasympathetic increases strength and duration; NE and Epi from Sympathetic decreases activity
Term
Large Intestine or Colon
Definition
*Absorption of Water, Vitamins and Electrolytes *Storage of waste till time of elimination. NO DIGESTION. *Extends from Ileocoecal valve at end of SI to Anus *No villi *Large population of Microflora
Term
Fluid and Electrolyte Absorption in LI
Definition
*Large Intestine absorbs 90% of water it receives. -Begins with Osmotic Gradient set up by Na+/K+ pumps; water follows by Osmosis. -Water and salt absorption stimulate cy Aldosterone.
Term
Defecation
Definition
*Defecation Reflex begins with relaxation of Internal Anal Sphincter allows feces to enter anal canal.- Lonitudal rectal muscles contract to increase rectal pressure; Internal and External Sphincters relax. *Exretion is aided by contraction of Abdominal and Pelvic Mucsles which push feces from rectum
Term
Accessory Organs
Definition
*Salivary Glands: Parotid, Submandular and Sublingular. Secretes Saliva which contains Amylase to digest Starch. *Liver *Gall Bladder *Pancreas
Term
Liver
Definition
*Produces bile for emulsification of lipids. *Detoxification
Term
Liver Structure
Definition
*Largest Internal Organ *Right and Left Lobes *Hepatocytes from Hepatic Plates - Plates separated by sinusoids (dialated capillaries) which are fenestrated and permeable to Protein; contains Phagocytic Kupffer cells
Term
Hepatic Portal System
Definition
The Liver receives blood from two sources: Hepatice Portal Vein and Hepatic Artery
Term
Liver-Hepatic Portal Vein
Definition
*carries blood from Digestive Tract *Delivers Nutrietnts absored in SI
Term
Liver-Hepatic Artery
Definition
*Branch from the Aorta *Carries oxygentated blood
Term
Liver-Hepatic Vein
Definition
drains blood from the liver to IVC
Term
Liver Lobules
Definition
*Functional Units formed by hepatic plates *Edge of each lobule are branches of Hepatic Portal Vein and Hepatic Artery which open into Sinusoids. *Sinusoids drains blood to the Central Vein *Bile is secreted by Hepatocytes into Bile Canaiculi. Empties into Bile Ducts which flow into Hepatic Ducts that carry Bile away from the liver
Term
Enterocephalic Circulation
Definition
Liver exretes drug metabolites into bile to pass out in feces
Term
Four functions of the liver
Definition
Bile, Detoxification of Blood, REgulation of Carbohydrate Metabolism, and Production of Plasma Proteins
Term
1)Bile
Definition
*Digestion/Emulsification of Lipids *MADE UP OF Bile Pigment (Billirubin) and Bile Salts *Billirubin is from breadown of RBCs. *Bile Salts formed of Bile Acids which are derivatives of Cholesterol
Term
2) Detoxification
Definition
*Liver can remove Hormones, Drugs and other biologically active molecules from blood by Excretion of Bile, Phagocytes by Kupffer Cells, and Chemical Alteration of Molecules. Ex: Ammonia->Urea->Urine
Term
3) Regulation
Definition
*REgulates Glucose by remving it from the blood. Glycogenesis (glucose into glycogen - refrigerator) Lipogenesis (glucose to lipids-freezer) *Glycogenolysis (breakdown of Glycogen (defrost) *Gluconeogenesis (Glucose from non carb molecules-Cori Cycle) *Synthesis of Cholesterol and triglyceride3s *Converts Free Fatty Acids into ketone bodies that can be used for energy during fasting
Term
4) Production
Definition
*Albumins and most plasma Globulins (except antiobodies) are produced in liver *Albumins makes 60-70% of total plasma proteins. Contributes most to Colloid Osmotic Pressure of Blood *Globulins transports Cholesterol and Homrone; constitutes many clotting factors
Term
Gall Bladder
Definition
Stores and Concentrates Bile
Term
Pancreas
Definition
Both Endocrine and Exocrine funtions
Term
Pancreas Endocrine Functions
Definition
Perfomed by Islet of Langerhans: Insulin which causes glucose to enter cells and Glucagon which swtimulates breakdwon of Glycogen into Glucose
Term
Pancreas Exocrine Secretions
Definition
Produces Pancreatic Juice which includes Bicarbonate solution and Digestive enzymes. Passes in Pancreatic Duct to SI. Exocrine secretory units are called Acini
Term
Pancreatic Juice
Definition
*Contains Water, Bicarbonate, and Digestive Enzymes: Amylase (starch) Trypsin (proteins) Lipase (fats) *Brush border enzymes of SI are also required for complete digestion *Most pancreatic enzymes are produced in inactive form Zymogens *Trypsin is activated by Brush Bo9rder Enzyme Enterokinase *Trypsin activates other Zymogens
Term
REgulation of Digestive System
Definition
Neural and Endocrine Mechanisms modify activity of GI Tract
Term
Neural Regulation of Digestive Sys
Definition
Vagus Nerve (Parasympathetic) Increases; involved in regulating and coordinating digestive activity
Term
Endocrine Regulation of Digestive Sys
Definition
By Hormones: *Gastrin (G cells) *Secretin *CCK * GIP
Term
Effects of Hormones
Definition
1) Gastrin 2) Secretin 3) Cholcystokinin (CCK) 4) Gastric Inhibitory Peptide (GIP)
Term
Hormone Gastrin
Definition
*G cells *Secreted by Stomach *Stimulates Parietal Cells to produce HCI *Stimulates Chief Cells to produce Pepsinogen
Term
Hormone Secretin
Definition
*Secreted by SI *Stimulates water and bicarbonate secretion in Pancreatic juice
Term
Hormone Cholecystokinin (CCK)
Definition
*Stimulates contraction of Gall Bladder *Stimulates secretion of Pancreatic Enzymes *Inhibits gastric motility and secretion
Term
Hormone Gastric Inhibitory Peptide (GIP)
Definition
Inhibits Gastric motility and secretion
Term
Regulation of Gastric Function
Definition
*Occurs Automatically *NS and Hormonal Effect modify Automatic Activity *Extrinsic control of Gastric Function divided into three phases: Cephalic, Gastric, and Intestinal
Term
Cephallic Phase
Definition
*Control by Brain through Vagus *Stimulated by Sight, Smell and Taste of Food
Term
Cephallic Phase-Vagus Activation
Definition
*Stimulates Chief cells to secrete Pepsinogen *Direcly stimulates G Cells to produce Gastrin *Directly stimulates ECL Cells to secrete Histamine *Indirectly stimulates Parietal Cells to secrete HCI *CONTINUES into 1st thirty minutes of meal
Term
Gastric Phase
Definition
*Stimulated by arrival of food *Short polypeptides and Amino Acids stimulates: G Cells to secrete Gastrin; Chief Cells to secrete Pepsinogen; Gastin stimulates ECL cells to secrete Histamine whcih then stimulates Parietal cells to secrete HCI and so on. Positive Feedback Loop
Term
Intestinal Phase
Definition
*Begins with inhibition of Gastric Activity when Chyme enter SI *Arrival of Chyme in SI is detected by Sensory Neurons of Vagus causing Neural Relex that inhibits gastric motility and secretion *Fat in chyme stimulates SI to secrete **CCK Hormone that inhibits motiltiy and secretion
Term
Intestinal Relexes
Definition
*Can be mediated by Enteric NS and Paracrine; and regulated by ANS and Hormones *Gastroileal Relex, Ileogastric Reflex, Intestino-Intestinal Reflex
Term
Gastroileal Reflex
Definition
refers to increased motility of ileum and movement of Chyme through ileocecal sphincter
Term
Ileogastric Reflex
Definition
decreases gastric motiltiy in response to increased Gastric Activity
Term
Intestino-Intestinal Reflex
Definition
causes relaxation of rest of intestine when any part is overdistended
Term
Secretion of Pancreatic Juice
Definition
*Secretion of Pancreatic Juice and Bile is stimulated by Hormone Secretin and CCK **Hormone Secretin is secreted in response to Duodenal pH <4.6 - stimulates release of HCO3 by pancreas **CCK is secreted in response to fat content of Chyme in Duodenum. Stimulates contraction of Gall Bladder and inhibits gastric motility and secretion
Term
Digestion and Absorption of Carbohydrates
Definition
*Salviary Amylase begins starch digestion in the mouth *Pancreatic Amylase converts starches to Oligosaccharides which are hydrolyzed by SI Brush Border Enzymes
Term
Digestion and Absorption of Protein
Definition
*Begins in Stomach when Pepsin digests proteins to form Polypeptides *Protein digestion in SI results in Free Amino Acids, Depeptides and Tripepties which are absorbed into blood
Term
Digestion and Absorption of Lipids
Definition
*Occurs in SI *Arrival fo Lipids in Duodenum causes secretion of Bile *Fate is emulsified by Bile Salts *Pancreatic Lipase hydrolyzes Triglycerides to Free Fatty Acids and Monoglycerides
Term
Digestion of Carbohydrates
Definition
starts in the mouth by action of enzyme Amylase of Saliva and compelted by Pancreatic Amylas in the SI
Term
Digestion of Proteins
Definition
starts in the stomach by the action of the Hydrocloric Acid and Pepsin secreted by the gastric glands
Term
Digestion of Fat
Definition
starts in SI by the action of Bile from the liver and Pacreatic Lipase enzyme
Term
Endocrine Glands
Definition
Secretion and Actions of Hormones
Term
Hormones
Definition
Chemical Messengers
Term
Endocrine Glands
Definition
Inside secretion. Ductless. Secretes into blood stream. Secretes hormones that affect that organ only.
Term
Exocrine Glands
Definition
Outside secretion. Has ducts. Secretes to a different organ. Ex: Salivary, sweat and mammary.
Term
Endocrine Hormones
Definition
Chemical substances secreted by an organ one organ to affect the functions of another organ. Hormones go to Target Cells that contain Receptor Proteins for them. Affects the Metabolism of Target Organ.
Term
Endocrine Glands-Neurohormones
Definition
Secreted into blood by specialized neurons. Hypothalamus
Term
**Chemical Classifications of Hormones
Definition
Amine. Polypeptides/Proteins. Glycoprtoeins. Steroids. All part of Endocrine
Term
Amine
Definition
Hormones derived from Tyrosine or Tryptophan. Includes NE, Epi, Thyroxin and Melatonin
Term
Polypeptide/Protein
Definition
Hormones are chains of Amino Acids. Inculde ADH, GH, OXYTOCIN, GLUCAGON, ACTH AND PTH
Term
Glycoproteins
Definition
Polypeptide (protein) attached to carbohydrate groups. Includes LH, FSH, TSH
Term
Steroids
Definition
Lipids derived from cholesterol. Testosterone, estrogen, progesterone and cortisol
Term
Hormone Actions and Interactions
Definition
Neural and Endocrine Regulation
Term
Neural and Endocrine Regulation
Definition
Hypothalamus is link between the two. Nervous uses NT chemicals to communicate. Endocrine uses Hormone chemicals to communicate. Must have specific Receptor Proteins
Term
Hormone Interactions
Definition
Synergenic Effect. Permissive Effect. Antagonistic Effect
Term
Synergistic Effects
Definition
Two hormones working together to produce stronger effect--Epinephrine and Norepinephrine
Term
Permissive Effect
Definition
When one Hormone enhances responsiveness of a target organ to 2nd hormone. Estrogen and Progesterone
Term
Antagonististic Effect
Definition
Action of one Hormone inhibits effect of another. Estrogent inhibits the action of prolactin during pregnancy
Term
Pituitary Gland
Definition
Hypophysis0beneath Hypothalamus at base of forebrain. Master Gland. Controls other glands under the control of Hypothalamus. Controls amount of hormones in blood. Divided into Anterior and Posterior lobes
Term
Pituitary Gland-Anterior lobe
Definition
Gland or tissue portion. Adenohypophysis-produces (secretes) its own hormones under control of Hypothalamus. Hypothalamus releasing and inhibiting factors. Feedback from levels fo hormones in blood. Six Trophic Hormones that control growth: GH, TSH, ACTH, FSH, LH, PRL.
Term
Anterior Lobe (Pituitary Gland)-Growth Hormone (GH)
Definition
Promotes growth. Protein synthesis. Movment of Amino Acids into cells.
Term
Anterior Lobe (Pituitary Gland)-Thyroid Stimulating Hormone (TSH)
Definition
Stimulates thyroid to secrete T4 and T3
Term
Anterior Lobe (Pituitary Gland) Adenocorticotrophic Hormone (ACTH)
Definition
Stimulates Adrenal Cortex to secrete Cortisol and Aldosterone
Term
Anterior Lobe (Pituitary Gland) Follicle Stimulating Hormone (FSH)
Definition
Females: stimulates growth of Ovarian Follicles. Males: Stimulates sperm production
Term
Anterior Lobe (Pituitary Gland) Lutenizing Hormone (LH)
Definition
Females: Ovulation. Males: Testosterone. FSH and LH are called Gonadatropins
Term
Anterior Lobe (Pituitary Gland) Prolactin (PRL)
Definition
Stimulates milk production by mammary glands
Term
Feedback Control of Anterior Pituitary
Definition
Negative Feedback-High levels in Hormones in blood decreases secretion of the realeasing hormones from the Hypothalamus
Term
Higher Brain Function and Anterior Pituitary Secretion
Definition
Hypothalamus receives input from Higher Brain Centers that can Affect Anterior Pituitary Secretion. Ex: Pychological Stress affects menstral cycle and adrenal hormones
Term
Posterior Gland (extension portion of Pituitary Gland)
Definition
Neurohypophysis (extension). Stores and releases hormones made IN Hypothalamus. Stores and releases two hormones produced in Hypothalamus: ADH and Oxytocin
Term
ADH/Vasopressin-Antodiuretic Hormone (Posterior Pituitary)
Definition
Promotes H2O conservation by kidneys. Stimulates kidney tubules to reabsorb water. Increased osmotic pressure increases ADH. ADH control only in Distal Convoluted and Collecting Ducts
Term
Oxytocin (Posterior Pituitary)
Definition
Stimulates contractons of Uterus during childbirth (Parturition) Increases flow of milk.
Term
Hypothalamic Control of Posterior Pituitary
Definition
Stores ADH and Oxytocin till Hypothalamus control releases
Term
Adrenal Glands`
Definition
Top of kidneys. Consists of Outer Cortex and Inner Medulla
Term
Cortex (Adrenal Glands)
Definition
Controlled by ACTH and secretes 1) Glucocorticoids (cortisol) which inhibits glucose utilization and stimulates bluconeogenesis 2) Mineralocorticoids (Aldosterone) stimulates kidneys to reabsorb Na+ and secrete K+. Too much will increase BP, heart rate, etc and so on
Term
Adrenal Medulla
Definition
Hormonal effect of Epi is 10 times longer than NE. Innervated by Preganglionic Sympathetic Fibers. Activated by Fight or Flight
Term
Diseases of Adrenal Glands
Definition
Cushings Syndrome and Addison's Disease
Term
Cushings Syndrome
Definition
excessive secretion of Corticosteroids
Term
Addisons's Disease
Definition
Lack of secretion of Corticoids (Glucocorticoids and Mineralocorticoids)
Term
Thyroid Gland
Definition
EVERY cell responds to Thyroid Gland. Regulates Metabolism (BMR) Secretes: Thyroxine (T3), Tetraiodothyronine (T4) which regulates cell metabolism and Calitonin which regulates Blood Calcium. Secretion if controlled by TSH of Anterior Pituitary Gland.
Term
Goiter
Definition
Absence of iodine; T4 and T3 cannot be produced and levels become low. Low T4 and T3 don't provide Negative feedback and TSH levels go up. TSH is a trophic Hormone which then stimulates growth of Thyroid gland causing Goiter.
Term
Hypothyroidism
Definition
Inadequate T3 and T3 levels. Myxedema-low BMR. Cretinism-during fetal development; causes severe growth and mental retardation.
Term
Hyperthyroidism
Definition
Graves disease: Autoimmune disease where antibodies act like TSH and stimulate Thyroid Galnd to grow and secrete excessive amounts of Thyroid Hormone. Characterized by: Exopthalos, Goiter, Weight Loss, Heat intolerance, irritability and high BMR
Term
Parathyroid Glands
Definition
Four glands embedded in thyroid gland. Secretes PTH-Parathyroid Hormone which regulates blood calcium levels.
Term
Parathyroid Homone (PTH)
Definition
Increasing blood calcium elvels by acting on Bones (1st!), Kidneys by increasing Ca2+ reabsorption and Intestine by increasing Ca2+ absorption. Release stimulated by decreased blood calcium.
Term
Disorders of Parathyroid Gland
Definition
Hyperparathyroidism and Hypoparathyroidism
Term
Hyperparathyroidism
Definition
Increased blood calcium. Loss of bone density. Kidney stones.
Term
Hypoparathyroidism
Definition
Decreased blood calcium. Muscle spasms and twitches (Tetany)
Term
Pancreas
Definition
Mixed Gland. Exocrine: secretes the Pancreatic Juice (Digestive Enzymes and Bicarbonate). Endocrine: Islets of Langershan which secretes Alpha and Beta cells which secrete hormones.
Term
Islets of Langershan (Pancreas)
Definition
Scattered clusters of Endocrine cells in Pancreas. Contains Alpha and Beta cells.
Term
Alpha Cells
Definition
Secretes Glucagon in response to Low Blood Sugar. Stimulates Glycogenolysis and Lipolysis. Increases Blood Sugar.
Term
Beta Cells
Definition
Secretes Insulin in response to High Blood Sugar. Promotes entry of glucose into cells. Stimulates conversiton of glucose into blycogen and fat. Decreases Blood Sugar
Term
Type 1 Diabetes
Definition
does not secrete enough or any insulin. Juvenile Diabetes. Children and young adults. 10% of cases. Requires insulin.
Term
Type II Diabetes
Definition
Body cells are resistant to insulin. Adults and older peopel. 90% of cases. The problem is body cells are unable to take glucose from blood.
Term
Glycogenesis
Definition
Formation of Glycogen from Glucose
Term
Glycogenolysis
Definition
Breaking down of Glycogen to release Glucose
Term
Gluconeogenesis
Definition
Formation of Glucose from Noncarbohydrates
Term
Lipolysis
Definition
Breakdown of Lipids into Fatty Acids and Glycerol
Term
Lipogenesis
Definition
Formation of Lipids for storage
Term
Pineal Gland
Definition
Timing Center. Body Clock. Secretes Melatonin. Secreted by night; inhibited by light.
Term
Thymus
Definition
Produces T cells of immune system. Hormones that stimulate the function of the T cells.
Term
Gonads
Definition
Testes: Testosterone. Ovaries: Estrogen and Progesterone. Placenta: Estrogen, Progesterone and HCG.
Term
Autocrine Regulation
Definition
Chemical Substances. Produced and act within same tissues of an organ. All Autocrine control gene expression in target cells.
Term
Paracrine Regulation
Definition
Produced in one tissue to act on a different tissue in the same organ.
Term
Prostaglandins (PG)
Definition
Chemical Messengers. Produced in almost every organ. Mae up of Fatty Acids. Promotes inflammatory process of immune system. Role in ovulation. Inhibits gastric secretion.
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