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Blood Vessels
9 am lecture 6/13/11 KU SOM prematriculation
34
Medical
Professional
06/13/2011

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Cards

Term
Name the 6 kinds of blood vessels in lecture
Definition
large artery (elastic)
medium artery (muscular)
small arteries and arterioles
capillary
small vein or venule (post capillary and muscular)
Medium / Large veins
Term
2 exceptions to normal blood flow
Definition
systemic portal systems (vein between 2 cap systems)

arteriovenous shunts (bypass capillaries)
Term
where does bloodpressure have the most variability?
Definition
in arterioles
Term
2 reasons BP is lower in veins than arteries
Definition
veins have less muscle and elastic fibers

blood is further from the heart
Term
3 layers of arteries / veins
Definition
tunica intima (single layer of endothelial cells, basal lamina and sub-endothelial layer of loos CT)

tunica media: layers of smooth muscle, sheets of elstin and collagen fibers.

tunica adventitia: longitudionaly arragend connective tissue, large vessels have nerves here
Term
what seperates the interna from the media? media from adventitia?
Definition
internal elastic membrane IEM

External elastic membrane
Term
how does the aorta maintain continuous blood flow dispite intermittant pumping of the heart?
Definition
distention and recoil (elasticiccty)
Term
Another name for large vs medium arteries
Definition
conduction vs distributing
Term
how do the arterioles regulate blood pressure?
Definition
regulate distribution of blood to capillary beds by vasoconstriction and vasodialation
Term
how many RBCs can fit through a capillary at the same time?
Definition
1
Term
3 kinds of capilarries
Definition
continuous (many transport vessicles)

fenesterated (pores)

discountinuous (gaps between cells)
Term
what is the function of a capillary? what regulates this?
Definition
transport of plasma macromolecules across the vascular endothelium

capillary blood flow (dialation vs constriction)

capillary network desnity (tissue metabolic activity)
Term
how can we tell where the post-capillary venule begins?
Definition
looks like a capillary with wider lumen
Term
where does diapedesis usually occur?
Definition
post capillary venules
Term
which has a thinner T. media, veins or arteries? which has a larger diameter?
Definition
veins x 2
Term
which boundary is hard to identify in veins?
Definition
internal elastic lamina
Term
how do veins prevent the reflux of blood?
Definition
valves
Term
where is the elastin located in most veins
Definition
adventitia
Term
what is the function of lymph vessicles?
Definition
remove protein rich fluid from inercellular spaces
Term
which blood vessel system has the most area?
Definition
capillaries
Term
why are lymph vessels so permeable?
Definition
lack a basal lamina
Term
where does the lymph system drain?
Definition
into veins @ the back of the neck
Term
how do these proteins get into the lymph system?

Why does this happen
Definition
muscular contractions open up spaces between lymph endothelial cells

no zona occludens
Term
what filters the lymph before it goes back to the blood?
Definition
lymph nodes
Term
what fetures designapte lymph vessels on a slide?
Definition
irregular outline, no rbcs
Term
these are things the endothelium regulates
Definition
permeability flow tone +/- clotting immunoresponse hormone synthesis lipoprotein modification vessel growth SMC activity
Term
what is the first step in atherosclerosis?
Definition
endothelial injury
Term
4 risk factors for atherosclerosis
Definition
LDL levels
DM
Hypertension
smoking
Term
3 basic steps to atherosclerosis
Definition
1) injury to endothelium
2) lipids taken by macrophages in tunica intima and fibroblasts of subendothelial space proliferated

3) macrophage releases lipids and cytokines which stimulage collagen production and proliferation of SMCs
Term
lesion of a large artery?
Definition
atheroma
Term
atheromas can cause what?
Definition
1) MI
2) cerebral infarction and strocke
3) gangrene and loss of function
Term
2 ways blood vessels develop
Definition
vasculogenesis (totally new network)

angiogenesis (sprouting from an existing network)
Term
these are the monomers in vasculogenesis that create new vessels
Definition
angioblasts
Term
name 2 anti-angiogenic agents that might help limit the size (and metastatic activity) of tumors
Definition
endostatin, angiostatin
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