Exchange and the lymphatic system Flashcards

1
Q

Where do the leaks occur in continuous capillaries?

A

-Leaky junctions

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2
Q

Where can continuous capillaries with no clefts be found?

A

Brain

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3
Q

Where can continuous capillaries with leaky clefts be found?

A

Muscle (lots of other tissues)

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4
Q

Where can fenestrated capillaries be found?

A

Intestine

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5
Q

What are fenestrated capillaries specialised for?

A

Fluid exchange

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6
Q

Where can discontinuous capillaries be found?

A

Liver

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7
Q

Why are discontinuous capillaries found in liver?

A

Lots of proteins made in liver need to get to blood stream

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8
Q

What are the two parts of a clot?

A
  • Platelet plug

- Fibrin clot

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9
Q

Why is blood flowing through capillaries at risk of clotting?

A

Because its super slow

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10
Q

What is the basement membrane made of?

A

-Collagen

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11
Q

What happens to platelets when they come into contact with the basement membrane?

A

-Form a plug

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12
Q

What does fibrinogen turn into when clotting?

A

Fibrin

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13
Q

What converts Fibrinogen to fibrin?

A

-Thrombin

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14
Q

How does endothelium stop clotting?

A

-Acts as a physical barrier between collagen and platelet

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15
Q

What does the endothelium produce to stop clotting and how?

A
  • Prostacyclin and NO

- Tissue factor pathway inhibitor

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16
Q

What does prostacylin and NO?

A

-Inhibit platelet aggregation

17
Q

What does TFPI

A

-Stops thrombin & inactivates it

18
Q

What does endothelium produce to prevent clotting?

A
  • Thrombomodulin

- Heparin

19
Q

What does thrombomodulin do?

A

-Binds to thrombin & inactivates it

20
Q

What does heparin do?

A

-Innactivates thrombin

21
Q

What does endothelium produce to digest clot?

A

Plasminogen activator (t-PA)

22
Q

What does plasmin do?

A

Converts fibrin to fibrinogen?

23
Q

What are the characteristics of diffusion? (4) between capillary-ECF-cell

A
  • Self-regulating
  • non-saturable
  • Non-polar substances across membrane
  • Polar substances through clefts/channels
24
Q

What requires carrier mediated transport?

A

-Glucose trasnporter

25
What does non saturable mean in relation to diffusion?
-No Max speed (Unlike a set number of protein pumps)
26
What two forces control bulk flow?
- Hydrostatic pressure | - Osmotic (oncotic) pressure
27
How much plasma is lost due to hydro static forces?
-20L
28
How much plasma is regained by oncotic pressure?
17L
29
How much fluid does lymph move a day?
-3L (blind ended pumps)
30
What is Oedema?
Accumulation of excess fluid
31
When does oedema happen? (4 points)
- Lymphatic obstruction - Raised CVP - Hypoproteinemia - Increased capillary permeability
32
How can lymphatic obstruction come about?
- Filariasis (Tropical disease caused by parastic worms) | - Surgery
33
How does raised CVP come about?
due to ventricular pressure
34
How does hypoproteinemia come about?
Due to nephrosis, liver failure, nutrition
35
How does increased capillary permeability come about?
-Inflammation | EG rheumatism
36
What happens in swelling with a bee sting?
Increases permeability of capillaries so what and proteins are lost which reduces oncotic pressure. Permeability increased to let white t cells out