Microanatomy Flashcards

(52 cards)

1
Q

Function of left ventricle

A

Pump

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2
Q

Mean pressure of left ventricle

A

95 mmHg

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3
Q

Structural features of left ventricle

A

Thick, muscular walls

Inlet and outlet valves

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4
Q

Large artery function

A

Elastic and pulsatile
Storage
Resists flow
Pushes blood forward

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5
Q

Mean pressure of large arteries

A

95 - 85 mmHg

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6
Q

Structural features of large arteries

A

Muscular walls to control diameter and connective tissue for strength

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7
Q

Medium artery function

A

Muscular

Blood distribution

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8
Q

Mean pressure of medium arteries

A

95 - 85 mmHg

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9
Q

Structural features of medium arteries

A

Muscular walls to control diameter and connective tissue for strength

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10
Q

Arteriole function

A

Microcirculation
Major method of control and fine tuning
Diverts and flushes blood

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11
Q

Mean pressure of arterioles

A

85 - 35 mmHg

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12
Q

Structural features of arterioles

A

Smooth muscle to control diameter with little connenctive tissue

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13
Q

Other microcirculation artery structures

A

Metarterioles

Precapillary sphincters

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14
Q

Function of capillaries

A

Gas exchange

No flow control

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15
Q

Mean pressure of capillaries

A

35 - 15 mmHg

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16
Q

Structural features of capillaries

A

Endothelium

No muscle or connective tissue

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17
Q

Function of venules

A

Large volume reserve

Fluid exchange

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18
Q

Mean pressure of venules

A

15 - 0 mmHg

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19
Q

Structural features of venules

A

Thin walls, large diameter

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20
Q

Structural features of veins

A

Thin walls, variable structure

Valves to assist return

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21
Q

Structural features of right atrium

A

Thin, muscular walls

22
Q

Percentage of blood in venous system

23
Q

6 key elastic arteries

A
Aorta
Subclavian
Left carotid
Brachiocephalic
Pulmonary
Iliacs
24
Q

Tunica intima of elastic arteries

A

Thicker than in muscular arteries
Up to 20% of wall
Longitudinal elastin fibres in subendothelial connective tissue
Internal elastic lamina present but indistinguishable from elastic laminae

25
Tunica media of elastic arteries
Lamellar units made up of elastic lamina (fenestrated), smooth muscle and collagen fibres Circular orientation around vessel
26
Tunica adventitia of elastic arteries
Collagen and elastin fibres Small blood vessels (vasa vasorum) Autonomic nerves
27
Tunica intima of muscular arteries
Four layers: 1) endothelium 2) basement membrane of endothelium 3) subendothelial connective tissue 4) distinctive internal elastic lamina
28
Tunica media of muscular arteries
Middle, thickest coat Smooth muscle fibres control diameter Elastin fibres give resiliency Collagen fibres limit expansion and prevent rupture Outer margin can include external elastic lamine - not as prominent as internal
29
Tunica adventitia of muscular arteries
Usually only collagen and elastic fibres | Vasa vasorum to service outer layers
30
4 key risk factors for arterial disease
Sedentary lifestyle Diet high in saturated fat Alcohol Smoking
31
Berry aneurysm
Weakening of tunica media of artery Usually in the brain Risk increases with age and blood pressure
32
Atherosclerosis
Tunica intima starts to thicken, internal elastic lamina breaks down Lipids increase Endothelium is activated Macrophages are recruited Macrophages accummulate into foam cells Foam cells aggregate into plaques Smooth muscle activates and invades tunica intima Atherosclerotic plaque with fatty streaks and cholesterol slits narrows lumen of vessle, causes change in flow, disrupts homeostasis Can break off and embolise, or collagen caps can form around it making it more stable
33
Dissecting aneurysm
As plaque develops, tunica media thins out, causing it to rip Common in abdominal aorta
34
4 key modifications in hypertension
Tunica intima thickening Internal elastic lamina duplication Increase in smooth muscle layers which increases peripheral resistance Increase in density and thickness of tunica adventitia which increases collagen fibres
35
Arteriole key features
Less than 100 microns in diameter Three or fewer layers of smooth muscle in tunica media Wall thickness about equal to lumen Intima comprised of endothelial cells overlying a basal lamina Internal elastic lamina present in large arterioles Thicker muscle coat in media than any other vessel Greatest pressure drop of all vessels Variation in diameter has pronounced effect on blood flow
36
The microcirculation pathway
``` Arteriole Terminal arteriole Splits into metarteriole and pre-capillary sphincter Continues into thoroughfare channel Capillary bed Post-capillary venule Continues into muscular venule Lymph capillaries dotted throughout ```
37
Arteriovenous anastomoses
When an arteriole leads directly to a venule without any capillaries arising from it as side branches If their muscle coats are relaxed they allow blood to shunt directly from the arterial to the venous system If their muscle coats contract then blood is forced into nearby metarterioles and then into capillary beds which they supply
38
Pre-capillary sphincter
Controls entry of blood from arteriole into capillary | When closed, blood is directed via a thoroughfare channel to a venule, bypassing the capillary bed
39
3 types of capillaries
Continuous Fenestrated Sinusoids
40
Continuous capillaries
Tight junctions and intercellular clefts which can be closed or open Found in blood brain barrier, muscle, connective tissues and lungs Allow passage of water, ions and small molecules but not plasma proteins
41
Fenestrated capillaries
Either closed or open perforations Closed by thin, non-membranous diaphragms Common in intestines, endocrine glands and kidneys
42
Sinusoids
Wide-bore capillaries with large gaps between edges of adjacent endothelial cells Gaps allow easy passage of large molecules and whole cells Found in bone marrow, spleen and liver
43
Postcapillary venules
Drain capillary beds Lack smooth muscle but do have pericytes During inflammation and allergy leak blood plasma into surrounding tissue causing oedema
44
Muscular venules
Large Up to two layers of smooth muscle in tunica media Thin wall in relation to diameter Endothelial nuclei that bulge into the lumen
45
Pericytes
Contractile cells that wrap around endothelial cells in capillaries and venules
46
Varicose veins
Visible pooling of blood in the legs due to incompetent valves in superficial veins
47
Venous valves
Infoldings of tunica intima Prevent backflow Bicuspid
48
Venous thrombosis
Blood clot forms normally in deep veins of lower leg Part of clot can break loose and embolise which is likely to pass through right heart and lodge in pulmonary arterial tree
49
Risk factors for venous thrombosis
``` Surgery Childbirth Trauma The pill Sitting still for a long time ```
50
Function of venous valves in legs
When walking, valves break up column of blood into segments with each segment experiencing only tjhe gravitational pressure proportional to its height, then bolus is pushed up by skeletal muscle compression on the veins
51
Lymphatic capillaries
Blind-ending endothelial tubes Endothelial cells tethered to surrounding connective tissue by delicate anchoring filaments No basement membrane Large intercellular clefts
52
Collecting lymphatics
Larger lymphatic vessels that lymphatic capillaries drain into Thin walls and lots of valves Eventually enter a lymph node Lymph enters into bloodstream via thoracic duct and right lymphatic duct