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82 Cards in this Set
- Front
- Back
components of CV system
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heart, blood vessesl, lymphatic vessels
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fibrous skeleton function
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dense irregular CT, attachement sites for four valves and myocardium.
Electrical insulator -prevents electrical flow from atria to ventricles |
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impulse conduction system
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SA node -> AV node -> purkinje fibers
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layers of heart wall
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epicardium- outermost
myocardium - muscle layer endocardium - innermost lining the lumen |
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Epicardium
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mesothelial cells (simple squaomous) - visceral layer of the pericardium - blood vessels
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myocardium
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cardiac muslce and CT- fibrous skeleton
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endocardium
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subendocardial layer of CT in loose arrangement
location of impulse conduction systme simple squamous |
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blood flow
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heart -> elastic arteries (large) -> muscular arteries -> arterioles-> capillary bed -> venules -> veins of increasing size
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3 layers of vessel walls
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Tunica Intima (closest to lumen)
Tunica media Tunica adventitia |
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Tunica Intima characteristics
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endothelium lining - loose connective tissue
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Tunica Media
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smooth muscle cells
contains collagen, elastin, reticular fibers, proteoglycans internal to external elastic membrane |
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Tunica adventitia
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vasa vasorum, nervi vascularis
elastic fibers bigger in veins |
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Elastic artery characteristics
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multiple sheets of elastic lamella - thick compared to adventitia
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muscular artery characteristics
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10 layers of smooth muscle
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arterioles characteristics
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1-2 layers of smooth muscle in the media
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capillary bed characteristics
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single layer endothelial cells - move single RBC through
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types of capillaries
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continuous, fenestrated, and discontinuous
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continuous capillary location
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muscle, lung, CNS
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fenestrated capillaries
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endocrine gland, GI tract - channels acoss
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discontinous capillaries
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sinusoidal capillaries - spleen, liver, and bone marrow- large diameter lumen and more irregularly shaped
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Microvessel network
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flow in the capillaries - thermoregulation - to shunt prevent blood flow to skin (keep warm)
metarterioles - smooth muscle sphincters prevent blood flow |
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differences b/w veins and arteries
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veins - larger lumen
thinner walls irregular or collapsed media thinner, adventitia thicker |
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lymphatic circulation
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peripheral lymphatic capillaries ->lymphatic vessels of increasing size until they dump in the neck
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difference b/w lymph and vessels
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lack distinct separation b/w 3 tunics
walls resemble veins lymphatic capillaries are most numberous i loose CT under the epithelium - effective in removing protein rich fluid |
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endothelial cells functions
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respond to stimuli, maintain selective permeability barrier, modulate blood flow and resistance, regulate immune responses, secrete growth factors,
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endothelial cell surface
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elongated parallel to the direction of the blood flow
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aneurysm
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weakining of vessel wall 0 related to media and defect in collagen
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Ischemic heart disease
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coronary artery obstruction
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varicose veins
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dilated veins
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GI epithelium
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simple columnar
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parietal cells
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stomach - involved in HCL secretion and GIF - necessary for B12 absorbtion
mucosal layer |
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enteroendocrine cells
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diffuse neuroendocrine system involved in secretion and motility. mucosal layer
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M cells
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uptake and presentation of ingested and bacterial antigens for activation of GALT - mucosal layer
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progenitor cells
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source of the cells for renewal of the epithelia.l surface throughout the gut. 5-7 days - mucosal layer
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brunners glands
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duodenum special feature in submucosal layer
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peyers patches
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submucosal lymphoid nodues in the ileum
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Auerbachs plexus
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innercircular/outer longitudinal alyers of the muscularis externa
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meissners plexus
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submucosal - parasympathetic ganglia
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lacteals
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primary lymphatic channels in the core of each villus
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blood supply
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small arterial branches in submucosa-> capillary extend into mucosal branch
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esphogus mucosa, submucosa, musculariis
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nonkeratinized stratified squamous
sub - submucosal glands musc - voluntary skeletal fibers in upper porions |
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stomach cardiac
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mucosa - simpl columnar
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fundic stomach
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simple columnar, thick mucosa
gastric glands - parietal and chief cells |
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pyloric stomach
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short glands with mucous cells
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duodenum characteristics
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simple columnar
moderate villi and crypts brunners glands - sub mucosal connect to crypts |
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jejunum
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very high villi - absence of brunners glands and peyers patches
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ileum
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lower villi
paneth cells and base of crypts peyers patches |
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appendix
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no villi - infiltrated by lymphs
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colon
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goblet cells
no villi or crypts |
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3 types of stomach characteristics
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cardiac - shallow simple mucous glands
fundic - thickest mucosa - deep epithelial glands (mucous, parietal, chief) pyloric- shallower glands, |
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chief
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principal cells - situated at base of glans and have basophilic symogen granules
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glycocalyx
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adhesion of digested amino acids and sugars - terminal digestion
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digestion of lipids
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reduced to free fatty acids -> passively absorbed ->converted to riglycerides -> form lipid protein complexes chylomicra -> enter lacteals-> drain to lymphaics
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chlomica
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lipoprotein complexes from triglycerides - enter laceals to go to lymph
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2 immunological defenses of the gut
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1. wihin the gut lumen - epithelial surface by secreted igA
2. lamina propria - lymphocytes, monocytes and granulocytes |
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Immunoglobulin A
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antibody dimer - important in immunoprotection at the mucosal surface
manufactured in lymphocytes |
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IgA secreted by
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the gut and liver
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3 regions of small intestine
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duodenum - only region w/ submucosal glands
jejunum - longest villi ileum - prominant lymphoid nodules |
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Brunners glands
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in duodenum - simple alveolar glands - produce an abundance of mucous
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Large intestine/colon distinguishing characteristics
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goblet cells
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classification of pancreas as gland
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basophilic serous compound tubulo acinar gland
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islets of langerhans
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source of insulin and glucagon
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centroacinar cells
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bicarbonate secreting
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exocrine pancreas
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bicarb rich - containing peptidases, amylases, and lipases
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conrol of exocrine pancreas secretion
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paracrine endocrine effects
acini stimulated by cholecystekinin (CCK) and vasoactive intestinal polypeptide (VIP) |
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inhibition of exocrine pancreas
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pancreatic polypeptide (PP)
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secretin
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increases bicarb production from centroacinar duct cells
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parasympathetic effect on pancreas
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increases both acinar secretion and bicarb output
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function of hepatocytes
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glucose metabolism, cholesterol and fatty acid metabolism, iron metabolism, hemoblobin breakdown, production of albumin
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pattern of liver circulation
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hepatic artery supplies oxygenated blood ot the liver
portal vein delivers nutrient rich blood from the intestine |
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portal triads
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1. hepatic portal vein, hepatic artery, the bile duct
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liver exocrine function
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bile production and secretion
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liver endocrine function
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production serum proteins, glucose storage and release, fatty acid metabolism, cholesterol and lipoprotein metabolism, detox drugs/alcohol, hem breakdown
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kupffer cells
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APC of the liver - filters passing through the sinusoid
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space of disse
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lies b/w sinusoidal lining cells and the hapatocyte
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Portal lobule
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centered around the portal triad - highlights exocrine funciton
lines connecing the central veins of three adjacent classical lobules |
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liver acinus
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funcitonal gradient of hepatocyte metabolism
metabolites adjsacent to portal triads high zone 1 - high oxygen and glucose zone 3 - closest to central vein |
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classical lobule
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centered around central vein - highlights endocrine function of liver
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gall bladder
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stores bile - does not make
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bile made of :
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bile pigments (produced by smooth ER by processing of breakdown products of hemoglobing)
Bile salts - predigestive emulsification |
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enterohepatic circulation
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bile salts and IgA emmunoglobins - secreted through biliary system to duodenum - recoverd from gut and receycled - returned to liver for processing
Ileum important for reabsorbtion |
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layers of the submucosa
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epithelium (columnar) - secretion/absorbtion/protection
lamina propria - lymphatics/GALT/capillaries muscularis mucosa - SM extensions |