7 - Microcirculation Flashcards

1
Q

What are the features of the pressure in the circulation?

A
  • mostly stays the same in arteries
  • only changes when reaches arterioles
  • arterioles: major resistance vessels of circulation (drop of BP greatest)
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2
Q

What is elephantiasis?

A

parasitic blockage of lymph nodes

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3
Q

What are the labels of the lymphatic system?

A
  1. blood capillary
  2. arteriole
  3. lymphatic endothelium
  4. anchoring filament
  5. interstitial fluid
  6. opening
  7. tissue cell
  8. lymphatic capillary
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4
Q

What is the difference between vasodilation and vasoconstriction?

A
  • vasoconstriction: decreased radius and flow, increased resistance (contraction)
  • vasodilation: increased radius and flow, decreased resistance (relaxation)
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5
Q

What is the pressure gradient?

A
  • pressure a - pressure b
  • difference in pressures arriving and leaving capillaries
  • generally MAP as venous pressure so low its negligible
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6
Q

What is blood flow rate?

A
  • volume of blood passing through vessel per unit time
  • flow rate (Q) = pressure gradient (P) / resistance (R)
  • increased pressure gradient increases resistance
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7
Q

What are the 3 types of capillaries and their features?

A
  • continuous: small water-soluble molecules diffuse through, lipid soluble molecules diffuse across cells
  • fenestrated: allow for larger molecules to diffuse through
  • discontinuous: allow for alot of space for wasy access
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8
Q

What is the blood brain barrier?

A
  • continuous structure with tight junctions (not gap junctions so no space between capillary cells)
  • gives brain tighter controls over substances entering
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9
Q

What is capillary exchange?

A

delivery of metabolic substrates to cells of organism

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10
Q

What are the general features of capillaries?

A
  • single endothelial cell
  • diameter big enough for one cell (7μm)
  • extensive branching
  • 1μm cell width
  • pre-capillary sphincters allow for certain capillaries to be shut down
  • highly metabolically active tissues have denser capillary networks
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11
Q

What is Fick’s law in relation to capillary density?

A
  • minimises diffusion distance
  • maximises surface area and time for diffusion
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12
Q

Under what conditions does ultrafiltration and reabsorption occur?

A
  • ultrafiltration: pressure inside capillary > in interstital fluid
  • reabsorption: inward driving pressures > outward pressures across capillary
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13
Q

How does fluid move in the capillary network?

A
  • bulk flow: volume of protein-free plasma filters out of capillary, mixes with surruonding interstitial fluid and is reabsorbed
  • hydrostatic (pushing) force: higher at arterial end - fluids leave blood vessels
  • oncotic (pulling) force: constant throughout length - counteracts hydrostatic force
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14
Q

How do the radii of arterioles vary?

A
  • local intrinsic control: match blood flow to metabolic needs of specific tissues
  • extrinsic control: help regulate arterial BP
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15
Q

How does matching blood flow to metabolic needs of tissue operate in adjusting arterial radii?

A
  • chemically driven (active hyperaemia): increased metabolites/O2 usage leads to vasodilation (skeletal muscle arterioles)
  • physically driven (autoregulation): decreased blood temperature/increased stretch leads to vasoconstriction (small intestine arterioles)
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16
Q

How does regulating arterial blood pressure operate in adjusting arterial radii?

A
  • neural: cardiovascular control centre in medulla leds to vasoconstriction
  • hormonal: vasopressin, AGTii and adrenaline lead to vasoconstriction
17
Q

What is the lymphatic system and its features?

A
  • large filled water channel that reabsorbs excess interstitial fluid (interwoven with blood vessels)
  • blind-ended capillaries with single endothelial cell layer
  • no pump to induce flow
  • drainage into right lymphatic duct (thoracic duct) and right and left subclavian veins
  • lymph nodes have defense mechanisms (immune detection)