7. The Circulatory System Flashcards
The circulatory system or cardiovascular system is the transportation system of the body. There are actually two parts:
- The pulmonary
- The systemic
that conveys blood from the heart to the lungs and back to the heart
The pulmonary
that carries blood from the heart to all body tissues and cells (except some parts of the lungs) and back to heart
The systemic
is a muscular pump that propels blood either to the lungs or to other body tissues
Heart
are distributing vessels that carry blood away from the heart
Arteries
are distributing vessels that carry blood away from the heart to all body tissues
Aorta
are distributing vessels that carry blood away from the heart to to the lungs
Pulmonary trunk
are the small final branches of the smallest arteries, and are present in tissues that are supplied with the blood
Arterioles
are very minute microscopic hairlike vessels that form networks between the small arterioles and the venules
Capillaries
Functions: exchange of blood and tissue constituents place through the capillary walls
Capillaries
are the smallest veins and correspond to the arterioles
Venules
are collecting vessels that bring back to the heart
Veins
drains upper half of body
Superior vena cava
drains lower half of body
Inferior vena cava
drains the lungs, all emptying into the heart
Four pulmonary veins (2 from each lung)
is a colorless fluid that collects in lymphatic vessels
Lymph
minute vessels which begin as very small vessels
Lymph capillaries
are formed by union of capillaries that unite to form larger and larger vessels
Lymph vessels
are connected with the larger lymph vessels
Lymph nodes
Trunk Lymph vessels are:
- Thoracic Duct
- Right Lymph Duct
draining whole body except the upper right
Thoracic Duct
draining the right upper limb, right thorax, and right side of head and neck
Right Lymph Duct
form a second collecting system
lymphatics
Reticuloendothelial structures
bone marrow, lymph nodes, spleen, liver and thymus gland
Internal coat or layer
tunica intima
Layer of flat cobblestone like cells that form a lining membrane, with connective tissue and elastic tissue
tunica intima
Middle coat
tunica media
A layer of visceral muscle, the fibers encircling the vessel, with considerable elastic tissue as well
tunica media
Outer layer
tunica adventitia
A layer of connective tissue outside the middle coat
tunica adventitia
bluntly pointed end that is directed to the left anteriorly
Apex
the broad end that is directed to the right, posteriorly and cranially to the right of the right sternal border
Base
lies posterior to the sternum
Sternocostal surface
rest upon the diaphragm
Diaphragmatic surface
The heart has __ coverings forming its wall, a septum, __ chambers or cavities, __ openings and __ sets of functioning valves
3 coverings,
4 chambers,
11 openings,
4 valves
this layer forms the lining membrane of the heart
Endocardium
muscular layer of the heart and consists of a special type of muscle found only in the heart, cardiac muscle
Myocardium
thin covering and is applied to the outer surface of the muscular layer
Visceral Pericardium or epicardium
Serous pericardium layers
- Visceral layer
- Parietal layer
outer covering of the heart
Visceral layer
forms the lining of a sac that encloses the heart
Parietal layer
A thick layer of fibrous connective tissue
Fibrous pericardium
Surrounds the parietal pericardium to form the outer layer of the pericardial sac
Fibrous pericardium
is a bag with the heart within it, consisting of the parietal serous pericardium and the fibrous pericardium
Pericardial sac
is a potential space between the inner surface of the pericardial sac and the visceral pericardium
Pericardial cavity
The Four Chambers of Cavities of the Heart
- Left atrium
- Right atrium
- Left ventricle
- Right ventricle
is that part of the partition between the right and left atria
Interatrial septum
is the partition between the right and left ventricles
Interventricular septum
is the opening between the left atrium and left ventricle
left atrioventricular opening (ostium)
is the opening between the right atrium and right ventricle
right atrioventricular opening (ostium)
are two ear shaped pouches, one forming part of each atrium
auricles
prominent anterior part of the right ventricle where it opens into the pulmonary trunk
Conus arteriosus
is a groove on the surface of the heart marking the junction of the atria and the ventricles
Coronary sulcus
It completely encircles the heart
Coronary sulcus
anterior and posterior are the grooves where the ventricles meet each other anteriorly and posteriorly
Interventricular sulci
There are eleven openings into or within the heart
(2) atrioventricular opening (left and right)
(1) pulmonary opening
(1) aortic opening
(1) opening of the inferior vena cava
(1) opening of the superior vena cava
(4) two right and two left pulmonary veins
(1) opening of the coronary sulcus
The Valves of the Heart
- Left atrioventricular valve or mitral or bicuspid valve
- Right atrioventricular valve or tricuspid valve
- Aortic valve
- Pulmonary valve
Blood Supply to the Heart
The right and left coronary arteries, the first branches of the aorta, supply blood to the heart. These vessels run along the coronary sulcus and the interventricular grooves on the surface of the heart giving off branches “en route”
drain blood from the cardia capillaries
Cardiac veins
is a large vein that lies in the posterior part of the coronary sulcus. It empties into the right atrium. It collects blood from most of the cardiac veins
Coronary sinus
A special conducting apparatus consisting of a node in the wall of the right atrium initiates the impulses for contraction of the heart
Sinoatrial node (SA node)
when stimulated increase the heart rate
Sympathetic nerve fibers
stimulation of them slows the heart rate
Two vagi nerves (10th cranial)
is the contracting phase of the heart
Systole
is the dilation phase of the heart
Diastole
The Pulmonary Vessels and Circulation
Right ventricle – pulmonary trunk – right and left pulmonary arteries – lung capillaries – two right and two left pulmonary veins – left atrium
The Systemic Vessels and Circulation
Left ventricle – aorta – branches – capillaries – tributaries of – superior and inferior vena cava – right atrium
trunk artery of the systemic of general circuit
Aorta
Superficial veins
- Cephalic veins
- Basilic veins
- Median antebrachial veins
Deep veins
- 2 ulnar veins + 2 radial veins = brachial veins
- Axillary veins
- Subclavian veins
Size of Veins
Popliteal vein > femoral vein > external iliac vein joins internal iliac vein > common iliac vein
are minute microscopic thin walled vessels similar to blood capillaries except that they do not originate from arterioles
Lymph Capillaries
are tubes formed by the union of lymph capillaries
Lymph Vessels
is a large lymph trunk that begins in the abdomen by the union of lumbar and intestinal lymphatic vessels. Empties into the left brachiocephalic vein
Thoracic duct
dilated lower end of the thoracic duct in the upper posterior abdomen
Cisterna chyli
is formed by the union of the right internal jugular, subclavian, and thoracic vessels
Right Lymph Duct (right thoracic duct)
It empties into the right brachiocephalic or right subclavian vein
Right Lymph Duct (right thoracic duct)
It drains the upper right of the body
Right Lymph Duct (right thoracic duct)
are small oval bodies ranging in size from a pin head to a bean
Lymph Nodes
Location of larger group of lymph nodes
- Cervical nodes
- Axillary nodes
- Tracheobronchial nodes
- Aortic nodes
- Internal iliac nodes
- External iliac nodes
Lymphatic Structures - Other Organs
Tonsils, adenoids, intestinal follicles, spleen, thymus gland
Functions of Lymphatic Vessels and Nodes
- Convey intercellular fluid back into the general circulation
- Acts as filter to prevent microorganisms and other foreign bodies from reaching the blood stream
- Form new lymphocytes, monocytes and plasma cells
Tonsils AKA
Palatine tonsils
Adenoids AKA
Pharyngeal tonsils
Intestinal lymph follicles
- Solitary lymph follicles
- Aggregated lymph follicles or Peyer’s Patches
Forms lymphocytes, monocytes and the plasma cells
Spleen
Destroys worn out red blood cells
Spleen
Believed to be reservoir of red blood cells
Spleen
Produces lymphocytes
Thymus gland
is a flat circular spongy structure about 8 inches in diameter and one inch in thickness when fully developed
Placenta
passes from the fetal navel to the smooth fetal surface of the placenta and contains the umbilical cord vessels
Umbilical cord
convey blood from the fetus to the placenta through the umbilical cord
Two umbilical arteries
carries oxygenated blood with nutrients from the fetal capillaries in the placenta though the umbilical cord to the navel
Single umbilical vein
short vein that passes from a branch of umbilical vein directly to the inferior vena cava, bypassing the liver
Ductus venosus
is an opening in the interatrial septum between the right and left atria
Foramen ovale
is a short vessel that connects the pulmonary trunk to the aorta beyond the origin of the left subclavian artery
Ductus arteriosus
is due to alternating dilation and contraction of the cardiac ventricles forcing blood out into the aorta and its branches
pulse
Locations for Palpation- anterolateral border of wrist
Radial artery
Locations for Palpation- at anteromedial border of wrist
Ulnar artery
Locations for Palpation- on medial surface of midarm
Brachial artery
Locations for Palpation- in front of ear
Superficial temporal
Locations for Palpation- in front of angle of mandible
Facial artery
Locations for Palpation- through anterior abdominal wall
Abdominal aorta
Locations for Palpation- in the groin below inguinal ligament
Femoral artery
Locations for Palpation- posterior to knee
Popliteal artery
Locations for Palpation- in front of and below ankle
Dorsalis pedis artery
is the pressure of the blood against the containing vessel wall
Blood Pressure
is the pressure exerted during the contracting phase of the ventricles of the heart
Systolic Blood pressure
is the pressure exerted during dilation phase of the ventricles
Diastolic Blood pressure
the opening between the 2 atria does not close after birth but persists
Patent foramen ovale
an abnormal opening is present in the interventricular septum between the two ventricles
Interventricular septal defect
the fetal vessel between the pulmonary trunk and aorta does not close after birth but remains open
Patent Ductus or patent ductus arteriosus
the opening from the right ventricle into the pulmonary trunk is smaller than usual
Stenosis of pulmonary orifice
a narrowing of the lumen of the aorta, usually in the upper descending part
Coarctation of the aorta
the aortic arch is on the right side rather than on the left
Right aortic arch
the heart may be on the right side with base directed to the left and apex close to the right nipple rather than the left. Sometimes the abdominal organs are also reversed
Transposition
radiography of the chambers of the heart using an opaque medium to fill them
Cardiography
is a radiography of an artery and its branches by injection of an opaque medium into it
Arteriography
radiography of the aorta following the injection
Aortography
is a radiography of a vein and its tributaries either by direct injection into one of its smaller tributaries, or by injection of corresponding artery, and radiographs when the veins have filled
Venography
is radiography of lymphatic vessels, and ducts, following injection of an opaque medium into small lymph capillaries
Lymphangiography
is a combined examination of the heart, trunk veins and/or trunk arteries
Angiocardiography
is a high blood pressure
Hypertension
blood pressure is below normal
Hypotension
is a clot of blood that has formed on the inside of a blood vessel or within the heart
Thrombus
is an inflammation of the lining membrane of vein
Phlebitis
is a foreign body obstructing a blood vessel
Embolus
is a condition produced in an organ as a result of blocking of an artery supplying it by an embolus or some other obstructing lesion
An infarct
of a vessel is its closure due to spasm, embolus, filling in of its lumen due to degeneration of the vessel wall, thrombosis, etc.
Occlusion
blocking of one of the coronary arteries to the heart, or a branch of it
Coronary occlusion
is a bulging of the wall of a vessel or of one side of the wall due to a weakness from disease of the vessel
Aneurysm
refer to thickening of a vessel wall with degeneration of the normal coats, and replacement by fibrous tissue, fat, and calcium
Arteriosclerosis and atherosis
are dilated veins due to weakening of the vessel walls
Varicose veins
are dilated veins in the anal canal
Hemorrhoids
may occur in the lower part of the esophagus
Esophageal varicosities
enlargement of the heart from enlargement of the its muscle fibers because of an increased work load in pumping blood
Cardiac hypertrophy
cardiac enlargement due to stretching of muscle fibers, fibers tired out, and chambers enlarged
Cardiac dilatation
heart cannot pump blood through its circuits
Congestive heart failure (CHF)
inflammation of the valves of the heart. They are covered by endocardium
Endocarditis
inflammation of the cardiac muscle
Myocarditis
inflammation of the pericardium, often with fluid in the pericardial sac – _____
Pericarditis,
pericardial effusion
infarction area of dead cardiac muscle, resulting from cutting off of its blood supply, replaced by fibrous tissue in survivors
Cardiac infarct
a thickening, deformity, shrinking, and fusion of cusps of cardiac valves from an infection or degeneration, resulting in inability to open or close completely
Valvular disease
a narrowing of an opening or canal
Stenosis
failure of a valve to close completely from disease, resulting in regurgitation of blood back into the chamber from which it was expelled
Incompetence
pacemaker of the heart
Sinoatrial node (SA node)
is a small structure in the heart, located in the Koch triangle, near the coronary sinus on the interatrial septum,
controls the passage of the heart’s electrical signal from the atria to the ventricles
Atrioventricular (AV) node
Joins femoral vein
Great (NA) or Long Saphenous vein
Joins popliteal vein
Small (NA) or Short Saphenous vein