Blood system Flashcards

1
Q

What are the function of blood?

A
  • Respiration (transport O2 and CO2)
  • Nutrition (transport of nutrients - glucose, fats)
  • Excretion (transport of metabolic waste for removal)
  • Acid-base balance.
  • Water balance
  • Regulation of body heat
  • Defense against infection.
  • Cellular communication (hormones, cytokines
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2
Q

What is the normal red blood cell (erythrocytes) count?

A

4.0 - 6.5 x 10^12 /-1

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3
Q

What is the normal white blood cell (leukocytes) count?

A

4 - 11 x 10^9 /-1

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4
Q

What is the normal platelets (thrombocytes) count?

A

1.5 - 4.5 x 10^11 /-1

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5
Q

What are the subdivision of leukocytes (WBC)?

A
  • Granulocyte
  • monocyte
  • lymphocytes
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6
Q

What are the subdivision of granulocyte?

A
  • neutrophils
  • basophils
  • eosinophils
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7
Q

What are the subdivision of eosinophils?

A
  • B-cells
  • T-cells
  • natural killer cells
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8
Q

What are the structure and function of red blood cells (erythrocytes)?

A

Function:
- Specially adapted cells for transporting O2
Structure:
- No nucleus
- No mitochondria
- Simple cytoplasm, packed with Hb, few organelles.
- No or limited capacity for protein synthesis.
- Flexible membrane
- Short life-span (~120 days)

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9
Q

What are the function and structure of white blood cell (neutrophils)?

A
  • 40 - 75% of all WBC
  • Highly motile phagocytes, first line of defence against microbes.
  • Multi-lobed nucleus with fine blue-pink granules.
  • Stored in BM and released to fight acute infection.
  • Short-lived, circulate for ~ 6 - 8 hrs.
    Attach to endothelium by adhesion molecules and migrate into tissues at sites of inflammation.
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10
Q

What is the function and structure of eosinophils?

A
  • 1 - 5% of all WBC
  • Bi-lobed nucleus, coarse, pink-staining granules.
  • Granules contain basic proteins which disrupt cell membranes and generate ROS.
    Counts are raised in parasitic infection and allergy.
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11
Q

What is the function and structure of basophils?

A
  • 0.2 - 1.0% of all WBC
  • Bi - or - tri - lobed nucleus, abundant large dark granules.
  • Granules contain histamine and heparin.
  • Degranulation results in acute inflammation vasodilation and increased vascular permeability.
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12
Q

What is the function and structure of monocytes?

A
  • 5 - 10% of all WBC
  • Circulate for ~ 2-3 days.
  • Migrate into tissues and become tissue macrophages.
  • Histocytes, Kupffer cells, reticuloendothelial cells.
  • May remain resident in tissues for months.
    Phagocytose dead cells, infected cells.
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13
Q

What is the function and structure of lymphocytes?

A
  • 20 - 40% of all WBC.
  • T -cells form in BM and mature in thymus.
  • T helper cells activate B- and T cytotoxic cells.
  • T cytotoxic cells destroy infected and cancerous cells
  • T suppressor cells regulate immune responses
  • B - cells present antigens to T-cells and when activated mature into antibody-secreting plasma cells.
  • Large granular lymphocytes (NK cells) directly attack non-self-cells.
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14
Q

What is the function and structure of platelets?

A
  • Cell-like fragments of megakaryocyte cytoplasm.
  • Circulate for about 10 days.
  • Stick to collagen in damaged blood vessels.
  • Release granule contents on activation.
  • Aggregate at wound sites to form a haemostatic plug.
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15
Q

What type of electrolytes can be found in the plasma?

A
  • Na+ = 150 mM
  • K+ = 4.5 mM
  • Ca++ = 2.5 Mm
  • Mg++ = 0.8 mM
  • Cl- = 110 mM
  • HCO-3 = 26 mM
  • Phosphates = 3.5 mM
  • Proteins = 1mM
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16
Q

What type of acids are intermediates of metabolisms?

A
  • Amino acids
    • Lactic acid
    • Pyruvic acid
    • Carbohydrates
      • (glucose)
17
Q

What are the metabolic waste products?

A
  • Urea
    • NH3
    • Creatinine
      • Bilirubin
18
Q

Where are plasma protein synthesised?

A
  • Synthesized in liver (also endothelial cells, plasma cells)
  • Highly glycosylated (except albumin)
19
Q

Functions of plasma proteins?

A
  • Osmolarity
    • Transport
    • Signalling
    • Defence
      • Coagulation
20
Q

What are the arterioles hydrostatic and osmotic pressure values?

A

HP = 37 mmHg
OP = 25 mmHg

21
Q

What are the venules hydrostatic and osmotic pressure values?

A

HP = 17 mmHg
OP = 25 mmHg

22
Q

What are the albumins total plasma protein value?

A

Albumin:
- Total plasma protein: ~150 mgml-1
Albumin:
- ~ 1/2 total plasma protein by mass
- ~ 3/4 total plasma osmotic pressure
~ 1/4 protein output of the liver (12g d-1)

23
Q

Which drugs and hormones does albumin bind to?

A
  • Free fatty acids
    • Steroid hormones
    • Cu++
    • Ca++
    • Bilirubin
    • Penicillin
    • Aspirin
      • Sulphonamides
24
Q

What other plasma proteins are there?

A
  • (pro)enzyme: coagulation factors, cholinesterase’s
  • Antiproteases: antichymotrypsin, a-antitrypsin, (enzyme inhibitors), a2-macroglobulin, antithrombin.
  • Transport proteins: transferrin, haptoglobin, (carrier molecules) lipoproteins, caeruloplasmin.
  • Hormone: erythropoietin.
  • Immune proteins: immunoglobulins, complement proteins.
25
Q

What are acute phase proteins?

A
  • Some plasma proteins are raised in acute inflammation.
  • CRP (C-reactive protein)
  • a1- antitrypsin
  • Fibrinogen
  • Haptoglobin
  • Useful as markers for monitoring disease.