BMA Flashcards
Bone Functions
Support Protection Storage Blood Cell Production Movement
Matrix
Ground Substance
Collagen - provides flexibility and tensile
Calcium Phosphate - provides compressive strength
Specialised Cells`
Osteoprogenitor - stem cells that differentiate into osteoblasts
Osteoblasts - bone-building cells that secrete collagen and ground substance
Osteoclasts - bone resorbing cells that break down the matrix and release stored minerals
Osteocytes - mature bone cells that maintains the matrix
Interstitial Growth
- New cartilage forms at the top of the epiphyseal plate
- Bone replaces old cartilage at the bottom of the plate
- Diaphysis lengthens
Appositional Growth
- Osteoblasts beneath periosteum secrete new layers of matrix
- Osteoclasts remove old matrix slowly from inner surface to enlarge the medullary cavity
Bone Remodelling
Bone resorption - osteoclasts break down the old matrix
Bone deposition - osteoblasts produce new matrix
Fracture Repair
- Haematoma forms
2, Fibrocartilaginous callus forms - Bony callus forms
- Bome remodelling
Functional Joints
Synarthrosis - immovable
Amphiarthrosis - slightly movable
Diarthrosis - freely movable
Muscle Functions
- Produce body movements
- Maintains posture and body position
- Stabilises joints
- Generates heat
Muscle Characteristics
- Excitability
- Contractability
- Extensibility
- Elasticity
Muscle Contraction
STEP 1: Neural Stimulation - allows communication
STEP 2: Excitation-Contraction Coupling - links AP to contraction
STEP 3: Sliding Filament Theory
Layers of Heart Wall
Epicardium - outer cover, encloses the heart
Myocardium - muscular wall consisting of cardiac muscle cells, blood vessels, nerves and CT
Endocardium - epithelium covers the inner surfaces of the heart
Heart Valves
AV Valves: - prevent backflow into atria - chordae tendinae tense to prevent valves everting into atria SL Valves: - forced open when ventricles contract
CAD
Angina pectoris - reduced blood flow to myocardium
Myocardial Infarction - prolonged coronary artery blockage
Intrinsic Conduction System
SA Nodes: generates impulses
AV Nodes: impulses pause
Bundle Branches: connect the atria to the ventricles
Purkinje Fibres: depolarise the contractile cells of both ventricles
ECG Deflections
P Wave - atrial depolarisation (systole)
QRS Complex - ventricular depolarisation (systole)
T Wave - ventricular repolarisation (diastole)
Factors Affecting Cardiac Output
Stroke Volume Venous Return Passive Filling Time Preload Afterload EDV ESV Heart Rate
Blood Vessel Walls
Tunica Intima: - innermost layer - endothelial cells Tunica Media: - smooth muscle - changes vessel diameter Tunica Externa: - connective tissue
Arteries & Arterioles
Elastic: conduct blood and are thick walled
Muscular: distribute blood and have a thick tunica media
Arterioles: mainly tunica media and change resistance to blood flow
Capillaires
Continuous
Fenestrated
Sinusodial
Venous Return
Valves Muscular Pump Respiratory Pump Pulsation Venoconstriction
Regulation of Blood Pressure
Autoregulation
Neural Regulation
Renal Mechanisms
Endocrine Regulation
Bulk Flow
Hydrostatic = PUSH
Colloid Osmotic = PULL