Circulatory System Flashcards

1
Q

Objectives

A
  • Heart
    • Identify the heart layers
    • Review the Purkinje fibers in the hert
  • Blood and lymph vessels
    • Descibe the layer of a typical blood or lymph vessl
    • Descibe and recognize the differences bewteen elastic arteries, muscular arteries, arterioles, capillaries, veins, and lymph vesselts
    • Identify the vasa vasorum and nervi vasorum (blood vessels and verve vessels in the tunica adventitia or large vessels)
    • Recognize and descibe arteries, arterioles, capillaries, veins and lymph vessels
  • Define:
    • Endothelium, tunica intima, tunica media, tunica adventitia, inernal elastic lamina, basement membrane, sinusoid, pericyte, fenestrated, interstitial, endocardium, myocardium, epicardium, visceral pericrdium, vasoconstriction, hypovolemia, edema
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Heart Layers

A
  • Endocardium:
    • Has endothelium
    • small amount of supporting connective tissue (delicate collagenous layer and deeper fibroelastic layer
    • Adipose tissue deposits in places
    • Simple squamous epithelium
  • Myocardium:
    • Contains cardiac myocytes and purkinje fibers
    • Muscle layer, with vessels
  • Epicardium: (Visceral pericardium)
    • Contains mesothelium that secretes serous fluid
    • some supporting connective tissue similar to that of endocardium
    • broad layer of adipose tissue
    • Essentially the same as endocardium, but with thick layer of fat
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Purkinje fibers

A
  • Part of the myocardium
  • modified cardiac myocytes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Cardiac skeleton

A
  • Serves as an anchor for the valves at level of the valves of the heart
  • Annulus - surround valves
  • Trigone - Triangular area between the 2 AV canals
  • Septum - between the ventricles
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Heart Valves

A
  • Folds of endocardium
  • supported by the cardiac skeleton
  • Edges of cusps of valves are anchored by the chordae tendinae
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Blood and Lymph systems General Introduction

A
  • Blood and Lymph vascular systems are similar in some respects, and different in others
    • Blood passes through a circuit
    • Lymph is a one-way drainage from the tissues back to the vascular system
    • They are often found together with nerves
    • Blood vessels have a stronger wall with more components of the layers than lymph vessels
      • In small lymph vessels only the endothelium is visible
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Vessels General Introduction

A
  • An Arteriole is a small artery; a venule is a small vein
    • Arterioles -have an objective way to idetify them, based on the number of smooth muscle cell layers
    • Venules - Not so much, but they accompany arterioles (veins accompany arteries)
  • When comparing arteries and veins:
    • Arteries/arterioles have a uniform thickness of the wall
    • Veins/venules have a very thin wall relative to the size of the vessel, and it may not be uniformly thick
  • Arteries do NOT have valves
    • Exception is Aorta
  • Veins and lymph vessels usually have valves
    • Valves in the simplest form are double- layered folds of endothelium
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Layers of Vessels Walls

A
  • Tunica Intima - Epithelium and some connective tissue, and an elastic layers
    • Endothelium
    • Connective tissue
    • Internal elastic lamina
  • Tunica Media - smooth muscle cells and variable amounts of fibers (mainly elastin)
    • Elastic arteries have smooth muscle with large sheets of elastin
    • Layers of smooth muscle with elastic fibers
    • Elastic fibers are very prominent in elastic arteries
    • External elastic lamina, but not always obvious
  • Tunica Adventitia - Connective tissue covering of the vessel
    • May contain vessels and nerves if the blood vessel is very large
    • Elastic arteries have a more collagenous outer covering, while muscular artreies have a more elastic outer covering
    • Outer layer of connective tissue
    • Mixed collagen and elastic fibers
      • More collagen in the elastic arteries
      • More elastin in the musculr arteries
      • May contain vascular and nerve plexus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Tunica Intima

A
  • 3 layers
    • Endothelium
    • Connective tissue
    • Internal elastic lamina
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Tunica Media

A
  • smooth muscle cells and variable amounts of fibers (mainly elastin)
    • Elastic arteries have smooth muscle with large sheets of elastin
  • Layers of smooth muscle with elastic fibers
  • Elastic fibers are very prominent in elastic arteries
  • External elastic lamina, but not always obvious
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Tunica Adventitia

A
  • Connective tissue covering of the vessel
  • May contain vessels and nerves if the blood vessel is very large
  • Elastic arteries have a more collagenous outer covering, while muscular artreies have a more elastic outer covering
  • Outer layer of connective tissue
  • Mixed collagen and elastic fibers
    • More collagen in the elastic arteries
    • More elastin in the musculr arteries
    • May contain vascular and nerve plexus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Elastic Arteries

A
  • Tunica Intima contains all 3 layers
  • Tunica Media is the thickest layer
    • Many concentric layers of elastin, with smooth muscle cels between the layers
    • External elastic lamina is not readily apparent because of the thick elastic laminae
  • Tunica Adventitia is thin comparitively
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Muscular Arteries

A
  • Tunica Intima - contains endothelium, connctive tissue, and internal elastic lamina
    • Connective tissue hard to see with light microscope unless thickened by atherosclerosis
  • Tunica Media - thick layer of smooth muscle
    • contains fibers and proteoglycans (smooth muscle and fibrocytes are developmental “cousins”)
    • External elastic lamina is part of tunica media
  • Tunica Adventitia - external connective tissue layer, can be very thick
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Tunica Intima - Muscular Artery

A
  • Inner lining; can have 3 sublayers;
    • Endothelium (always)
    • Subendothelial connective tissue (not visibe in small vessels)
    • Internal elastic lamina
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

EM slide of small muscular artery

A
  • Muscular (or distibuting) artery is a medium-sized artery composed principally of a tunica intima and circularly arranged smooth muscle
  • Tunica Intima:
    • Endothelium (green) - single layer of flattened endothelial cells
    • Inner Elastic Lamania (tan) - layer of elastic fibers
  • Tunica Media (light blue) - thick layer of smooth muscle along with collagen fibers and a few elastic fibers
    • Caveolae - large number of small invaginations of the plasma membrane of the smooth muscle cells
  • Tunica Adventitia - only a few collagenfibers of this layer are visible in this micrograph
  • Part of a red blood cell (dark red) can be seen in the lumen of the artery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tunica Media - Muscular Artery

A
  • Smooth muscle with varying amounts of elastic laminae
    • The external elastic lamina is part of this layer but may be difficultto see
17
Q

Tunica Adventitia - Muscular Artery

A
  • The external connective tissue of the vessel wall
  • Dense or loose irregular connective tissue
  • More elastin in the tunica adventitia of a muscular artery, especially right next to the muscle layer
18
Q

Arterioles

A
  • Smallest branch
  • Delivers and regulates flow of blood to the capillary bed
  • Regulates systemic blood pressure; generalized constictions increases resistance to peripheral blood flow
  • Description of layers:
    • Tunica Intima - present, internal elastic lamina disappearing
    • Tunica Media - 1-3 layers of smooth muscle cells
    • Tunica Adventitia - narrow layer of connective tissue
19
Q

Small Muscular Arteries vs Arterioles

A
  • Small Artery
    • > 0.3 mm diameter lumen or >3 layers of muscle cells
  • Arteriole
    • No external elastc lamina
    • Deminishing internal elastic lamina
    • 3 or less layers ofmuscle cells
20
Q

Capillaries

A
  • Only endothelium and basement membrane
  • Diameter is approximately the same as that of a RBC (7-9 um)
    • Exception: sinusoids (30-40 um) in liver, spleen, lymph nodes, and bone marrow
  • Thin endothelial cell allows exhange of water and solutes between blood and tissues (in tissues), and between blood and enironment (in lung)
21
Q

Continuous Capillaries

A
  • Most common type: muscle, brain, thymus, bone, lung, and elsewhere
    • Uninterrupted endothelium
    • Continuous basal lamina
    • Numerous pinocytotic vesicles
  • Pericyte - cell that share the basement membrane and are associated mainly with capillaries
22
Q

Pericyte

A
  • A residual mesenchymal cell
  • Involved in:
    • Blood flow
    • blood-brain barrier
    • angiogenesis
    • muscle regeneration
23
Q

Fenestrated Capillaries

A
  • Have pores within endothelial cells
    • diaphragm covers the pore
  • Found in tissues involved in absorption and fluid transport (small intestine and kidneys) and some endocrine glands
  • Picture:
    • Capillary (green) - inner (lumenal) surface of the endothelial cells
      • Fenestrations (approx. 50 - 100 nm) - endothelial cells contain numerous pores lacking diaphragms
      • Fenestrations allow access of blood to the underlying basement membrane
    • Podocyes (yellos) - remnants surrounded the capillary
24
Q

Sinusoidal Capillaries

A
  • ​Special capillaries found in the liver, spleen and bone marrow
  • Have a wide lumen with a discontinuous endothelium (gaps between endthelial cells)
25
Q

Veins

A
  • Thin muscular wall - may be somewhat broken up
  • The Adventitia usually the thickest part
  • Internal elastic lamina absent except large veins
  • Wide lumen compared to wall thickness
  • More likely to be packed with RBCs
26
Q

Pulmonary Vein

A
  • Large Vein
  • Wide lumen and thin wall compared to overall size
  • Thickness of the wall is variable
  • Internal elastic lamina is absent except in large veins
27
Q

Veins and venules

A
  • Distiction between venules and small veins is somewhat artificial
    • If next to an artery its a vein
    • if next to an arteriole its a venule
    • Both can have valves
28
Q

Venules

A
  • size comparable to an arterioles
  • Layers:
    • Tunica Intima - endothelium only
    • Tunica Media - either abscent or only a very thin layer
    • Tunica Adventitia - present
29
Q

Lymph Vessels

A
  • Associated with the venous system
    • valves help assure that fluid continues toward the large veins cranial to the heart
  • Very low pressure system
    • easily occluded, obstructed or overwhelmed
      • Leads to edema
  • One-way system:
    • Smallest lypmh vessels (lymph capillaries) are blind-ended and begin in the perivascular space in the tissue beds
  • No perivascular cells
  • Function: transport excess interstitial fluid, proteins, solutes an macromolecules through lymph nodes and back to the venous system
    • Safety valve between the extravascular and intravascular fluid pools
    • A filtering system to impede microorganisms and cancer cells
  • Have NO basement membrane, Endothelium only, look like space in the tissue
  • Larger lymph vessels have thinner wall than veins of comparable size and have valves (more numerous)
  • Should NOT find RBC’s instead precipitated protein
30
Q

Vasa Vasorum, Nerve vasorum

A
  • In larger vessels, Adventitia carries a blood and nerve supply for that vessel