CP 3 - Histology handout and lecture (FINAL) Flashcards

1
Q

what the divisions of the Cardiovascular system?

A

A. Pulmonary circulation to the lungs versus systemic circulation to the rest of the body.
B. Lymphatic system that drains excess interstitial fluid back into the circulation.

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2
Q

which vessels are elastic?

A

arteries

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3
Q

What vessels does blood flow through?

A

Blood flows from heart to large elastic arteries to muscular or distributing arteries to arterioles to capillaries to venules to small to medium sized veins to large veins and back to heart.

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4
Q

What are some deviations from the general circulatory plan?

A

B. Deviations from this general circulatory plan.
1. Portal systems of blood flow.

	2.	Arteriovenous anastomoses: Blood bypasses capillaries and passes from arterioles to venules. Examples found in dermis of skin of hands and feet.
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5
Q

What are 2 examples of portal systems of flow?

A

a. Example: Hepatic portal system: Hepatic portal vein deliveries materials picked up in capillary plexus of gut to the liver capillary plexus (i.e. liver sinusoids).
b. Example: Hypophyseal portal system: Neurosecretory material picked up in capillary plexus in the hypothalamus drain by way of portal vein down pituitary stalk to capillary plexus in adenohypophysis.

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6
Q

What is one thing capillaries are involved in?

A

Involved in exchange of gases, metabolic waste, nutrients, and hormones.

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7
Q

What are 3 three major types of capillaries

A

Continuous Capillaries:

Fenestrated capillaries:

True Sinusoids:

Fenestrated Sinusoids:

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8
Q

Describe continuous capillaries

A
  1. Continuous capillaries (Figure 2): The most common type of capillary. Continuous capillaries are found in muscle connective tissue, CNS, etc.
    a. Luminal diameter of 7-9 microns. Just large enough for a RBC to squeeze through.
    b. Very thin endothelial wall surrounded by a basal lamina. Endothelial nuclei bulge into lumen. Scattered mitochondria, ribosomes, Golgi, microtubules and microfilaments. Most pronounced ultrastructural feature is numerous pinocytotic pits and vesicles (approximately 80 nanometers in diameter).
    c. Pericytes (perivascular cells): Function is not clear. May be able to differentiate into smooth muscle or phagocytic cells when the need arises.
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9
Q

Describe Fenestrated capillaries

A

Fenestrated capillaries (Figure 2).

		a. Numerous pores in lining endothelium. These pores are spanned by a thin diaphragm (Except in kidney glomerulus where pores are open). 
		b. Examples: found in intestines and kidneys-
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10
Q

describe True sinusoids

A

True sinusoids

a. Usually large (up to 30-40 microns in diameter) with irregularly shaped lumens.
b. There may be prominent intercellular spaces between endothelial cells and fenestrations in the endothelium.
c. The basal lamina may be missing or discontinuous.
d. Examples: Found in liver, spleen, and bone marrow.

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11
Q

Fenestrated sinusoids

A

Large lumen fenestrated capillaries. Examples: Found in adenohypophysis (pituitary gland) and adrenal gland.

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12
Q

What are 4 ways that materials flow across the capillary?

Describe each

A

MECHANISMS OF EXCHANGE OF MATERIALS ACROSS THE CAPILLARY WALL
A. Diffusion: Gases and lipid soluble substances can pass across the plasmalemma.
B. Filtration: Hydrostatic versus oncotic pressures causing the movement of water and small molecules between the “leaky tight junctions.”
C. Vesicular transport: (transcytosis) Main mechanism: for movement of large molecules (> 9 nanometers, e.g. plasma proteins) across the endothelium by way of pinocytotic pits and vesicles. -Not energy dependent. (gold particles example)
D. Transendothelial channels: Formed by the fusion of vesicles and spanned by diaphragms. For transport of molecules < 9 nanometers in size.

BONUS: Open pores or gaps in sinusoids

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13
Q

What are the layers of large vessels?

name some features

A

A. Tunica intima: Endothelium and subendothelial connective tissue (internal elastic lamina surround this: looks like swiss cheese in the diagram)

B. Tunica Media: Smooth muscle (elastic fibers may also be present; External elastic Lamina surrounds this)

C. Tunica Adventitia: Connective tissue -Vasa vasorum - nerves

D. Elastic Lamina: Internal and external.

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14
Q

What does the tunica media of the aorta contain?

A

numerous elastic fibers

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15
Q

What are the basic differences between arteries and veins

A

A. Usually run along side of each other (i.e. artery has a “companion vein”).

B. Veins have less muscle, more connective tissue, less elastic tissue, larger lumens, and valves (in the extremities).

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16
Q

Describe the STRUCTURE OF THE HEART

A

The heart can be subdivided into three layers:

An endocardium (homologous to tunica intima);

a myocardium (homologous to tunica media);

an epicardium (homologous to tunica adventitia).

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17
Q

Describe the endocardium

A
  • Lines all internal surfaces of the heart, and is continuous with the tunica intima of blood vessels.
  • The endocardium consists of an endothelium and an underlying thin layer of connective tissue. Under the endocardium is a thicker layer of subendocardial connective tissue.
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18
Q

Describe the Myocardium

A

Myocardium: Forms the main mass of the heart and consists of cardiac muscle. The myocardium is thin in the atria, and much thicker in the ventricles. The muscle fibers within the myocardium are attached to the “fibrous skeleton II of the heart.” The fibrous skeleton consists of dense fibrous connective tissue.

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19
Q

Describe the Epicardium (visceral pericardium):

A

Epicardium (visceral pericardium): Forms the outermost covering of the heart.

	a. A Subepicardial region consisting of loose connective tissue, blood vessels and nervous tissue lies under the epicardium. 
	b. Parietal layer of pericardium: Consists of a serosal layer with mesothelial surface facing the epicardium. 
	c. Pericardial cavity: A potential space between the visceral and parietal pericardium which in health contains up to 50 mL. of fluid distributed as a thin film between the apposed mesothelial surfaces.
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20
Q

What are lymph vessels and what is their function?

A

The lymphatic vessels represent a drainage system whereby fluid and plasma protein which has collected in the interstitium is returned to the blood.

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21
Q

What are lymph capillaries?

name 4 characteristics they have.

A

Lymph capillaries end blindly and the lymph empties into the blood via the thoracic duct and right lymphatic duct. They have the following characteristics:

  1. Lymph capillaries consist only of a single layer of endothelium.
  2. The basal lamina is discontinuous or missing.
  3. No pericytes.
  4. Fibers of connective tissue anchor endothelium to surrounding tissue.
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22
Q

What are larger lymph vessels?

Name 3 characteristics

A

The larger lymph vessels have a structure similar to veins.

  1. Many valves
  2. Thinner walls than veins
  3. No red blood cells. Only lymphocytes.
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23
Q

To lymphatic system is lined up as a parallel system or as a system in series?

A

Parallel

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24
Q

What are the three differences between the circulatory system and the lymphoid system

A

Blood versus length

Heart pump versus no pump

Circulates versus unidirectional

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25
Q

What are the two types of arteries

A

Elastic arteries which tend to be larger

Muscular arteries which are medium-sized

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26
Q

On the diagram what type of arteries are in the pulmonary system

A

Elastic arteries

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27
Q

Do capillaries connect the arterial side to the Venous side every time

A

No there are special exceptions

28
Q

What is A precapillary sphincter

A

Smooth muscle at the entrance to a capillary which constricts a relaxing’s in order to allow blood to flow into the capillary or two prevented from flowing into the capillary

29
Q

What are the exchange vessels for tissues

A

Capillaries and post-capillary venules- quote

30
Q

What is the basic structure of capillaries

A

They are about one cell in diameter in our line by endothelial cells.

The basal lamina surrounds the end of the cells and pericytes are located outside the basal lamina

31
Q

What is another word for basal lamina

A

Basement membrane

32
Q

What capability to pericytes have in the capillaries

A

They are thought to be able to differentiate into endothelial cells if an endothelial cell dies

33
Q

What do kidney capillaries have instead of a diaphragm?

A

They have a thickened basement membrane, which acts as a diaphragm

34
Q

What is another name for sinusoidal capillaries

A

Discontinuous capillaries

35
Q

what is the place where 2 endothelial cells meet called?

A

intercellular junction

36
Q

What is the diaphragm made of ?

What spaces do they cover?

A

glycolayx.

They only cover fenestrations. They do not cover intercellular clefts.

37
Q

What interogates RBC for their age?

A

macrophages

38
Q

what is a pericapillary space?

A

space around basal lamina.

39
Q

how thin is the disphragm?

A

thinner than the plasma membrane of the endothelial cells

40
Q

what is a knob

A

histological distinct feature seen where fenestrations are present

41
Q

what are some secretory and metabolic functions of endothelial cells?

A
  • Adhesion molecules
  • Produce Vasoactive compounds (NO, endothelin)
  • Antithrombo-genic factors
  • Metabolic conversions (angiotensin I to II)
42
Q

what do erectile dysfuntions cause?

A

nitric oxide

43
Q

what is an important role of endotheial cells in teh cardiovascular system regulation?

A

important role of regulating blood pressure and flow and the level of tissues and organs

44
Q

state teh visibility of the internal elastic lamina in veins vs. arteries

A

In arteries, the internal elastic lamina is more visisble( squiggily line)

might not be visible in veins

45
Q

tunica media in veins:

A

can be quite thin or competely absent

46
Q

Tinuca adventitia in veins vs arteries

A

Thickest in veins, not so much in arteries

47
Q

differences between companion arteries and veins

A

Arteries have 6 or more layers

Artery is more circular

Internal elastic lamina is aquiggily because of the pressure it exerts

48
Q

name table values for arterioles

A

lumen is less that 100 micron

tunica intima is thin

smooth muscle in tunica media is 1-5 layers

tunica adventitia is thin

May or may not have elastic lamina

49
Q

name table values for Muscular or distributing arteries

A

lumen is about 300 micron

tunica intima is thin

smooth muscle in tunica media 6 to up to 40 layers

tunica adventitia is thin

Has both internal and external elastic lamina

50
Q

name table values for Elastic arteries (AORTA)

A

lumen is large

tunica intima is thick

smooth muscle in tunica media is up of 40-60 layers

tunica adventitia is thin

elastic lamina : “40-60 throughout lamina”

51
Q

name table values for collecting venules

A

lumen is less than 50 microns

tunica intima is thin

NO smooth muscle in tunica media

tunica adventitia is thin

NO elastic lamina :

52
Q

name table values for collecting muscular venules

A

lumen is 100-200 microns

tunica intima is thin

1-2 layers of smooth muscle in tunica media

tunica adventitia is thin

NO elastic lamina :

53
Q

name table values for small to medium veins

A

lumen is 200-1000 microns

tunica intima is thin (with valves)

thin or absent layers of smooth muscle in tunica media

tunica adventitia is thick

Internal elastic lamina, vague

54
Q

name table values for large veins (Vena Cava)

A

lumen is LArge

tunica intima is THICK

thin (up to several layers) of smooth muscle in tunica media

tunica adventitia is thick (many longitudinal smooth muscle bundles)

Internal elastic lamina present

55
Q

What evolved 400 million years ago that is significant to vertebrates

A

closed high pressure circulatory systems and therefore ELASTIN to cope with high pressures

Present in elastic arteries (AORTA)

56
Q

the adventitia merges with what?

A

surrounding layers of connective tissue

57
Q

Elastin stain shows what prominently

A

internal and external elastic laminae

58
Q

Types of Microcirculation

A
  1. Arteriole- capillary bed –venule
  2. Arteriovenous anastomosis (skin)
  3. Arteriole-capillary-arteriole (kidney: Glomerular capillaries)
  4. Venule-capillary-venule (liver: Portal system)
59
Q

name the phylogenic groups in progessively evolved heart order

A

fish, amphibians (atria seprated), reptiles Atria and half of ventricles separated), mammals(crocodilians too) have 4 chambers

Conus present in all but mammals

60
Q

where are purkinje fibers found histologically

what kind of cells are they?

A

immediately under the endothelial cells in the endocardium

They are specialized myocardial cells that conduct impulses 5 times faster than surrounding cells

61
Q

what kind of junctions are formed between the purkinje fibers and myocardial cells

A

gap junctions at the apex of the heart

62
Q

lymphatic system is what kind of system?

A

A parallel vascular system

63
Q

lymphatic capillaries 2 distinct characteristics

A

have flaplike minivalves

are anchored by elastic fibers

64
Q

how are lymphatic vessels similar to veins?

A

Don’t contain much of a tunica media, if at all and they contain valves

65
Q

percentage of all deaths caused by MI’s

A

20-25%

66
Q

what is the aneurysms related to defects in the tunica media of cerebral arteries?

A

Berry aneurism

weakness in tunica media causes balloon followed by the rupture

67
Q

Varicose veins are:

how common?

A

Abnormally dilated, tortuous veins with valve insufficiency. About 15-20% of the general population will develop varicose veins in the lower legs.