CPRS 33: Capillaries and Lymphatics Flashcards

1
Q

In the capillary wall, there are intercellular clefts. It allows H2O and small molecules to pass, they are smaller than the diameter of ____.

A

In the capillary wall, there are intercellular clefts. It allows H2O and small molecules to pass, they are smaller than the diameter of ALBUMIN

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2
Q

There are caveolae in the capillaries

What do they do?

A

Facilitates the transport of macromolecules by transcytosis

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3
Q

Mix and match:

Brain, Kidney, Liver
Continuous, Fenestrated, Discontinuous

A

Brain- Continuous capillary
Kidney- Fenestrated capillary
Liver- Discontinuous capillary

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4
Q

The large molecules do not pass through the capillary wall, except in the _________ (organ)

A

except in the liver

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5
Q

Name 2 major components of the interstitial fluid

A

Proteoglycan filaments

Collagen bundles

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6
Q

Lymph flow
Reabsorption
Filtration

Arrange them such that they make sense in mathematics

A

Filtration = Reabsorption + Lymph Flow

Otherwise there’ll be accumulation of interstitial fluid

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7
Q

Name the Starling Forces
__________: Forcing plasma from the capillary to interstitium
___________: Forcing H2O from interstitium to the capillary
___________: Cause osmosis from the interstitium to capillary
__________: Cause osmosis from the capillary to the interstitium

Which of the above two are main forces that are ‘useful’?

A

Name the Starling Forces
Capillary Hydrostatic Pressure: Forcing plasma from the capillary to interstitium
Interstitial Fluid Hydroststic Pressure : Forcing H2O from interstitium to the capillary
Plasma Colloid Osmotic Pressure: Cause osmosis from the interstitium to capillary
Interstitial Fluid Colloid Osmotic Pressure: Cause osmosis from the capillary to the interstitium

Which of the above two are main forces that are ‘useful’?
Capillary Hydrostatic Pressure
Plasma Colloid Osmotic Pressure

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8
Q

Pressure in interstitial fluid can be increased by wearing __________ in lower limbs

Colloid Osmotic Pressure are exerted by _______ that don’t pass through the _________

Inflammation makes the capillaries ______ (more or less) permeable to proteins

A

Pressure in interstitial fluid can be increased by wearing compression stockings in lower limbs

Colloid Osmotic Pressure are exerted by proteins that don’t pass through the capillary wall

Inflammation makes the capillaries MORE permeable to proteins

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9
Q

Net Fluid Flux is proportional to

Capillary Hydrostatic Pressure
+ Interstitial Fluid Colloid Osmotic Pressure
- Plasma Colloid Osmotic Pressure
- Interstitial Fluid Hydrostatic Pressure

If net fluid flux is positive, there is net fluid movement ____ (in or out) of the capillaries.

If net fluid flux is negative, there is net fluid movement ____ (in or out) of the capillaries.

A

Net Fluid Flux is proportional to

Capillary Hydrostatic Pressure
+ Interstitial Fluid Colloid Osmotic Pressure
- Plasma Colloid Osmotic Pressure
- Interstitial Fluid Hydrostatic Pressure

If net fluid flux is positive, there is net fluid movement OUT of the capillaries.

If net fluid flux is negative, there is net fluid movement INTO the capillaries.

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10
Q

Lymphatic Capillary has ______ valves. They are one way valves and allows content to move in once the pressure of ___________ is larger than that of the ________.

Lymphatic vessels has _______ valves, they restrict the ________ of the lymph. There are also __________ around the lymph vessels that pushs the lymph forward by contraction.

The lymph vessels ultimately drain to the _________ veins.

A

Lymphatic Capillary has primary valves. They are one way valves and allows content to move in once the pressure of interstitial fluid is larger than that of the lymph.

Lymphatic vessels has secondary valves, they restrict the backflow of the lymph. There are also smooth muscles around the lymph vessels that pushs the lymph forward by contraction.

The lymph vessels ultimately drain to the subclavian veins.

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11
Q

Name 2 more factors that drive the lymph flow

A

Contraction of surrounding skeletal muscles
Pulsations of arteries adjacent to the lymph
Compression stocking

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12
Q

How will heart failure lead to oedema

Reduce cardiac output
Reduce venous return
Increase \_\_\_\_\_\_\_\_\_\_\_\_ (one of Starling forces)
Increase filtration
Accumulation of \_\_\_\_\_\_\_\_\_\_\_\_\_\_
Oedema
A

How will heart failure lead to oedema

Reduce cardiac output
Reduce venous return
Increase capillary hydrostatic pressure
Increase filtration
Accumulation of interstitial fluid
Oedema
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13
Q

How will malnutrition (low protein) or Proteinuria lead to oedema

Reduce plasma protein
Reduce \_\_\_\_\_\_\_\_\_\_\_\_\_\_ (one of Starling forces)
Reduce capillary \_\_\_\_\_\_\_\_\_\_\_
Accumulation of \_\_\_\_\_\_\_\_\_\_\_\_
Oedema
A

How will malnutrition (low protein) or Proteinuria lead to oedema

Reduce plasma protein
Reduce Plasma colloid osmotic pressure
Reduce capillary reabsorption
Accumulation of interstitial fluid
Oedema
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