exchange and the lymphatic system Flashcards

1
Q

how are capillaries specialised for diffusion?

A

lots of them
thin-walled
small diameter

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2
Q

why do capillaries have thin walls?

A

presents a small diffusion barrier

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3
Q

why do capillaries have a small diameter?

A

for a big surface area to volume ratio

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4
Q

what is the greatest distance a cell can be from a capillary?

A

100micrometres

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5
Q

what are the 3 types of capillary?

A

continuous
fenestrated
discontinuous

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6
Q

what are continuous capillaries?

A

capillaries with no clefts or channels, they may also have clefts only

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7
Q

where would you find capillaries with no clefts or channels (continuous)? why?

A

the brain, they help with the blood brain barrier

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8
Q

where would you find capillaries with only clefts ?

A

muscle

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9
Q

what are fenestrated cappillaries?

A

capillaries with clefts and channels

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10
Q

where are fenestrated capillaries found?

A

intestine

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11
Q

what are discontinuous capillaries?

A

capillaries with clefts and massive channels

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12
Q

where would you find discontinuous capillaries? why?

A

liver, to allow the transfer of large molecules like proteins

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13
Q

describe the process of clotting?

A
  1. damage to the endothelium wall exposes the collagen in the basement membrane.
  2. platelets adhere to this to form a platelet plug
  3. fibrinogen is converted to fibrin by thrombin.
  4. fibrin binds to the platelet plug forming a fibrin clot
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14
Q

what are the mechanisms the endothelium of blood vessels uses to stop clotting?

A
stops blood contacting collagen
produces prostacyclin and NO
produces tissue factor pathway inhibitor
expresses thrombomodulin
expresses heparin
secretes tissue plasminogen activator (t-PA)
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15
Q

what do prostacyclin and NO do?

A

inhibit platelet aggregation

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16
Q

what does tissue factor pathway inhibitor do?

A

stops thrombin production

17
Q

what does thrombomodulin do?

A

binds thrombin and inactivates

18
Q

what does heparin do?

A

inactivates thrombin

19
Q

what does tissue plasminogen activator do?

A

turn plasminogen in to plasmin and digests clot

20
Q

how is diffusion self-regulating?

A

the more of a substance that is used the more is able to diffuse across to meet the demand, also works the other way around when demand is low

21
Q

how is diffusion non-saturable?

A

there is no peak rate of movement of substances

22
Q

moving through capillaries, why does diffusion of water out of the capillary decrease?

A

the hydrostatic pressure decreases

23
Q

why does the movement of water into the capillaries increase moving further through the capillaries?

A

with water moving out of the cells because of hydrostatic pressure the oncotic pressure increases and more water moves in

24
Q

on average how much water in lost due to hydrostativ force and how much is regained by oncotic pressure?

A

20L lost. 17 L regained per day

so 3 L remains and must be drained by the lymphatic system

25
what are some causes of oedema?
lymphatic destruction raised CVP hypoproteinemia increased capillary permeability
26
what can cause lymphatic destruction?
filariasis (parasitic worm infects lymphatics), surgery
27
what can cause a raised CVP?
vetricular failure
28
what can cause hypoproteinemia?
nephrosis, liver failure, nutrition
29
what can cause increased capillary permeability?
inflammation eg. rheumatism