Exchange and the Lymphatic System Flashcards

1
Q

What type of vessels are capillaries?

A

exchange vessels

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2
Q

How are capillaries specialised for diffusion? (3)

A
  • many of them (larger cross sectional surface area)
  • thin walled
  • large surface area:volume ratio
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3
Q

What are the 3 types of capillary?

A
  • continuous
  • fenestrated
  • discontinuous
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4
Q

Continuous capillaries have ______ junctions.

A

leaky

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5
Q

Where would you find capillaries with no clefts or channels i.e. continuous?

Why?

A

Brain

Forms the blood-brain barrier, selective in what can diffuse across.

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6
Q

Where would you find capillaries with only clefts only between endothelial cells i.e. juncrtions?

A

muscle

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7
Q

Where are fenestrated capillaries found?

A

kidneys, intestines

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8
Q

Where would you find discontinuous capillaries?

Why?

A

liver

to allow the transfer of large molecules like proteins.

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9
Q

What is meant by diffusion being self regulating, in terms of concentration gradients?

A

if the cell starts to utilise more molecules e.g. O2 during exercise, then you get a larger concentration gradient between the cell and ECF to diffuse more oxygen i.e. the more that is used, the more that is supplied.

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10
Q

What is meant by saying that diffusion is non-saturable?

A

there is no limit to diffusion i.e. the higher the concentration gradient, the more will diffuse across the membrane.

there is no peak rate of movement of substances.

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11
Q

Why can polar substances not diffuse easily over the blood-brain barrier?

A

There are no clefts or channels, they require transporters as polar substances do not dissolve in liquids.

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12
Q

What is the term given for the mass exchange of fluid between capillaries and ISF?

A

bulk flow

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13
Q

Hydrostatic pressure _____________ the leaky capillaries. That builds up an __________ pressure which __________.

A

pushes fluid out through

osmotic (oncotic)

draws fluid back in

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14
Q

The balance of these hydrostatic and osmotic pressures is known as ___________.

A

Starling’s forces

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15
Q

Moving through capillaries, why does diffusion of fluid out of the capillary decrease?

A

the hydrostatic pressure decreases

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16
Q

What simultaneously builds up as fluid leaks out the capillaries due to hydrostatic pressure?

Why is this?

A

Oncotic pressure

Fluid leaving through leaky clefts, takes big solutes with in, these solutes build up another conc/pressure gradient = Osmotic (oncotic) pressure, it draws water back in to the plasma.

17
Q

On average, how much water in lost due to hydrostatic pressure and how much is regained by oncotic pressure?

A

20L lost

17L regained

18
Q

What happens to the excess 3L of fluid not diffsued back into the capillaries?

A

It is drained by the lymphatic system

19
Q

What can happen when the lymphatic system becomes overwhelmed?

A

Peripheral oedema

20
Q

Outline some of the causes of oedema. (4)

A
  • lymphatic obstruction
  • raised CVP
  • hypoproteinemia
  • increased capillary permeability
21
Q

Describe how lymphatic obstruction can lead to oedema.

Give examples of how lymph vessels can become obstructed.

A
  • leads to pressure build up (hydrostatic) within lymphatic vessels.
  • more lymph leaks from the channels = oedema

filariasis, surgery, elephantitis (worms living in vessels)

22
Q

What can lead to a raised CVP?

How can this lead to oedema?

A

ventricular failure

  • ventricular failure can lead to back flow of blood into the lungs
  • this increases hydrostatic pressure, causing oedema
23
Q

What can cause hypoproteinemia?

Why does this lead to oedema?

A

due to nephrosis, liver failure, nutrition

  • take malnutrition
  • no proteins in the diet, lose water and don’t draw it back
  • builds up osmotic pressure, presents as oedema
24
Q

What can cause increased capillary permeability?

A

inflammation eg. rheumatism