Exchange and the lymphatic system Flashcards

1
Q

Capillary properties

A
  • Numerous
  • Thin-walled: small diffusion barrier
  • Small diameter: large surface area:volume ratio
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2
Q

Types of capillaries (3)

A
  1. Continuous
  2. Fenestrated
  3. Discontinuous
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3
Q

Continuous capillaries

A

No clefts or pores e.g. brain

Clefts only e.g. muscles

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4
Q

Fenestrated capillaries

A

Cleft and pores e.g. intestines

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5
Q

Discontinuous capillaries

A

Clefts and massive pores e.g. liver

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6
Q

Methods of exchange (2)

A
  1. Diffusion: self-regulating, non-saturable and non-polar substances through clefts/channels
  2. Carrier-mediated transport e.g. glucose
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7
Q

Blood-brain barrier function

A
  • Highly selective impermeable border of endothelial cells to protect against circulating toxins/pathogens that could cause infection, while allowing passage of vital nutrients
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8
Q

Blood-brain barrier structure

A

Continuous capillaries with no clefts or pores and glucose-specific protein carriers

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9
Q

Normal clotting process

A

Formation of platelet plug and fibrin clot

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10
Q

Clotting prevention techniques in capillaries (5)

A
  1. Stops blood contacting collagen
  2. Prostacyclin and NO production
  3. TFPI production
  4. Thrombomodulin and heparin expression
  5. t-Pa secretion
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11
Q
  1. Stops blood-collagen contact
A

Prevents platelet aggregation

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12
Q
  1. Prostacyclin and nitric oxide production
A

Inhibit platelet aggregation

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13
Q
  1. Tissue factor and pathway inhibitor production
A

Stops thrombin production

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14
Q
  1. Thrombomodulin and heparin expression
A

Inactivates thrombin

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15
Q
  1. Tissue plasminogen activator secretion
A

Plasminogen -> plasmin and digest clot

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16
Q

Starling’s Forces are balance of…

A
  1. Hydrostatic pressures (20L)

2. Osmotic/oncotic pressures (17L)

17
Q

Oedema

A

Accumulation of excess fluid

18
Q

Oedema causes

A
  • Lymphatic obstruction (filiariasis, surgery)
  • Raised CVF (raised hydrostatic)
  • Hypoproteinaemia (nephrosis, LF, nutrition)
  • Increased capillary permeability (inflammation)