Final Review Flashcards
leukocytes
white blood cells, only blood components that are complete cells
leukocytosis
WBC count over 11,000 per cubic millimeter,normal response to viral invasion
granulocytes
with cytoplasimc granules, neutrophils, eosinophils, & basophils
agranulocytes
do not have cytoplasmic granules, lymphocytes and monocytes
What cell is this?
neutrophil - most common white blood cell, 60 %, , fine indistinct granules, fragmented nucleus
functions as a phagocyte, main bacteria killer during acute infection, multilobed nucleus, polymorphonucleated.
What cell is this?
eosinophil - account for 3% of WBC, bilobed nuclei, have red to crimson large, coarse, lysosome-like granules, leads the body’s counter attack against parasitic worms, lessens the severity of allergies by phagocytizing immune complexes
What white blood cell is this?
Basophil- u or s shaped nucleus, granules stain very dark, release heparin and histamine, account for 0.5% of WBCs, have large purplish-black granules
What cell is this?
Lymphocytes- mounts an immune response either by a direct attack or by making antibodies, account for 25% or more of WBCs, large nucleus, with small ring of cytoplasm, two types - T cells: function in immune response and B cells: give rise to plasma cells which produce antibodies
What cell is this?
monocyte- largest WBC, crucial in defense against viruses, associated with chronic infections, become macrophages, account for 4-8 % of leukocytes, abundant pale-blue cytoplasm, have purple staining u or kidney shaped nuclei, leave circulation, enter tissue and differentiate into macrophages
erythrocytes
red blood cells, transports oxygen via hemoglobin and some carbon dioxide, biconcave, anucleate, filled with hemoglobin, 45%
albumin
Plays major role in diffusion of water, plasma protein , major contributor to osmotic pressure, most abundant plasma protein, 60%
Fibrinogen
This forms the structural framework of a blood clot.
involved in clotting, thrombin catalyzes the activation of fibrinogen
Globulins
36% of plasma proteins, alpha and beta: transport proteins and gamma: antibodies
hemoglobin F
fetus forms HbF, higher affinity for oxygen than adult hemoglobin, in fetal red blood cells.
hemocytoblast
parent cell for all formed elements of blood, hormones and growth factors push cell toward specific pathway of blood cell development, commited cells cannot change
function of blood
to deliver oxygen from lungs & nutrients from the digestive tract to body cells, transport metabolic waste from cells to the lings and kidneys for elimination, transport hormones from endocrine glands to target hormones
erythropoiesis
red blood cell formation, triggered by hypoxia (low oxygen)
erythropoietin EPO
produced by kidneys, targets red bone marrow, triggered by hypoxia, decreased oxygen available, increased demand for oxygen
hypoxia
dificiency of oxygen in tissue
reticulocyte
young red blood cells, if increased in peripheral blood it indicates there is an increased rate of RBC formation, enter blood stream, in 2 days mature to RBC
Thrombocytes
platelets, fragments of megakaryocytes, platelets secret prostaglandin derivatives such as thromboxane A2
Blood Type A
has A antigen on RBC, and anti-B antibodies in plasma
Blood type B
has B antigen on RBC and Anti-A antibodies in plasma
Blood Type AB
has A & B antigen on RBC and neither anti A nor anti B antibodies in plasma
Type O Blood
has neither A nor B antigens on RBC and it has anti A and anti B antibodies in plasma.
Rh factor
presence of the Rh agglutinogens on RBCs is indicated as Rh+
anti-Rh antibodies are not spontaneously formed in Rh- individuals, first exposure causes sensitization, exposed and making antibodies, a second exposure to Rh+ blood will result in a typical transfusion reaction
if mom is Rh- and baby is Rh+, then dad must be Rh-
hemolytic disease of the newborn also know as erythroblastosis fetalis
only occurs in Rh- mothers with Rh+ fetus, Rh-mom exposed to Rh+ blood of fetus during delivery of first baby - baby healthy
mother synthesizes anti-Rh antibodies, second pregnancy mom’s antibodies can cross placenta and destroy RBCs of Rh+ baby, baby treated with pre-birth transfusions and exchange transfusions after birth and Rhogam serum containing ani-Rh can prevent Rh- mother from becoming sensitized.
Phases of hemotasis
- vascular spasm
- platelet plug formation
- coagulation
vascular spasm
vasoconstriction of damaged blood vessels, triggers: direct injury to vascular smooth muscle, chemicals released by endothelial cells and platelets and pain reflexes.
platelet plug formation
platelets stick to the damaged area of a blood vessel and help seal the break
they do not stick to each other or to the endothelial lining of blood vessels, they stick to collagen fibers and form a platelet plug, stimulated by thromboxane A2
Coagulation
blood clotting, reinforces platelet plug with fibrin threads consisting of three phases
phase 1: #I -XIII; most plasma proteins, vitamin k need to synthesize 4 of them
phase 2: Prothrombin converted to enzyme thrombin
phase 3: Thrombin catalyzes fibrinogen > fibrin
follicles
sacs in ovaries that each contain an egg, many tiny saclike structures embedded in high vascular connective tissue of cortex
corpus luteum
the left over follicle after ovulation, the ruputure follicle after ovulation, left over sac after the egg was released
amnion
forms from endoderm and mesoderm, transparent membranous sac surrounding the embryo, cushions the embryo,
amniotic fluid
cushions embryo, provides a protective water-filled sac
chorion
fetal contribution to the placenta, develops from mesoderm and trophoblast,
chorionic villi
where the exchange of nutrients and oxygen takes place between baby and mom
formation of extraembryonic membranes in sequential steps
yolk sac > amnion > allantois > chorion
yolk sac
attached outside the developing embryo and is connected to the umbilical cord by a yolk stalk. This yolk sac acts as the prelimiary circulatory system and is eventually absorbed into the gut of the embryo
from endoderm and mesoderm, site of early blood cell production, forms part of digestive tube.
targets for hormones
have specific receptors, targets are what the hormone has an effect on
though hormones circulate systemically only cells
with receptors for that hormone is affected
hypophysis
pituitary gland, size and shape of a pea, has two major lobes, posterior (neural tissue) and anterior (glandular tissue), produces hormones that stimulate other glands, master gland
pancreas
regulates glucose levels, insulin lowers blood sugar and glucagon raised blood sugar, triangular shaped gland behind stomach, both exocrine and endocrine, has acinar cells and pancreatic islets (islets of langerhands) - these release the endocrine hormones insulin and glucagon
pancreatic islets (islets of langerhans)
contain endocrine cells, alpha cells produce glucagon (takes glycogen out of storage) and beta cells produce insulin
glycogenolysis
breakdown of glycogen to glucose
gluconeogensis
synthesis of glucose from lactic acid and noncarbohydrates
insulin
lowers blood glucose levels, not needed for glucose uptake in liver, kidney or brain
thyroid
hormones act similar to steroid hormones they can diffuse easily into target cells, produces major metabolic hormones
, affects virtually every cell in body, increases metabolic rate and heat production (calorigenic effect), regulation of tissue growth and development and maintenance of blood pressure, T4 and T3
parathyroid gland
PTH -parathyroid hormone, most important hormone in Ca2+ homeostasis, increases blood calcium levels and decreases bone calcium levels
controls blood levels of Ca2+ and K+, four to eight tiny glands embedded in posterior aspect of thyroid,
adrenal medulla
produces epinephrine (adrenaline), controls fight or flight reaction, hormones mimic sympathetic nervous system neurotransmitters. nervous tissue
adrenal cortex
produces glucocorticoids (cortisol), produces androgens, produces mineral corticoids (aldosterone), excess glucocorticoids levels result in Cushing’s, has 3 layers
zona glomerulosa
mineralocorticoids, superficial layer
zona fasciculata
glucocorticoids,middle layer
zona reticularis
gonadocorticoids, innermost layer
osteoclasts
breaks down bone, stimulated by Parathyroid, increases intestinal and kidney calcium reabsorption
estrogen
maintains uterine lining, prepare mammary glands
maturation of female reproductive organs
appearance of secondary sexual characteristics
with progesterone causes breast development and cyclic changes in uterine mucosa
progesterone
produced by ovaries, acting with estrogen promotes breast development and cyclic changes in the uterine mucosa
growth hormone (somatotropin)
produced by anterior pituitary, targets bones and skeletal muscle, regulated by growth hormone releasing hormone and growth hormone inhibiting hormone, hypersecretion in children, gigantism, in adults, acromegaly
hyposecretion, in children pituitary dwarfism
direct actions on metabolism
indirect actions on growth
produced by anterior pituitary gland, somatotropin cells
calcitonin
produced by parafollicular (C) cells of thyroid, decreased blood calcium levels
no known physiological role in humans, some argue increases bone calcium
antagonist to parathyroid hormone
at higher than normal doses: inhibits osteoclast activity and release of Ca2+ from bone matrix; stimulates Ca2+ uptake and incorporation into bone matrix
mineralcorticoid-aldosterone
secreted by adrenal cortex , reabsorbs sodium in the kidney so thus water, increase blood volume and water
most potent mineralocorticoid, 95%, stimulates Na+ reabsorption and water retention by kidneys; elimination of K+; essential for life; its release is trigger by decreasing blood volume and blood pressure and rising blood levels of K+ ,
oxytocin
positive feedback; strong stimulant of uterine contraction; released during childbirth; hormonal trigger for milk ejection; acts as neurotransmitter in brain
antidiuretic hormone ADH (vasopressin)
made in hypothalamus then travels to posterior pituitary
inhibited by alcohol,
inhibits or prevents urine formation
regulates water balance
targets kidney tubules, reabsorb more water
diuretics
diabetes insipidus
ADH deficiency due to hypothalamus or posterior pituitary damage
leptin
secreted by adipose tissue, suppresses appetite, stimulates increased energy expenditure
glucocorticoid-cortisol
from adrenal cortex, hydrocortisone , only one in humans,
Plays a roles in inflammationa and stress
released in response to ACTH, patterns of eating and activity and stress; prime metabolic effect is gluconeogenesis- formations of glucose from fats and proteins; promotes rises in blood glucose, fatty acids, and amino acids; “save” glucose for brain, enhances vasoconstriction- rise in blood pressure to quickly distribute nutrients to cells.
follicle stimulating hormone FSH
targets gonads
anterior pituitary hormone, tropic hormone (regulate secretory action of other endocrine glands), gonadotropin,targets the testes.
prolactin
targets mammary gland, positive feedback,
secreted by prolactin cells of anterior pituitary gland, stimulates milk production, regulation of release primarily controled by prolactin inhibiting hormone (PIH)(dopamine)
suckling stimulates PRH release and promotes continued milk production
blood levels rise at end of pregnancy
adrenocorticotropic hormone ACTH
targets adrenal cortex
- secreted by corticotropic cells of anterior pituitary
- stimulates adrenal cortex to release corticosteriods
- regulation of ACTH release: triggered by hypothalamic corticotropin-releasing hormone (CRH) in daily rhythm, internal and external factors such as fever, hypoglycermia, and stressors can alter the release of CRH
Thyroid stimulating hormone TSH (thyrotrpoin)
produced by thyrotropic cells of anterior pituitary
stimulates normal development and secretoru activity of thyroid
release triggered by thyrotropin-releaseing hormone from hypothalamus
inhibited by rising blood levels of thyroid hormones that act on pituitary and hypothalamus
thyroid hormones
iodine is required, T3 and T4
do not use second messengers, enter cells like steriods,
parathyroid hormone, parathormone
It DOES NOT inibit calcitonin synthesis
activates osetoclasts which breakdown bone and increase blood calcium, increases calcium reabsorption in kidneys and calcium absorption in intestine
atrial natriuretic peptide
decreases sodium reabsorption, thus decreases water reabsorption, lowers blood volume, lowers blood pressure, synthesized in atria of heart