lecture 7 - capillaries & lymphatics Flashcards

1
Q

What is the relative thickness of capillary walls?

A

Very thin, to allow for easy exchange of gases and nutrients.

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2
Q

Why do capillary beds have a large total cross sectional area?

A

To maximise the rate of exchange at low pressure, speed and flow.

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3
Q

How do capillaries ensure slow and smooth flow of blood, despite the pulsatile pumping of the heart?

A

They slow down the blood and it is at low pressure

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4
Q

What is the basic structure of a capillary?

A

A tube formed by simple squamous epithelia, surrounded by a basement membrane

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5
Q

What is the diameter of a capillary?

A

The same size as a red blood cell

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6
Q

What feature controls the flow into capillary beds?

A

Pre-capillary sphincters

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7
Q

What are pre-capillary sphincters?

A

Smooth muscle cells that circumferential around the start of the capillary beds, and contract to limit flow into the beds.

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8
Q

What vessels supply the capillary beds?

A

Terminal arterioles

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9
Q

What feature of a capillary bed directs blood straight through the thoroughfare channel?

A

Vascular shunts

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10
Q

What is the function of vascular shunts?

A

They direct blood through a large thoroughfare channel, rather than into all the different parts of the capillary bed.

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11
Q

What are the 3 types of capillary?

A

Continuous, Fenestrated, Sinusoidal

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12
Q

What is the most widespread type of capillary?

A

Continuous

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13
Q

What are the components of a capillary that vary to control permeability?

A

Basement membrane, intercellular cleft, endothelial layer/tunica intima

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14
Q

What is the structure of a continuous capillary?

A

Continuous endothelial layer and basement membrane, which only allow small molecules to pass through

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15
Q

What is the basement membrane of a capillary?

A

Also called the basal lamina, it is a layer of extracellular matrix that forms the outmost layer, that molecules must pass through.

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16
Q

What is the approximate diameter of a continuous capillary?

A

8-10µm

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17
Q

What is the structure of fenestrated capillaries?

A

Capillaries with small pores/fenestrations in the endothelial layer that allow molecules to pass out. However, they have a continuous basement membrane that molecules must pass through.

18
Q

Do fenestrated capillaries have continuous or discontinuous basement memebrane?

A

Continuous

19
Q

What type of capillary are commonly found in the kidneys and small intestines?

A

Fenestrated capillaries

20
Q

What is the leakiest type of capillary?

A

Sinusoidal

21
Q

What is the structure of a sinusoidal capillary?

A

Has large intercellular gaps between endothelial cells and an incomplete basement membrane that allows for direct exchange of plasma with the ECM.

22
Q

What capillary type has the largest diameter?

A

Sinusoidal

23
Q

What is the diameter of a sinusoidal capillary?

A

30-40µm

24
Q

What are 4 key functions of the lymph vascular system?

A

Drains excess tissue fluid & plasma proteins and returns to blood, filters foreign materials, screens lymph for antigens and releases antibodies, absorbs fat from intestines and transports to the blood.

25
Q

How is fat absorbed using the lymph vascular system?

A

At the intestines, fat that has been consumed is absorbed by lymphatic drainage vessels and transported to the blood via lymph channels

26
Q

How do lymphatic vessels originate?

A

Commence as large, blind ended capillaries

27
Q

In the small intestine, what lymphatic vessels initially drain fat-laden lymph?

A

Lacteals

28
Q

Where do lacteals drain fat-laden lymph to?

A

lymphatic fat collecting vessel called the cisterna chyli.

29
Q

Why do lymphatic vessels have valves?

A

To maintain unidirectional flow.

30
Q

Why are lymph channels transparent/hard to spot?

A

Very thin walled with transparent fluid flowing through them as contain no red blood cells.

31
Q

Is fluid at high or low pressure in lymphatic vessels?

A

Low pressure

32
Q

What are the 3 major regions of lymph nodes?

A

Cervical, Axillary, Inguinal

33
Q

Where are cervical lymph nodes located?

A

The neck

34
Q

Where are axillary nodes located?

A

In the armpit (axilla)

35
Q

Where are inguinal nodes located?

A

In the groin

36
Q

Where does the right lymphatic duct drain?

A

The right subclavian vein

37
Q

Where does the thoracic duct drain?

A

The left subclavian vein and internal jugular vein

38
Q

What is the process of fat absorption in the small intestine vili (Cardio vascular system)?

A

Lacteals (lymphatic vessels) absorb fats and then send them to the portal veins which take nutrient-rich blood to the liver

39
Q

What vessels drain the lymph nodes?

A

Efferent lymphatic vessels

40
Q

Where are immune cells held in a lymph node?

A

They hang onto a matrix of fibres, surveying the lymph fluid

41
Q

How does cancer often spread from the breasts into others parts of the body?

A

Via the breast tissue lymphatic drainage system that carries cancer cells into the blood vascular system, facilitating metastasis