Lecture/Lab: Circulatory System Flashcards

1
Q

tunica intima

A

inner endothelial layer

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2
Q

tunica media

A

muscular layer

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3
Q

tunica adventitia

A

layer of binding connective tissue.

The name “tunica adventitia”, in particular, bows to the fact that the circulation is a system derived from the mesodermal layer of the embryo, and is by default surrounded by mesodermal structures in the adult.

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4
Q

arteries

A

function is to control and partition the flow of blood, and buffer the pressure differential in the blood stream caused by the heart’s pumping action. The arterial system controls blood distribution down to the sub millimeter level in most organs, normally terminating in capillary beds

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5
Q

Capillary beds

A

function is to allow the transfer of gases and nutrients to those target organs

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6
Q

Veins

A

Blood is returned to the heart at relatively low pressure by a network of veins, that increase in diameter. The largest of the veins must work to buffer any change in blood volume, lest the heart be made to work against an excessive pressure gradient.

Veins tend to travel with companion arteries and nerves. Remember that an artery will always have a thicker tunica media than its companion vein. The companion vein usually appears larger in diameter.

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7
Q

What are the four possibilities for vessels of small size?

A

arterioles (the smallest branches of the arterial system), capillaries (whose lumen is comparable to the size of a single red blood cell), venules, and lymphatic vessels

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8
Q

Arterioles

A

have smooth muscle in their walls, a continuation of the circular smooth muscle of the muscular arteries that feed them.
Generally, arterioles have only one or two layers of smooth muscle.
Notice that the smooth muscle cell, which is a cigar-shaped cell has a nucleus that is elongated in a direction perpendicular to that of the endothelial cell nucleus, whose cell is shaped like an oval pancake. The contrast between the two adjacent nuclei, one cut longitudinally and one cut transversely, is often crucial to the identification of the arteriole.
Note also that the smooth muscle is more eosinophilic than the surrounding connective tissue. That layer (which may be only one cell thick) forms the tunica media of the arteriole. The endothelial cell forms the bulk of the tunica intima layer.

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9
Q

How to distinguish venules and capillaries?

A

Capillaries and venules are distinguished primarily on their size. Blood cells pass through capillaries in single-file. Thus, a capillary is roughly equal to, or less than the diameter of a red blood cell. Anything larger is a venule.

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10
Q

Venules

A

Whereas the venous system begins to attain a distinct tunica media as the vessels grow larger, smooth muscle is absent in the smallest venules, so the tunica media is also absent.
For comparably sized elements of the arterial and venous systems, the venous vessel will have a much thinner tunica media than the arterial vessel. One must develop an expectation for how much smooth muscle to see in a given sized vessel.

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11
Q

How to distinguish between continuous, fenestrated and sinusoidal capillaries?

A

can not be made in the LM, except perhaps indirectly, by inference based on the vessel’s location. (A capillary in the brain or among skeletal muscle will be of the continuous variety. A capillary in the intestines, or in an endocrine organ will be fenestrated. Sinusoidal capillaries are often larger in diameter, but even then you must infer from position within an organ that the vessel is a sinusoidal capillary. They are morphologically indistinguishable from venules in standard preparations).

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12
Q

Lymphatic vessel

A

The wall of a lymphatic vessel, even the large ones, consists only of the endothelium and a small amount of subjacent connective tissue.

The cells are not held in place as well as those of the veins, and their nuclei usually protrude into the vessel lumen. The smaller vessels have an angular appearance to their walls that is not apparent in veins, and the larger vessels may have valves within them.

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13
Q

Elastic arteries

A

The bulk of the wall forms the tunica media

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14
Q

Elastic lamellae and Lamellar units

A

alternating layers of smooth muscle and elastic fibers (elastic arteries).

The elastic fibers, if they were to be seen in a tangential section, would look like a fenestrated sheet (i.e., a solid layer with holes in it). Thus these layers are referred to as elastic lamellae. One of the repeating units, consisting of one layer of smooth muscle and one of its adjacent elastic lamellae, forms a structure referred to as a lamellar unit.

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15
Q

What is the difference between an elastic artery and a muscular artery?

A

From Google:
An elastic artery, like the aorta, is located closer to the heart and has a larger proportion of elastic tissue in its walls, allowing it to expand and recoil with each heartbeat to maintain steady blood flow, while a muscular artery has a thicker layer of smooth muscle, enabling it to actively regulate blood flow by constricting or dilating depending on the body’s needs

From Lab Doc:
Unlike the elastic artery, which is designed to buffer the pressure difference between systole and diastole, the muscular artery is primarily designed to control the distribution of blood as it branches. The lamellar units of the tunica media in muscular arteries are replaced with continuous layers of smooth muscle. The innermost elastic lamella, at the border of the tunica intima, is retained and strengthened, and is referred to as the internal elastic lamina (sometimes called internal elastic membrane). In larger muscular arteries, the outermost layer is also retained. It is termed the external elastic lamina.

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16
Q

internal elastic lamina

A

(sometimes called internal elastic membrane)
In muscular arteries, the innermost elastic lamella, at the border of the tunica intima, is retained and strengthened

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17
Q

Special veins

A

The largest veins, such as the vena cava, portal vein, and some select other veins, have a special morphology. They have the function of buffering changes in blood volume, and thus the capability to reduce their lumenal volume by contracting along their length. To carry out such contraction, smooth muscle fibers must be longitudinally arranged. Such longitudinal smooth muscle fibers are found in the tunica adventitia, and are characteristic of the largest veins.

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18
Q

epicardium

A

The outermost layer of the heart proper, the epicardium (visceral pericardium) is a serosa. It is a simple squamous epithelium plus a thin layer of subjacent collagenous connective tissue.

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19
Q

subepicardium

A

a layer of connective and adipose tissue, of varying thickness, that importantly contains the major cardiac vessels.

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20
Q

vasa vasorum

A

The vasculature of the tunica adventitia layer of very large vessels (aorta)

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21
Q

nervi vascularis

A

The innervation in the tunica adventitia of very large vessels

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22
Q

coronary sinus

A

draining deoxygenated blood from the heart muscle into the right atrium

Blood from the heart wall drains into the coronary sinus, then into the right atrium

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23
Q

Embolus

A

a thrombus, detached atheromatous plaque, or other foreign body that travels within the cardiovascular
system and lodges in a vessel, fully or partially occluding the vessel

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24
Q

arterial embolus

A

travels away from the heart through progressively smaller vessels

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25
Q

venous embolus

A

travels toward the heart through progressively larger vessels.

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26
Q

left and right CORONARY ARTERIES

A

the first branches of the aorta, supply the heart itself

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27
Q

FIBROUS PERICARDIUM

A

A dense connective tissue sleeve, the FIBROUS PERICARDIUM, rises from the central tendon of the diaphragm to surround the heart and blend with the outer connective tissue layer (adventitia) of the great vessels entering and leaving the heart.

28
Q

SEROUS PERICARDIUM

A

A closed mesothelial sac that lines the inner surface of the fibrous pericardium as “parietal serous pericardium” and covers the outer surface of the heart as “visceral serous pericardium”.

The nearly constant motion of the heart is eased by a thin layer of lubricating pericardial fluid between
the parietal serous pericardium and visceral serous pericardium.

The visceral serous pericardium is called the epicardium in histology slides.

29
Q

Fibrillation

A

spontaneous and irregular contraction of cardiac myocytes

30
Q

CARDIAC “SKELETON”

A

a pretzel-like configuration of dense connective tissue between the atria and ventricles of the heart. The annuli (rings) of the cardiac `skeleton’ surround and stabilize the valve cusps and provide attachment for both atrial and ventricular cardiac muscle.

The non-excitable dense connective tissue`skeleton’ also acts as an insulator, preventing spontaneous depolarization of adjacent ventricular myocytes during atrial contraction.

31
Q

What is another word for epicardium?

A

visceral serous pericardium

32
Q

What is the order of the layers of the heart tissue going from outside to inside?

A

fibrous pericardium –> parietal serous pericardium –> visceral serous pericardium (epicardium) –> subepicardial CT (can be innervated and vascularized) –> cardiac muscle (myocardium) –> Subendocardial CT (where Purkinje fibers are located) –> endothelial cells (endocardium)

33
Q

What are the roles of each type of blood vessel in maintaining homeostasis?

A

Elastic and Muscular artery- high pressure conducting vessels
Arteriole- Blood pressure control vessels
Capillary- Gas, nutrient exchange with interstitial fluid vessels
Post capillary venules- Leukocyte escape vessels
Muscular vein, vein, special vein- Low pressure capacitance vessels

34
Q

Elastic artery

A

Functions: Accommodating a large volume of blood at high systolic pressure, damping flow pulsations, and passively propelling blood with elastic recoil.

Location: Aorta, brachiocephalic trunk, common carotid, subclavian, common iliac, pulmonary and
vertebral arteries.

Intima: Endothelium, basal lamina, subendothelial connective tissue, and elastic fibers.

Media: Thickest layer. Fenestrated elastic lamellae (52 in aorta) arranged concentrically, alternating with circular interlamellar smooth muscle. Lamellar unit = 1 smooth muscle layer and 1 adjacent lamella.

Adventitia: Well-developed. Primarily collagen type I and elastic fibers, with vasa vasorum and nervi
vasorum.

35
Q

vasa vasorum and nervi vascularis

A

Only in large vessels
Comes in from outside to meet metabolic needs of everything that can’t be supplied by diffusion

Vascular smooth muscle is innervated by noradrenergic neurons of the the sympathetic nervous system. These are the nervi vascularis, which often can be spotted in the tunica adventitia along with vasa vasorum, blood vessels that supply the outer walls of the larger vessels where diffusion from lumenal blood would be inadequate. NE and, somewhat uniquely, NPY (neuropeptide Y) are transmitters used at this second sympathetic synapse. Local factors secreted by endothelial and other cells also affect the vascular smooth muscle.

36
Q

Elastic lamellae

A

Fenestrated
elastic lamellae (52 in aorta)
arranged concentrically, alternating with circular interlamellar smooth muscle.

Lamellar unit = 1 smooth muscle layer and 1 adjacent lamella.

On Verhoeff’s stain: Yes, there are some elastic fibers in the subendothelial CT, but those are not lamellae

Lamellae = THICK elastic fibers in tunica media

37
Q

ANEURYSM

A

a localized dilation resulting from acquired or congenital weakness of the vessel wall.

All 3 layers bulge outward on one or both sides

38
Q

DISSECTION

A

an extravasation of blood into the tunica media, most often through an intimal tear. Blood tracks longitudinally through the media.

break in tunica intima. blood goes from the lumen to a false lumen in subendothelial CT

blood dissects intima off vessel wall

dangerous because it can shut off flow to a branched artery

39
Q

Muscular artery

A

Function: Controlled distribution of blood to muscles, organs, and other tissues.
Location: Named arteries, excluding elastic arteries. (ex: femoral artery, radial artery, brachial artery, splenic artery, and mesenteric artery)
Intima: Endothelium, basal lamina, subendothelial connective tissue, and a prominent internal elastic membrane. External elastic membrane may also be present in larger muscular arteries
Media: Thickest layer. Circular or obliquely circular smooth muscle (8-10 cell layers), and collagen
fibers. NO ELASTIC LAMELLAE
Adventitia: Connective tissue and elastic fibers. Vasa vasorum and nervi vascularis.

40
Q

internal elastic membrane

A

The innermost elastic lamella, at the border of the tunica intima, is retained and strengthened, and is referred to as the internal elastic lamina (sometimes called internal elastic membrane)

41
Q

External elastic membrane

A

In larger muscular arteries, the outermost elastic lamellae layer is also retained. It is termed the external elastic lamina.

42
Q

Arteriole

A

Function: Vasoconstriction, controlling arterial blood flow into capillary bed.
Location: All body regions adjacent to capillary beds.
Intima: Endothelium, basal lamina, subendothelial connective tissue. Smooth, non-thrombogenic
Media: Thick circular smooth muscle (1-2 cell layers), relative to lumen size.
Adventitia: Thin connective tissue.

43
Q

One way to differentiate the arterioles from the venules?

A

Look at the ratio of diameter to wall thickness
Higher ratio in venules

44
Q

Continuous capillary

A

Most capillaries are continuous capillaries

Function: Exchange between blood and body tissues, capillaries are permeable but selectively
permeable.
Location: Muscle tissue, connective tissue, lung, skin, the central nervous system, and the placenta.
Intima: Thin continuous endothelium, usually a single endothelial cell joined by tight junctions, and a
continuous basal lamina. Endothelial cells have numerous transport vesicles. The thin capillary wall is
supported by pericytes.
No media or adventitia. Instead surrounded by pericytes

Continuous capillaries, found in the lung, placenta, muscle and CNS, allow no passive transport across their endothelium.

45
Q

pericytes

A

mesenchymal stem cells that can differentiate into either endothelium or smooth muscle

They share the basal lamina with the endothelial cells

Capillaries and other smaller vessels often have pericytes, cells with contractile properties, associated with their basal surface. Brain vasculature has the highest density of pericytes - almost 1:1 with endothelial cells. There, they appear to provide a slow (minutes to hours) modulatory control of blood flow compared to arterioles which can regulate local blood flow on the order of seconds.[5] For example, in the retina, pericytes cover over 90% of the capillaries, and are key to regulating the pressure-induced vascular damage of glaucoma.[6] They may also play a role in maintenance of the endothelial basement membrane, or even angiogenesis. Evidence suggests that pericytes are organ-specific. Pericytes in the brain derive from neural crest cells, whereas pericytes in gut organs derive from mesoderm. Similarity of pericyte cell surface markers suggests a relation with vascular smooth muscle and MSC, both of which also reside in the perivascular space. In culture, pericytes show a high degree of plasticity, similar to MSC.

46
Q

Fenestrated capillary

A

Function: More permeable.
Location: Intestinal mucosa, gallbladder, endocrine and exocrine glands (pancreas), and kidney.
Intima: Endothelial cells have numerous fenestrations or pores, usually closed by diaphragms that
restrict passage of large molecules such as proteins (may be absent in renal glomeruli). Although the
endothelial cells are fenestrated, the basal lamina is continuous. Supported by pericytes
No media or adventitia:

Fenestrated capillaries are found in endocrine glands, kidney, gallbladder and intestinal tract and have openings large enough to allow free passage of small molecules.

47
Q

Sinusoidal (discontinuous) capillaries

A

Function: Maximal molecular exchange between blood and surrounding tissue. Blood plasma
proteins and cells can move easily across endothelium. Structural features of sinusoids vary from
organ to organ.
Location: Liver, spleen, bone marrow, adenohypophysis, and suprarenal medulla.
Intima: Endothelial cells with large fenestrations which are also separated by large intercellular
junctions. Basal lamina discontinuous or absent (liver).
No media or adventitia

Sinusoidal capillaries, found in the liver, spleen and bone marrow, are those that have openings large enough to admit cells, although sometimes the term is used to indicate merely large diameter capillaries.

48
Q

Postcapillary venule

A

exit of capillary beds

Function: Extravasation of fluids and leukocytes. Postcapillary venules are relatively permeable, with
few tight junctions. Inflammatory agents increase permeability, facilitating leukocyte extravasation
and causing tissue edema. Loose intercellular junctions
Location: Adjacent to capillary beds throughout the body.
Intima: Continuous endothelium with loose intercellular junctions, basal lamina, subendothelial
connective tissue. Walls supported by pericytes.
No media or adventitia:

49
Q

What do immature intravascular neutrophils mean?

A

Immature neutrophils (nuclei not separated) tell you that an infection has been going on form some time
They have graduated from the bone marrow early

50
Q

Vein

A

Function: Capacitance vessels that hold 60-70% of total blood volume. Vascular smooth muscle
regulates lumen size, mediating blood volume and pressure.
Location: Veins accompanying muscular arteries. May be paired as venae comitantes.
Intima: Endothelium, basal membrane, and subendothelial connective tissue, and some veins have an internal elastic lamina. Valves in veins form by two layers of endothelium surrounding a
connective tissue core. Valves are prominent in the limbs and absent in the larger thoracic and
abdominal veins.
Media: Smooth muscle, collagen fibers. (Smooth muscle gets progressively thicker)
Adventitia: Thickest layer. Connective tissue some elastic fibers. Most of it is adventitia

51
Q

What are the names of the Special ‘caval-type’ veins

A

superior vena cava, inferior vena cava, renal vein, sometimes adrenal veins, brachiocephalic veins, portal vein, subclavian veins, common iliac veins

52
Q

Special ‘caval-type’ vein

A

Function: Return deoxygenated blood to heart, capacitance, and mediating blood volume.
Location: Large veins closer to heart including the superior vena cava, inferior vena cava,
brachiocephalic veins, portal vein, subclavian veins, common iliac veins.
Intima: Endothelium, basal membrane, subendothelial connective tissue.
Media: Circular smooth muscle (2-15 layers), collagen fibers.
Adventitia: Thickest layer. Dense connective tissue, longitudinal smooth muscle. Cardiac muscle may
extend into areas nearest heart (myocardial sleeves). Vasa vasorum, nervi vascularis.

53
Q

Lymphatic capillaries

A

Function: Absorption of tissue fluid, waste products, and cell debris.
Location: All tissues except cartilage, bone, bone marrow, thymus, placenta, cornea, and teeth.
Intima: Thin endothelium and subendothelium with valves.
Media: Smooth muscle in larger lymphatic vessels, not in lymphatic capillaries.
Adventitia: Thin connective tissue attached to anchoring filaments in surrounding connective tissue.
The anchoring filaments help maintain lumen patency.

54
Q

Larger lymphatic vessels

A

asymmetrical
LYMPH re-enters the blood vascular system through large lymphatic vessels that drain into large veins
at the base of the neck.
The lymphatic drainage of the body is asymmetrical. The right lymphatic duct drains lymph from the
right side of the thorax, right upper limb, and right side of the head and neck. The right lymphatic
duct drains into veins on the right side of the neck.
The thoracic duct drains lymph from the rest of the body (both lower limbs, the abdominopelvic
cavity inferior to the umbilicus, the left side of the thorax, left upper limb, and left side of the head
and neck. The thoracic duct drains into large veins on the left side of the neck.

55
Q

right lymphatic duct

A

drains lymph from the
right side of the thorax, right upper limb, and right side of the head and neck. The right lymphatic
duct drains into veins on the right side of the neck.

56
Q

thoracic duct

A

drains lymph from the rest of the body (both lower limbs, the abdominopelvic
cavity inferior to the umbilicus, the left side of the thorax, left upper limb, and left side of the head
and neck. The thoracic duct drains into large veins on the left side of the neck.

57
Q

Edema

A

accumulation of excess fluid in tissue spaces. An increase in capillary hydrostatic pressure or
a decrease in plasma osmotic pressure may lead to EDEMA, excess fluid accumulation in tissue spaces.

58
Q

Describe the process by which atherosclerosis occurs

A

Endothelial injury causes INCREASED PERMEABILITY and INCREASED PLATELET AND MONOCYTE
ADHESION. Low density lipid (LDL) and monocytes enter the subendothelial connective tissue.

Monocytes are activated as MACROPHAGES which engulf lipids and oxidized lipids. Factor release
from endothelial cells, platelets, and macrophages induces SMOOTH MUSCLE CELL RECRUITMENT
from tunica media and/or circulating SMC precursors.

Ongoing EXTRACELLULAR AND INTRACELLULAR LIPID ACCUMULATION. Intracellular lipid in both smooth muscle cells and macrophages (now foam cells). Fatty streaks are now apparent on the
artery lumen.

Raised ATHEROSCLEROTIC PLAQUES protrude into the vessel lumen, reducing flow within the lumen
or causing compensatory expansion and weakening of the vessel wall. Weakening or the vessel wall
can also cause ischemic death resulting from increased diffusion distance from blood in the vessel
lumen. Plaque may calcify or may rupture and embolize. Vessel wall may form aneurysm and potentially catastrophic rupture.

59
Q

What does each layer of the blood vessels correspond to in the heart?

A

In the heart, the tunica intima corresponds to the endocardium and subendocardium. The tunica media is the myocardium. The tunica adventitia corresponds to the subepicardium.

60
Q

Where does the pericardial cavity originate?

A

The pericardial cavity, along with the pleural cavity of the lung and the peritoneal cavity of the GI system are the three cavities that result from the embryonic coelum, the original cavity formed in the lateral mesoderm.

61
Q

Caveolae

A

Caveolae are small, flask-shaped invaginations of the plasma membrane in many vertebrate cells. They are a type of lipid raft and are most abundant in endothelial cells, adipocytes, and embryonic notochord cells.
(from Google)

62
Q

lymph nodes

A

lymph passes through one or more
lymph nodes for filtration and immune surveillance before returning to the blood circulation

63
Q

Thrombus

A

A THROMBUS is a clot that forms within the cardiovascular system during life.

64
Q

baroreceptor

A

A baroreceptor is a specialized sensory innervation of the larger arteries (carotids and the aortic arch) that senses information about stretching of the vascular wall (which correlates with blood pressure) and sends it to the brainstem. The baroreflex is crucial for maintaining blood pressure through postural changes, for example transitioning from sitting to standing.[10] The typical baroreceptor is a fine-scale nerve ending located in the inner portion of the tunica adventitia. Because the descending pathways of the baroreflex involve the spinal cord, the reflex may be lost with spinal injury. Loss of the baroreflex produces orthostatic hypotension.

65
Q

chemoreceptors

A

chemoreceptors present in the aortic bodies along the aortic arch (and a few select other locations) contain specialized cells that signal elevated blood CO2 to the brainstem.

66
Q

What is the difference between vasculogenesis and angiogenesis?

A

The process by which vessels are formed is called vasculogenesis, and is distinct from the process by which vessels elaborate from existing vessels, which is termed angioogenesis.