Some i missed out L7? Flashcards

1
Q

What are the changes from feotal to adult circulation?

A
  1. Foramen ovale ——> Fossa ovalis
  2. Ductus venosus——> Ligamentum venosum
  3. Ductus arteriosus——> Liigamentum arteriosum
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2
Q

What happens to the ductus arteriosus when baby takes first breath?

A

The lungs expand, blood rushes into pulmonary circulation. Oxygen levels rise. Then the ductus arteriosus is constricted.

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3
Q

What happens to the Foramen ovale when the baby takes first breath?

A

The pressure in the left atria rises, forman ovale closes. becomes fossa ovalis

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4
Q

What happens to the ductus venosus?

A

Umbilical cord is tied, umbilical vessels close. The ductus venosus fibroses.

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5
Q

What happens at the atrioventricular valves when ventricular pressure becomes higher than atrial?

A

The papillary muscles contract, stretching the chordae tendinae. This closes the valves.

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6
Q

What are the 3 specialised connections in foetal circulation?

A
  1. Foramen ovale- between right and left atria
  2. Ductus arteriosus- Bypasses lungs. pulmonary trunk to aorta
  3. Ductus venosus- bypasses liver. left umbilicala flow to inferior vena cava.
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7
Q

What is the coagulation phase?

A

The conversion of soluble plasma protein to insoluble rigid polymer fibrin.

Fibrinogen to Fibrin.

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8
Q

How does coagulation happen?

A

Fibrinogen (soluble)

Add thrombin (enzyme)

This causes polymerisation

Goes to Fibrin (insoluble)

Factor XIII stabilises fibrin

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9
Q

What can naturally reduce clotting?

A

Natural anticoagulents

Antithrombin- inhibits thrombin

Heparin- accelerates antithrombin

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10
Q

Why is calcium needed in clotting?

A

Calcium ions needed in extrinsic and intrinsic pathways

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11
Q

Why is vitamin K needed in clotting?

A

Vitamin K needed to produce certain clotting factors in the liver, including prothrombin

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