Systems Flashcards
3 layers of skin
epidermis, dermis and hypodermis
Corpuscles
Cutaneous sensory receptors. Receive stimuli when you are touched
What percentage of blood volume is retained in your skin
5%
Two types of perspiration
Insensible (unnoticeable) and sensible (noticeable)
Cyanosis
Blue skin (heart failure, poor circulation, severe respiratory issues)
Jaundice
Yellow skin (liver disorder)
Erythema
Red skin (fever, inflammation, allergy)
5 types of sweat glands
Eccrine (palms, forehead and feet soles), Apocrine (armpits and groin), Mammary (secret milk), Ceruminous (earwax) and sebaceous (oil glands)
6 stages of digestion
Ingestion, Propulsion, Mechanical Breakdown, Chemical Digestion, Absorption and Defection
Macromolecules
lipids, carbs, proteins and nucleic acids
Alimentary canal
gastrointestinal tract
Why do the mouth, esophagus and anus all contain simple squamous tissue?
to prevent abrasive action of chewing certain foods
Why do the stomach and organs below contain columnar cells?
They secrete mucus which protects your cells from being digestive
Peristalsis
Muscles take turns relaxing and contracting to move food down
Gastric phase
as stomach is distended from food, activates stretch receptors which stimulate medulla and turn pH of stomach up
Intestinal phase
sows rate at which food is emptied from stomach
Mastication
to chew
Names of jawbones
Maxilla and mandible
Names of muscles attached to jawbones
Buccinator and masseter
Which enzyme do salivary glands produce and what does it do
Salivary amylase - starts digestion of starch
3 portions of teeth
Crown, root and neck
Names of two sets of teeth
deciduous and permanent
What is the pharynx
back of mouth
Esophagus
connects mouth to stomach. Upper sphincter contains skeletal muscles and lower sphincter contains smooth muscle
4 main regions of stomach
cardia, fundus, body and pylorus
What is between the pylorus and duodenum?
pyloric sphincter
What happens when the stomach is empty?
Mucosa lies in large folds called rugae
What does lingual lipase do?
digests triglycerides into fatty acids and diglycerides in the acids environment of stomach
How many layers of smooth muscle does the stomach wall consist of?
3
3 muscle groups
circular, longitudinal, oblique
3 parts of small intestine
Duodenum, jejunum and ileum
What does the small intestine do?
Its glands produce enzymes and mucus
the microvilli, villi and circular folds of its walls provide a large surface area for digestion and absorption
Main function of colon
absorption of water
Parts of the colon
Ascending, transverse, descending and sigmoid
Parts of the large intestine
Caecum, colon, rectum and anal canal
What does the large intestine do?
Absorbs water, ions and some vitamins
What stimulates the release of cholecystokinin?
Arrival of lipids in the duodenum
How are substances carried from the small intestine to the liver?
By the hepatic portal vein
What are parietal cells responsible for?
The production of the intrinsic factor (a glycoprotein)
What is the synthesis and storage of fat called?
lipogenesis
What does cholecystokinin do?
Stimulates the release of bile
Where is the pancreas?
lies behind the stomach
What does pancreatic juice contain?
enzymes and fluid
What is the pancreas made up of?
small clusters of glandular epithelial cells called acini which constitute the exocrine portion of the organ
Types of bile that emulsify fat
sodium taurocholate and sodium glycocholate
Cholecystectomy
removal of the gallbladder
Process of bile
made by liver, travels down hipatic duct, stored in gallbladder, travels down cystic duct, behind pancreas and then through duodenum
Components of bile
Hepatocytes, bile canaliculi, hepatic sinusoids, central vein and hipatic veins
What do hepatocytes do?
release bile
What do hepatic sinusoids contain?
stellate reticuloendothelial cells
Functions of the liver
secrets bile, phagocytosis of bacteria, processing of drugs and hormones, carbohydrate, lipid and protein metabolism, excretion of bilirubin, storage of vits and minerals, activation of vitamin d
organs of the respiratory system
nose, pharynx, larynx, trachea, bronchi and lungs
Otorhinolaryngology
diagnosis and treatment of ears, nose and throat
3 types of respiration
pulmonary ventilation, external respiration and internal respiration
Conducting zone
consists of a series of interconnecting cavities and tubes both outside and within the lungs
Respiratory zone
consists of tissues within lungs where exchange occurs between air and blood
Average atmospheric pressure
760 mmHg
Sternocleidomastoid
muscles in neck
What do carotid arteries do?
feed blood to brain
Nose
contains nares which prevent how much dirt you breathe in. Green snot indicates infection
Pharynx
throat. passageway for air and food. wall is composed of skeletal muscle and lined with mucous membrane
Larynx
voice box. Contains thyroid cartilage, epiglottis, cricoid cartilage, arytenoid cartilage, false vocal cords and true vocal cords
How is pitch of voice controlled?
By tension of vocal cords. Swollen when you have a cold which is why voice is deeper.
Trachea into bronchi
Divides into left and right primary bronchus, which then divide to form the lobal, secondary bronchi, one for each lung lobe. Lobar bronchi branch to form segmental, tertiary bronchi which divide several times, forming bronchioles. These branch to form terminal bronchioles which then give alveoli.
How many lobes does each lung have?
Left has 2 and right has 3
Lungs
paired organs in thoracic cavity enclosed by pleural membrane.
Layers of pleural membrane
Parietal (outer) and visceral (inner)
What do lobules contain?
lymphatic vessels, arterioles, venules, terminla bronchioles, respiratory bronchioles, alveolar ducts, alveolar sacs and alveoli
What is the structure of alveoli?
racemose structure
When do we inhale and exhale?
Inhale when pressure in lungs is lower than atmospheric pressure and exhale when pressure in lungs is higher
Diaphragm
contracts when it receives nerve impulses from phrenic nerves
Minute ventilation
total volume of air inhaled and exhaled each minute
Lung volumes
tidal, inspiratory reserve, expiratory reserve, residual
What does surfactant do?
prevents friction
Elastic recoil
our ability to automatically breathe out
Ventral repiratory group
controls voluntary forced exhalation, increases force of inspiration
Dorsal respiratory group
controls mostly inspiratory movements and their timings
Ventilatory rate
tightly controlled and determined by blood levels of CO2
What do chemoreceptors do?
detect changes in blood pH that require changes in involuntary respiration
Which centres of pons work together to control breathing?
Apresutic (stimulating) and pneumotaxic (limiting)
How does the medulla help with breathing?
sends signals to initiate inspiration and expiration
Lacteal
absorbs fats and fat soluble vitamins
Type l alveolar cell
branched cell with multiple cytoplasmic plate which represent gas exchange surface
Type ll alveolar cells
responds to damage of type l cells by dividing and differentiating into both type l and type ll cells. also synthesise, store and release surfactant into alveolar hypophase to optimise conditions for gas exchange
Effect of damage to type l alveolar cells
increase entry of fluid to alveoli and decreased clearance of fluid from alveolarspace
Effect of damage to type ll alveolar cells
decreased production of surfactant which can lead to alveolar collapse. Can lead to fibrosis.
Breathing problems as delivery of oxygen is impaired. Babies would have extreme difficulty breathing and would struggle to survive.
Partial pressure
Pressure of a specific gas in a mixture
External respiration (pulmonary gas exchange)
exchange of gases between alveolar air and pulmonary blood capillaries
Internal respiration (systemic gas exchange)
exchange of gases between systemic tissue capillaries and systemic tissue cells
How is oxygen transported round body?
98.5% of blood O2 is bound to haemoglobin in red blood cells. Association of O2 and haemoglobin is affected by PO2, pH, temperature and PCO2.
How is CO2 transported round body?
3 ways: 7% dissolved in plasma, 23% binds with globin of haemoglobin and 70% is converted to bicarbonate ions (HCO3-)
2 areas of respiratory centre
Medulla oblongata and pons varolii
What does the inspiratory area do?
sets basic rhythm of respiration
DRG
Dorsal Respiratory Group
How does active DRG work?
diaphragm contracts and external intercostal muscles contract during their most active phase which leads to normal quiet inhalation
How does inactive DRG work?
diaphragm relaxes and external intercostal muscles become less active and relax, followed by elastic recoil of lungs which leads to normal quiet exhalation
VRG
Ventral respiratory group
How do VRG cause forceful inhalation?
accessory muscles of inhalation (sternocleidomastoid, scalene and pactoralis minor muscles) contract
How do VRG cause forceful exhalation?
accessory muscles of exhalation (internal intercostal, external oblique, internal oblique, transversus abdominis and rectus abdominis muslces) contract
Pons
top of brain stem
Medulla
just below pons
What does a dissociation curve show?
plots proportion of haemoglobin in its oxygen saturated form, against the partial pressure of oxygen
What does a shift to left on dissociation curve show?
increase in pH, decrease in CO2, decreased temperature
What does a shift to right on dissociation curve show?
decrease O2 affinity of haemoglobin, increase in CO2, increased temperature
What will a lack of haemoglobin cause?
shortness of breath, ireegular heartbeat, chest pain
What will too much haemoglobin cause?
causes body to make too many red blood cells, causing blood to thicken, leading to clots, heart attacks and strokes
Cephalic phase
the smell, sight, sound or thought of food activates neural centres in the brain
Gastric phase
promotes gastric juice secretion and gastric motility. The pyloric sphincter relaxes, which promotes gastric emptying. Gastric motility and gastric secretion decrease in order to slow the exit of chyme from the stomach, which prevents the small intestine from being overloaded with more chyme than it can handle
Gastric motility
Contractions of gastric smooth muscle serves two basic functions: ingested food is crushed, ground and mixed, liquefying it to form what is called chyme. chyme is forced through the pyloric canal into the small intestine, a process called gastric emptying.
Intestinal phase
the activities that occur during the various phases of digestion are coordinated by hormones, secretion and cholecystokinin
What does cholecystokinin do in the intestinal phase?
opens the oddi sphincter to allow bile and digestive juices to flow between the pancreas and small intestine
Gastrin
stomach mucosa (pyloric region). The secretion of gastric juice increases motility and relaxes the pyloric sphincter
Secretin
intestinal mucosa. secretions from pancreas, stimulates secretion of digestive enzymes and gives the feeling of satiety
Satiety
feeling full
What happens immediately after a meal in the small intestine?
Segmenting contractions and pacemaker cells
Post absorptive state in small intestine
peristaltic contractions and successive waves are more distal
Protein digestion in duodenum
Trypsin and Chymotrypsin in pancreas, carboxypeptidase and aminopeptidases
Lipid digestion
emulsification by bile salts to form small droplets, then pancreatic lipase changes the lipids to monoglycerides or fatty acids, then go on to form micelles and simple diffusion through the plasma membrane
Lipid digestion inside epithelial cells
resynthesised to triglycerides, then coated by proteins to form chylomicrons. They leave the epithelial cells and enter the lymphatic capillaries, which are called lacteals. The lacteals merge to form larger lymphatic vessels that transport the chyle to the thoracic duct where it is emptied into the bloodstream at the subclavian vein.
Heart structure
located between lungs in thoracic cavity. The apex (pointed end) is formed by the tip of the left ventricle and rests of the diaphragm. The ease of the heart is opposite the apex and is formed by the atria, mostly the left atrium.
Pericardium
membrane that surrounds the heart and holds it in place. It consists of two parts: fibrous and serous.
Outer fibrous pericardium
a tough, irregular connective tissue layer. It prevents overstretching of the heart, provides protection and anchors the heart in place.
Potential problem with outer fibrous pericardium
doesnt stretch so if any inflammation or excess fluid, the excess pressure could constrict the heart and impair pumping.
Inner serous pericardium
a thinner membrane that forms a double layer around the heart
Outer parietal layer of serous pericardium
fused to the fibrous pericardium
Inner visceral layer of serous pericardium
adheres tightly to the surface of the heart
Pericarditis
inflammation of the pericardium, causing a sudden onset of chest pain. Could be due to a viral infection or TB
3 layers of heart wall
epicardium, myocardium and endocardium
Epicardium
external layer - thin, transparent outer layer of wall. Composed of mesothelium and connective tissue
Myocardium
middle layer - consists of cardiac muscle tissue, which constitutes the bulk of the heart
Cardiac muscle fibres
involuntary, striated and branched cells. Form 2 separate networks - one ventricular and one atrial
Cardiac muscle fibre connections with other fibres
each fibre connects with other fibres by thickenings of the sarcolemma called intercalated discs. Within the discs are gap junctions that allow action potentials to conduct from one cardiac muscle fibre to the next
Endocardium
thin layer of simple squamous epithelium that lines the inside of the myocardium and covers the valves of the heart and the tendons attached to the valves
Atria
two upper chambers of heart
Ventricles
two lower chambers of heart
Which ventricle is thicker and why?
left due to pressure - left ventricles delivers blood to more areas of the body
What separates the two atriums?
a thin partition called the interatrial septum, which has an oval depression called the fossa ovalis
What separates the two ventricles?
an interventricular septum
Superior vena cava
brings deoxygenated blood to the right atrium from parts of the body above the heart
Inferior vena cava
brings deoxygenated blood to the right atrium from parts of the body below the heart
Coronary sinus
drains deoxygenated blood from most of the vessels supplying the wall of the heart
Which ventricle contracts first?
they contract simultaneously
How does deoxygenated blood travel around the heart?
Right atrium receives deoxygenated blood from 3 veins and then delivers the blood to the right ventricles, which pumps it into the pulmonary trunk. The pulmonary trunk then divides into a right and left pulmonary artery, to the corresponding lung.
How does oxygenated blood travel around the heart?
Oxygenated blood enters the left atrium via four pulmonary veins. The blood then passes into the left ventricle, which pumps the blood into the ascending aorta. From here the oxygenated blood is carried to all parts of the body.
Ligamentum arteriosum
a small ligament that is the remnant of the ductus arteriosus formed within three weeks after birth. At the superior end, the ligamentum attaches to the aorta—at the final part of the aortic arch
Septal defects (holes in the heart)
heart starts as 1, breaks down into 4 parts soon after birth. A gap can form between the right and left atria.
How many valves does the heart have? Describe them
4 - made up of dense connective tissue covered by endothelium. They open and close in response to pressure changes as the heart contracts and relaxes
Atrioventricular (AV) valve
lies between the atria and ventricles. Tricuspid and bicuspid (mitral)
Tricuspid valve
AV valve between right atrium and right ventricle. Consists of three cusps
Bicuspid (mitral) valve
AV valve between left ventricle and left atrium. Has two cusps.
What must happen for blood to pass from an atrium to a ventricle?
an atrioventricular valve must open
Pulmonary valve
lies in the opening where the pulmonary trunk leaves the right ventricle
Aortic valve
at the opening between the left ventricle and aorta
What do valves prevent?
prevent blood flowing back to the heart
How do valves prevent blood from flowing backwards?
They consist of semilunar cusps which attach to the artery wall and permit blood to flow in one direction only
In which direction does blood flow through the heart?
From high to low pressure
How is movement of the blood through the heart controlled?
by the opening and closing of valves and the contraction and relaxation of the myocardium
Coronary circulation
the flow of blood through numerous vessels in the myocardium
Principal coronary vessels
the left and right coronary arteries, which originate as branches of ascending aorta. Each artery branches several times to deliver O2 and nutrients throughout the heart muscles
Coronary sinus
vein on posterior surface of heart and collects most deoxygenated blood and empties into the right atrium
SA
sinoatrial
AV
atrioventricular
SA node
located in the right atrial wall, begins cardiac excitation. natural pacemaker of heart
AV node
located in interatrial septum, just anterior to the opening of the coronary sinus. Action potential slows considerably, providing time for atria to empty blood into ventricles
Process of action potential
From AV node, action potential enters the AV bundle in the interventricular system. AV bundle is the only site where action potentials can conduct from atria to the ventricles. After conducting through AV bundle, the action potential enters both right and left bundle branches that course through the interventricular septum towards apex of heart. Finally, Purkinje fibers rapidly conduct the action potential, first to apex of ventricles and then upwards to the rest of the ventricular myocardium.
Action potential
brief change in voltage across cell membrane of heart cells. Caused by the movement of charged atoms between inside and outside of cell, through proteins called ion channels.
Electrocardiogram (ECG)
conduction of action potentials through heart generates electrical currents that can be picked up by electrodes placed on skin
P wave
small upward deflection on ECG. Represents atrial depolarisation, which causes contraction so the atria contracts after the P wave begins