thrombosis Flashcards

1
Q

what is thrombosis

A

formation of a blood clot inside a blood vessel, obstructing the flow of blood through the circulatory system.

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2
Q

what lines the lumen

A

endothelial cells

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3
Q

what are surrounds the basal lamina

A

smooth muscle

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4
Q

what surrounds the smooth muscle

A

interstitial collagen fibres

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5
Q

what does lumen contain?

A

red blood cells, white blood cells. platalets, plasma

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6
Q

are platalets normally exposed to interstitial collagen fibres around the vessel

A

no

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7
Q

what does plasma consist of

A

water and numerous protiens and other molecules

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8
Q

what kind of factors does plasma contain?

A

clotting factors

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9
Q

what is plasma without the clotting factors?

A

serum

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10
Q

where are clotting factors produced

A

liver, endothelial cells

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11
Q

what does thrombonin convert …. into ….

A

soluble fibronogen into insoluble fibrin

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12
Q

what kind of system is the clotting cascade

A

amplification system

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13
Q

what is the initial damage

A

trauma leads to exposed interstitial collagens and exposure of tissue factor

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14
Q

what does trauma lead to in vessels

A

defects

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15
Q

what happens when there is a defect in the vessel?

A

blood leaks out and serum comes into contact with the interstitial collagen fibres

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16
Q

how are clotting factors activated?

A

when they come in contact with the collagen fibres

17
Q

what is the function of tissue factor when there has been defects in the vessel

A

bind a clotting factor and initiate the clotting cascade

18
Q

why is it important that clotting factors are serine proteases

A

they have a serine amino acid in them and they cleave other clotting factors to form the active molecule

19
Q

what is formed into thrombonin

A

prothrombin

20
Q

what is the endpoint of clotting cascade

A

production of insoluble fibrin strands that form meshwork

21
Q

where are platalets produced?

A

bone marrow

22
Q

what is megakaryocyte

A

large cell with many nuclei

23
Q

can megakaryocytes undergo cell division?

24
Q

what is platalets role when there is a defect in the vessel

A

platalets try form a bridge to close the gap

25
what is coagulation
solidification of blood
26
what are the two types of coagulation
thrombosis formation and clot formation
27
what kind of coagulation is formed in flowing blood
thrombosis
28
why does thrombosis occur in flowing blood
Platelets have molecules on their surfaces which allow adherence to interstitial collagen, even when blood is flowing past them – the clotting cascade deposits Factor VIII which enhances this further
29
how would you describe a blood clot formation
blood leaks out off a vessel and becomes stationary
30
what does a clot consist of
network of fibrin strands and red blood cells
31
how is haemostasis achieved?
vessel vasoconstrics and platalets form bridge
32
what is granulation tissue?
new vessels formed around an area of wound
33
what is ischaemia
lack of blood flow to tissue
34
how is excess thrombosis or clot removed?
In blood there is a fibrinolytic system which removes fibrin and stops thrombi from propagating
35
what does the fibronolytic system depend on?
plasma protein called plasminogen being converted to plasmin
36
what does plasmin cut fibrin into?
fibrin degradation products
37
what are the three things associated with abnormal thrombosis and clotting
Abnormalities of vessel wall Abnormalities of constituents of the blood Abnormalities of vessel flow
38
whats haemostasis
the stopping of bleeding
39
what is thrombi
platalets admixed w fibrin and form in flowing blood