Thrombosis and Clotting Flashcards

1
Q

What type of cells line the small artery

A

Endothelial cells

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2
Q

What do the endothelial cells make

A

The basal lamina

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3
Q

What surrounds the basal lamina

A

Smooth muscle cells

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4
Q

What structure surrounds the smooth muscle cells

A

Interstitial collagen fibres

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5
Q

What does the lumen of the artery contains

A

RBCs
WBCs
Platelets
Plasma

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6
Q

Platelets are ____ normally exposed to the interstitial collagen fibres

A

NOT

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7
Q

What does plasma consist of

A

Water and numerous proteins and molecules

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8
Q

Plasma is_____

A

Blood without RBCs, WBCs and platelets and contains clotting factors

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9
Q

Serum is_____

A

Plasma without clotting factors

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10
Q

Where are clotting factors made

A

Liver or by endothelial cells

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11
Q

What are clotting factors

A

An amplification system resulting in thrombin production

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12
Q

Function of thrombin

A

Turn soluble fibrinogen into insoluble fibrin

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13
Q

Clotting Cascade

A
  1. Damage
  2. Tissue Factor
  3. Prothrombin»>Thrombin
  4. Thrombin turns fibronogen to Fibrin
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14
Q

What is meant my damage

A
  1. Exposure of interstitial collagen to plasma

2. Exposure of a molecule called Tissue Factor

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15
Q

Plasma clotting factors are activated when____

A

Interstitial collagen comes into contact with plasma

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16
Q

Where is Tissue Factor released from

A

Smooth muscle cells

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17
Q

What initiates the clotting cascade

A

Tissue factor binding to clotting factors

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18
Q

Many clotting factors are_____

A

Serine proteases

19
Q

How do clotting factors activate other clotting factors

A

Cleave serine amino acid and produces a redundant fragment

20
Q

Clotting cascade leads to the production of _____ from ______

A

Thrombin and Prothrombin

21
Q

Function of Prothrombin

A

Converts fibrinogen to fibrin (insoluble)

22
Q

Endpoint of clotting cascade

A

Production of insoluble fibrin strands that form a meshwork

23
Q

Where are platelets produced

A

Bone marrow

24
Q

What cell are platelets produced from

A

Megakaryocyte

25
Megakaryocyte undergo____ not not _____
nuclear division and cell division
26
Platelets bud off as fragments from cytoplasmic extensions____
From megakaryocytes
27
Function of platelets
When interstitial collagen is exposed they try to bridge the gap
28
2 types of coagulation
Thrombus and clot formation
29
Thrombus formation occurs in______
flowing blood
30
What colour is a pure thrombus
pale cream
31
What does a thrombus consist of
Mesh like network of fibrin strands and platelets
32
Why does a thrombus of platelets and fibrin occur in flowing blood
Platelets have molecules on their surface which allow adherence to IC
33
Clot formation is___
blood leaking out of the vessel and becomes stationary/stagnant
34
What does a clot consist of____
meshlike network of fibrin and RBCs
35
Vasoconstriction helps ____ bleeding
Reduce bleeding
36
When new vessel grow into area of wound
Granulation tissue forms
37
Thrombosis is bad if___
It blocks the vessel | Causes stagnant blood behind it- clotting
38
How is excess thrombus or clot removed
Through fibrinolytic system
39
What is the fibronolytic system
Plasminogen is converted to plasmin which cuts fibrin into degradation products
40
Plasmin generation limits_____
extent of thrombus
41
Thrombosis and clotting are normal in
Wound healing Menstruation Embryonic processes
42
Thrombosis is abnormal if it occurs in
Abnormal vessel walls Blood with abnormal constituents Vessels with abnormal vessel flow
43
Virchow's Triad
Abnormal vessel walls Blood with abnormal constituents Vessels with abnormal vessel flow