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  • 7/27/2019 Exam I Notes

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    Juhi Ramchandani

    Lab Exam IBiol 251

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    6 am TAs = Elizavetha & Pete

    Systemic circulation Pulmonary circulation = circulation of the lungs Heart

    o Receiving chamber = atria Receive blood from Veins (Vena Cava or Pulmonary) ***PULMONARY VEIN = Only vein that has OXYGENATED

    blood to the heart

    All other veins carry deoxygenated blood to the hearto Dispersing chamber = ventricle

    Send blood away via Arteries ***PULMONARY ARTERY = Only artery that carries

    DEOXYGENATED blood away from the heart

    o Right Atrium Receives blood from Superior and Inferior Vena Cava Sends blood to Right Ventricle

    o Right ventricle Sends blood from Right atrium to lungs

    o Lungs Blood comes back via pulmonary circulation to Left Atria thru

    pulmonary veins Left = Oxygenated

    o Left Atria Receives oxygenated blood from lungs (pulmonary veins)

    o Left ventricle Receives blood from atria Pumps blood to body Thicker b/c of greater resistance Systemic circulation Goes to Aorta (biggest)

    Valveso Atriaventricular Valve

    Right = Tricuspid Valve Left = Bicuspid Valve (Mitral Valve) Try before you buy LAB RAT

    Left Atria Bicuspid Right Atria Tricuspid

    o Semilunar valves A.k.a. Aortic or Pulmonary valve Closed when Heart is RELAXING In arteries, prevent blood backflow into heart

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    o If AV valve is OPEN, Semilunar valve is CLOSED When we need to fill the ventricles When we need to disperse blood from the heart

    o Cuspids Chordae tendinae

    oPapillary muscles Attached at chords that control the leaflets of the valves Pull on leaflets of valves Prevents blood flow of blood to atria Cardiac muscles When they contract, they pull on chords, which pull on leaflets,

    which inhibits blood flow from atria to ventricle

    o These two Prevent Backflow! Pericardium

    o 2 layerso

    Space in between layers = pericardial cavity Somewhat lubricated to prevent damage due to friction Pericardial fluid or Blood (diseases)

    o Pericardial Tamponade Filled with blood = constricts heart (muscle doesnt stretch

    properly, not very well compressible)

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    Heart Modelo Female = 300 g, Male = 350 go Auricles

    Ears of the heart Extension of the atria

    Appendages of upper chambers of heart Sometimes we need extra space, when heart does not require as

    much pumping

    Storage of blood Used under extraneous activity conditions (not used normally

    under daily conditions)

    o Base of the heart (back) = flattero Kidney

    Renal artery Originally much branched, but collects usually into 2 (L &

    R)

    oSmaller you are, the higher your heart rate

    o Infant doesnt have a developed circularity system, so heart just keepsworking (without a lot of resistance) Dont freak out unless infant heart rate is >200 bpm

    o Apex Pointed edge of heart @ bottom

    Cardiac Muscleo Intermediate between skeletal & smooth muscleo Can receive impulses from nervous system & can create its own impulses

    Specialized cells that discharge signal Concentrated in SA (sinoatrial) node

    Depolarize and disperse signal thru Right Atria, which causes it tocontract and dump blood into RV Signal travels to the AV (Atriaventricular) Node Signal dispersed to bundle of branches to bulbs of ventricle This causes ventricles to contract

    Septumo Walls between the R & L sideso Between ventricles = Interventricular Septum

    Heart Stimulationo SA Node = Pacemaker of the heart (stimulate signal to cause heart to

    contract) Once pacemaker potential reached, stimulates action potential,

    which travels down to the AV node and subsequently Purkinjefibers (neurons)

    o SA Node AV Node Purkinje fibers (located in ventricular portion)o Myogenic activity

    Activity originates in the muscle of the heart SA Node can receive impulses from CNS

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    Heart contraction

    o Atria contracted simultaneouslyo 0.1 s later, Ventricles contracto Valves propel blood to ventricles from atriao When heart contracts, blood pushes against valves and creates a sound

    (heard using a stethoscope) 1st sound = AV valve (louder)

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    When blood reaches ventricles, valves close. Ventriclescontract and the blood pushes against the valves, creating a

    loud sound

    Blood exits via arteries (Aorta or Pulmonary) When blood going to Aorta or Pulmonary Arteries, semilunar

    valves are closed (when heart relaxes) Relaxes so blood in arteries does not return back to the

    heart 2nd sound = Blood against semilunar valve (softer)

    Need blood to leave heart Semilunar valves prevent blood backflow into heart Semilunar valves close as blood exits via arteries While Heart relaxes, blood pushes back against the

    Semilunar valves, creating a sound

    o Semilunar valves = located in arteries CLOSED during RELAXATION OPEN during CONTRACTION Blood Arteries

    o AV Valves CLOSED during CONTRACTION OPEN during RELAXATION Blood: Atria Ventricles

    Heart contractiono During filling, need to relax the hearto Once filled, heart needs to contracto AV valve closes, Semilunar valve openso Blood goes to arteries

    Coronary Circulationo Provides blood supply (oxygenation) to heart & Removes deoxygenated

    blood

    o Coronary arteries Provides oxygenated blood to heart Aorta L & R Coronary arteries Myocardium

    o Coronary Veins Coronary Arteries Capillaries Coronary Veins

    Arterieo Branch to form arterioles

    Have a smaller lumen (hole)o Arterioles branch to Capillaries

    Gas & nutrient exchange Endpoint where O2 and nutrients dumped & collect CO2 & waste

    o Arteries Arterioles Capillaries Venules Veins Veins

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    o Have valves that open only 1 wayo When blood from capillaries are collected by venules, blood collected in

    veins

    o Skeletal muscle contraction assists with blood flow back to heart Why pregnant women have leg swelling (edema)

    Lymphatic system

    o Collects excess interstitial fluid & dumps extra fluid back to circulatoryfluid (to prevent edema)

    o Acts vs. proteins & fluids that leak out of capillarieso Elephantitis = blockage of lymphatic system

    Artery vs. Veino 70% blood on venous side (reservoir)o Due to the thinner wallo Arteries thicker than veins?

    Aorta Right & Left Coronary arteries Anterior Interventricular artery

    o Between R & L ventricleso Branch of Left Coronary

    Circumflex Arteryo Semicircle at the top of the heart (superior heart)

    Marginal arteryo Branch off Right Coronary

    Posterior Interventricular Arteryo Posterior/dorsal hearto Runs in between ventricleso Off of Right Coronary artery

    Openings in semilunar valve area = openings to coronary arterieso Sinuses of Valsalva

    Small depressions on the walls, making the wall/lumen of the aortalarger

    On the inside part (inner lining) of the aorta itself, not at the site ofthe aortic valve (semilunar valve)

    Great Cardiac Veino Next to Anterior Interventricular arteryo Drains into Coronary sinus

    Middle Cardiac veino Drains into Coronary sinuso Follows Posterior Interventricular artery

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    Fetal Circulation

    Lungs & liver dont operate yet, so rely on placenta Placenta used for oxygenation of blood

    o Takes oxygen from blood of moms circulationo Blood never meets (unless tear/accidental exposure due to injury)o Baby sends blood to placenta and oxygen from moms blood

    Higher affinity for oxygen than adult blood Fetus

    o Umbilical cord plugged into baby (***Newborn if not plugged in!!!) Circulation

    o Since lungs not functional yet, must bypass lung Once blood drained into Right Atria, there is a hole in the wall

    between R & L Atria

    Foramen Ovale = Hole between Atrias Since the pressure of R Atria higher than L, Blood goes

    thru hole in the wallo ****Switches when baby is born!

    Most blood in R Atria goes straight thru Foramen Ovale L Atria

    Newborn:o Foramen Ovale (hole) Fossa Ovalis (depression)

    AV valve not shut down on R side; this allows blood to travel to RVentricle & to Pulmonary artery

    Must bypass blood from Pulmonary Artery Aorta 2nd shunt located between these 2 areas

    o Ductus Arteriosis Bypasses Pulmonary Circulation (to lungs) & shunts blood

    to Ascending Aorta

    Newborn:o Ductus Arteriosis Ligamenum Arteriosis

    Blood still leaking to the lungs, enough to nourish the lungs Umbilical Veins

    ***Bring oxygenated blood to fetus (Opposite from adults!) *RED! One vein

    Umbilical Arteries ***Collect deoxygenated fetal blood and bring it to

    placenta

    Blood oxygenated in placenta via Mothers circulation *BLUE! 2 Arteries Newborn:

    o Lateral Umbilical Ligaments

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    o Placental Liver function Blood must bypass liver

    Ductus Venosus Oxygenated blood from Umbilical vein Inferior Vena Cava Newborn:

    Ligamentum Vennosumo Umbilical Vein Ductus Venosus Inferior Vena Cava R Atria LAtria & R Ventricle Pulmonary Artery Ductus ArteriosisAscending Aorta

    ***Cat circulation: 8 QUESTIONS!!!

    Hepatic Portal System

    Originates at capillaries of Gastrointestinal system Ends at capillaries of Liver NO ARTERIES! (just veins) Stomach

    o Gastric veins in stomach absorb nutrients Alcohol absorbed in stomach, along with aspirin Nutrients drained by R & L Gastric Veins

    Small Intestineo Superior Mesenteric vein drains most of thiso Yellow veinso Drains most of the nutrients, toxins, etc.

    Large Intestineo Most drained by Inferior Mesenteric vein

    Hepatic Portal Veino Superior Mesenteric vein joins splenic vein to form thiso Located at the bottom of the livero Drains gastric veins, mesenteric veins, and cystic veino Where veins convergeo ***Brings nutrients TO THE LIVER!!!o Connects at the bottom of the liver

    Hepatic Veino Superior portion of livero ***Transports nutrients AWAY FROM THE LIVER!!!o Dumps products in Inferior Vena Cava

    Cystic veino Located in liver, where gall bladder is

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    Blood

    Plasma (55%)o Most proteins produced by liver (albumins, globulins, & fibrinogens

    Albumins = maintain Osmotic Pressure (important regulators ofwater movement)

    Globulins = Most for immune system (Ig), transport othermolecules (lipids)

    Fibrinogens = clot formation (serum = plasma w/o clotting factors) Formed Elements (45%)

    o Cells found in suspension:o Leukocytesphagocytic and produce antibodies

    Protect body against microorganisms and remove dead cells anddebris

    Have nucleus, mitochondria

    Movements Ameboid Diapedesis Chemotaxis (chemical attraction of phagocytes)

    Agranulocyteso Lymphocytes

    Important Immune system roles T & B cells

    o Monocytes Somewhat larger Become macrophages In response to immune system Migrate to skin tissue during scrape Specific name depending on tissue allocated Ex. peripheral tissue of skin = macrophages Migrate to tissue & differentiate Phagocytize antigen Microglia in CNS

    Granulocytes (contain granules in cytoplasm) Neutrophils (somewhat neutral stain)

    o Somewhat neutral (blue)o *Most abundant granulocyteso Small phagycytic cellso Release heparino Very short-livedo Multi-lobulate (nucleus consists of many lobes)o Can tell gender by looking at this

    Extra extension off drumstick in Femalessticks out of one of the lobes of nucleus

    Eosinophils (eosin acidic stain)

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    Blood groupso Vary depending on antigenso Antigens (agglutinogens) present on RBC surface specify blood typeo Antibodies (agglutinins) can bind to RBC antigens, resulting in

    agglutination (clumping) or hemolysis (rupture) of RBCso Major antigen group is ABO system

    A has only A antigens B has only B antigens AB has both A & B antigens O has neither A nor B antigens

    o Rh factor (+) Have Rh (D) antigens present on surface of RBCs (-) Do not have these antigens present

    Granulocytes:o Neutrophils

    Rush in to eliminate invading microbe Alkaline phosphatase, lactoferrin, lysozyme, myelopero xidase,

    NADPH oxidase Multi-lobed nuclei

    o Eosinophils Parasitic infections (trypanasoma) Bi-lobular nuclei

    o Basophil

    Induce inflammation Heparin, histamine (not directly cytotoxic) Granules cover nuclei, so mostly granules visible (dark spots)

    o Innate Immune Response (non-specific) Agranulocyte

    o Lymphocyte Adaptive Immune Response B/T cells Nucleus takes up nearly entirety of cell (sliver of cytoplasm

    visible)

    Homogenous nucleus

    As large as a RBC (7.98.1 u)o Monocytes

    Innate Immune Response In Blood (circulate) Once they leave blood (i.e. in tissues)Macrophages

    In liver = cuffer cells In lungs = dust cells In CNS = Microglia

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    Function = Phagocytosis Name based on location Horseshoe-shaped nucleus (U) About the size of 2 RBCs (15 u)

    No other cell is that big Platelets

    o Thrombocyteso Thrombosis = blood clottingo Origin = Bone marrow (megakaryocyte)

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    HISTOLOGY

    Blood

    Erythrocytes

    Thrombocytes (a.k.a. Platelets) Neutrophil

    o 3 lobes; nuclei in lobes Monocyte

    o Can see cytoplasm (large nucleus, cytoplasm on the side)o Only one

    Lymphocyteo Cant see cytoplasm (dark purple)

    In the field of view:o Agranulocyteo Connective Tissueo Cell shape characteristic of sickle cell

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    Erythroblastosis Fetalis

    Spiked RBCs Rh antibodies attach to fetal RBC Lymphocyte Know mechanism Monocyte Magnified 100x!!! Erythroblastosis Fetalis

    o Hemolytic disease of the Newborn (HDN)o Can cause problems when Rh- mother has Rh+ babieso At birth, mother may be exposed to Rh+ blood of fetus

    In later pregnancies, mother produces anti-Rh antibodies that crossplacenta and cause agglutination and hemolysis of fetal RBCs

    o Steps Mother exposed to Rh+ blood of fetus (ex. during birth) Mom forms anti-Rh antibodies (immune system builds up) In second pregnancy, Rh antibodies from mom cross placenta and

    combine with Rh+ antigens on fetal blood cells causing hemolysis

    of fetal RBCs

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    Sickle Cell

    Looking for a crescent moon-shaped cello Not in high concentration, but presento Looks like clumped blood

    NOT every RBC is affected Not uniform Decreased blood flow & decreased diffusion Clog capillaries Beneficial vs. Malaria (BB parasite) Can clog capillaries Affected by altitude Decrease storage of hemoglobin (decrease oxygen delivery) Only affects RBCs Carrier is still affected, just not to a large degree (point mutation, resulting in an

    amino acid substitution)

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    Trypanosoma

    Blood-borne parasite (looks like worms) Silent until you develop Chagas disease Kissing bug South America, but can still get in Southern US Can cause sleeping sickness

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    Skeletal Muscle

    Multinucleated, Peripheral Nuclei, Striated

    Cardiac Muscle (monkey heart)

    Artery RBCs Multinucleated (up to 2) Interwoven arrangement (gives heart specific strengths) Longitudinal cut Intercalated disc Smooth muscle (vessel)

    Intercalated Discs

    Atrial natriuretic peptidehormone made by heart to regulate blood volume(pushes Na+ out of system, water follows)

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    Vena Cava (Monkey)

    Vein Stained blue-purple & pink (3 slides) 3 layers:

    o (1) Tunica Intima: (A) Innermost Endothelium Simple Squamous Epithelium

    (B) Sub-endothelium layer Dark Layer Veins are stretchier so will have more elastic fibers

    (C) Internal elastic lamina Elastic fibers

    o (2) Tunica Media Smooth Muscle ***Thinner in Veins! Fibroelastic connective tissue Reticular & collagen fibers

    o (3) Tunica adventitia Outermost layer Collagens Elastic fibers Fibroblasts Loose connective tissue ***May see Blood Vessels in this layer (last pic)

    Called vasa vassorum (also in aorta) Only in large veins or arteries Artery giving blood to a big vein (to keep vein alive and

    working)

    40X

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    (dark line = tunica intimaelastic fibers)

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    Arteries

    Tunica Intimao Slightly thicker than artery (not one distinguisng layer)o Sub-endothelium layero

    Internal elastic lamina

    o Curly elastic fiber layer Tunica Media

    o Much thicker layer (more pressurized) Systolic pressure (Vein = Diastolic pressure) Elasticity prevent popping artery Constant pumping of high pressure blood stretches arteries a little

    bit

    Artery vs. Veino L = Arteryo R = Veino Top = Nerve (no empty lumen)

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    Capillaries

    Only 1 layer No Smooth muscle

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    Bone Marrow

    Where blood is made In the field of view:

    o Hematopoiesis (makes RBCs & WBCs)o Leukopoiesiso Erythropoiesis (makes RBCs)o White bulb = fat cello A lot of stages of maturation of cellso RBC with a nuclei (prior to erythropoiesis)

    Proerythroblasto Megakaryocyte

    Large cell that sheds platelets Red spots = RBC

    o Nucleatedo Nucleus ejected in last step of differentiation

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