BMS10-1029 - Microcirculation and Capillary Filtration

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BMS10 - Cardiovascular System Fichas sobre BMS10-1029 - Microcirculation and Capillary Filtration, creado por Evian Chai el 26/04/2020.
Evian Chai
Fichas por Evian Chai, actualizado hace más de 1 año
Evian Chai
Creado por Evian Chai hace más de 4 años
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What is included in the microcirculation? 1. Terminal arterioles 2. Capillaries 3. Post-capillary venules
What are atrioventricular anastomoses's, and what is their role in temperature regulation? 1. Wide vessels found in dermis 2. Vasoconstrict to prevent heat loss when SNS increases 3. Vasodilate in response to lowered SNS shunts blood to dermal plexus and promotes heat loss
What is the tone of the terminal arterioles controlled by? No innervation, local factors determine
How was capillaries/post capillary venules able to constrict without SM? Pericytes
How is excess fluid/protein absorbed and transported back? What route does it take back to blood? What do microorganisms get transported to? 1. Absorbed by lymphatic capillaries 2. Returns to blood via subclavian vein 3. Lymph glands
What are the three types of capillaries? Where are they found? 1. Continuous - Skeletal muscle, myocardium, skin, lung, connective tissue 2. Fenestrated - Kidney, intestine, mucosa, joints 3. Discontinuous - Bone marrow, spleen, liver
Continuous capillaries: - Continuous thin layer of ...cells surrounded by membrane - .... for quick and easy exchange of gas and solutes - ...within endothelial cells that limit passage of substances - ... that can cause constriction or relaxation 1. 1-3 endothelial cells 2. Small diffusion distance 3. Tight junctions 4. Pericytes
Fenestrated capillary: - Endothelium perforated by ... (Except glomerulus) - ....within endothelium that allows .... to go through more easily 1. Fenestrations 2. Small holes, water
Discontinious capillary: - ....gaps - Located in places where ... - Basement membrane has .... to allow cells to go through - that show the gaps 1. Large endothelial 2. Cells need to be transported 3. Small gaps 4. Small invaginations
How do gases move across capillary walls? What is their rate of diffusion? Move across the plasma membrane via diffusion Fast
How do small solutes (eg. salts) move across the capillary wall? What is their rate of diffusion? 1. Intercellular junctions 2. Fenestrae when present Fast diffusion
How does water move across the capillary wall? What is their rate of diffusion? 1. 90% by intercellular junctions 2. 10% via water channels in the plasmalemma Fast
How do proteins move across the capillary wall? What is their rate of diffusion? 1. Transcytosis (taken in vesicles) Very slow, carried by water
What is the purpose of the blood brain barrier? What is blocked? What is freely transported? 1. Prevent diffusion of hydrophilic solutes into brain to maintain constant extracellular composition 2. salts, glucose, amino acids, etc. need transport processes 3. Gases
What is filtration? Movement of water across capillary wall
What are the two determinants of fluid filtration? 1. Hydrostatic pressure (driving force out) - more pressure at arterial than venous side 2. Oncotic pressure - opposes hydrostatic pressure - more proteins inside capillary, so some water drawn back in
How does standing impact pressure in the capillaries? 1. Increase pressure in lower region, increased filtration (eg. feet swelling) 2. However reflexes quickly cause vasoconstriction, decrease the increase 3. This causes net fluid absorption
How does high venous pressure impact filtration? (common in heart failure) 1. High filtration rate overwhelms lympathic system, leading to oedema
What is the structure of the lymphatic system, starting from fluid from blood capillary going to the lymphatic capillary? 1. Lymphatic capillary 2. Afferent Lympathic 3. Lymph node 4. Efferent Lympathic 5. Thoracic duct 6. Subclavian vein
How does a decreased oncotic pressure gradient lead to oedema? What is this caused by? Increased fluid leaves microcirculation, leads to local swelling This is caused by inflammation, wherein histamine induces vasodilation/increased flow OR break in tight junctions allowing proteins to leave
What causes increased hydrostatic pressure and how does this lead to oedema? Congestive heart failure increases Central Venous Pressure due to decreased CO This increases pulmonary/systematic pressure in capillary More fluid leaves capillary
What is Elephantiasis and what does it cause? 1. a nematode worm impairs lympathic system so fluid cannot be removed 2. Oedema
What is Starling's Equation? (hydrostatic Pressure in capillary-hydrostatic pressure in interstitium)- (oncotic pressure in capillary-oncotic pressure in interstitium)
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