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What are the 3 types of blood vessels?
- veins
- arteries
- vaso vasorum
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Veins
Carry blood to the heart from the tissues
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Arteries
Carry blood away from the heart towards the tissues
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List the 3 tunics in veins and arteries
- Tunica interna
- Tunica media
- Tunica external (adventitia)
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Tunica interna (tunica intima)
- endothelium-lines the lumen (simple squamous e. with direct contact with the blood)
- areolar connective tissue-underlying the endothelium
- contains a small amt of smooth muscle
- internal elastic membrane-indicator of boundary between t. interna and t. media
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Tunica media
Composed of varying amounts of elastic fibers, circularly arranged smooth muscle, and thickness varies on pressue
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Tunica external (tunica adventitia)
- Composed primarily of loose connective tissue (contains collagen and elastic fibers)
- Scattered smooth muscle
- In larger arteries a well organized layer of elastic fibers (external elastic membrane)
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Capillaries
- Smallest blood vessel carrying blood away from the heart
- Range from 4-12 micormeters in diameter
- Always connect arterioles to venules
- Permit the exchange of nutrients, waste, and gases between blood tissue cells and interstitial fluid
- Lack elastic fibers
- Form extensive networks inside a tissue
- Wall of capillary is composed only of an endothelium
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Sinusoids
- Special capillaries
- Wider diameter lumen
- More highly coiled
- Always connect arterioles to venules
- Found in specific locations including liver, spleen, adenphypophysis, and parathyroid gland
- Largely lined with phagocytic cells instead of endothelium
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Major properties of arteries
- Elasticity: stretches from large volume of blood and recoils to original size when blood is gone
- Contractility: due to circulary arranged smooth muscle fibers-narrows the opening of lumen "vasoconstriction"-smooth muscle relases-lumen opens "vasodilation"
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2 types of collateral circulation
- Non-anastamosing circulation
- Anastamosing circulation
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Non-anastamosing circulation (independent routes)
- No connections between 2 arteries supplying the tissue
- Exanterior and posterior interventricular arteries
- both supply blood to right and left ventricle but are not connected to each other
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Anastamosing circulaton
- The 2 arteries are connected often near distal ends (ex. Circle of Willis)
- Common around joints
- Very common to vital organs
- Anastomoses help to equalize the pressure and distribution of blood
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Veins
- Have the same 3 coats as arteries
- The blood has lost considerable pressure by the time it reaches the veins
- Still capible of moderate distention and recoil allowing them to adapt to minor changes in blood volume and pressure
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What are the advantages of having low pressure in veins?
- "Driving force" of blood pressure in the lower limbs is barely enough to overcome the pull of gravity
- Structurally veins conain a series of "one-way valves" to insure blood flow to the heart
- Weak valves can lead to extensive problems over time
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One way valves
- Offer little or no resistance to flow toward the heart
- Easily close against any flow away from the heart
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Problems that occur from having weak valves
- Allows blood to be pulled down by gravity and pooled in extremity (edema)
- Repetitive pooling of blood stretched out the wall of the vein (vericose vein)
- Can be a progressive problen-valve under weakened valve becomes weakened also
- stretched flabby vein allows more fluid to leak out of vein and causes edema of the surronding tissues
- Variscosities are common in superficial vessels of the leg and superficial vessels of the anal canal
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Fetal circulation
- Fetus digestive, urinary, and respiratory systems are not functioning
- Fetus depends upon the maternal blood supply to provide the functions of those systems
- accomplished by exchange occuring in the placenta (responsible for the exhange of nutrients, wastes, and gases between maternal and retal blood---ocurs by typical process--difussion, osmosis, active transport, not by mixing blood, and passive exchange across the placenta)
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Portal circulation
- Blood passes through 2 capillary beds before returning to the heart
- Blood in the hepatic portal vein is rich in material absorbed in digestive organs
- Liver processes the blood before it goes into general circulation
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How does the liver process blood in portal circulation?
- Monitor and regulate blood nutrient levels (high after a meal and low before a meal)
- Modify some nutrients to a more cell usable form
- Detoxify harmful materials that are absorbed
- Microbes are removed by phagocytosis "Kupffer cells"
- Receives only low O2 blood---not good for liver
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What are the extra structures in fetal circulation that allow most blood to bypass the lungs?
- Foramen ovale: a calve (flap of tissue) in the opening of the inferior vena cava that directs blood through the foramen ovale (bypass the right ventricle)
- Ductus arteriousus: short vessle that connects the pulmonary trunk with the aorta-when the right ventricle ejects blood most of it passes throught the ductus arteriousus directly to the aorta
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What are the special fetal structures that are no longer needed at birth?
- Umbilical vein: closes and atrophies to become the round ligament
- Ductus venosus: closes and atrophies to become the ligamentum venosum
- Placenta: passes down the birth canal as after birth
- Foramen ovale: normally closes, atrophies, and becomes the fossa ovalis
- Ductus arteriosis-normally closes, atrophies, and becomes the ligamentum arteriosum
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What facters determine blood pressure?
- Flow: volume of blood delivered to a vessel per minute
- Resistance: any mechanism that inhibits te movement (flow) of blood
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Flow
- Cardiac is the principal determinant of flow and therefore the principle determinant of blood pressure
- Cardiac output is determined by 2 factors:stroke volume (force of ventrical contraction) and heart rate (reflexes, and, etc.)
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Resistance
- Viscosity of the blood-increasing blood viscosity increases resistance and therefore blood pressure (same with decreasing)
- 2 common ways to increase blood viscosity- increase plasma protein levels of albumin and increase the number of eryrthrocytes polycythemia
- Peripheral resistance offered by altering the lumen diameter of blood vessels
- Elasticty of vessel
- Length of vessel
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Pressure gradient
- Aorta: 100mmHg
- Arteries (small and large): 100mmHg-40mmHg
- Arteroles: 40mmHg-25mmHg
- Capillaries: 25mmHg-12mmHg
- Venules: 12mmHg-5mmHg
- Veins: 10mmHg-5mmHg
- Vena cava: 2mmHg
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