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Distribution of blood to the tissues, Exchange at the capillaries, and The lymphatic system Learning Objectives:
- 1. Explain how blood distributes in the body
- 2. Describe the structure of the capillary system and how blood flow is regulated in the capillaries
- 3. Describe the mechanisms for filtration and absorption in capillary network
- 4. Describe the lymphatic system and how it interacts with the vasculature and what is its purpose
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Blood Flow:
determined by a vessels resistance to flow, and when one vessel increases resistance then flow is diverted among lower resistance vessels (Flow 1/resistance)
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Capillary Exchange:
- Capillary density is related to metabolic activity of cells
- Bone marrow, liver and spleen do not have typical capillaries but sinusoids
- continuous capillaries have leaky junctions to facilitate exchange.
- Fenestrated capillaries have large pores or fenestrations to facilitate exchange
- Exchange between plasma and interstitial fluid occurs by paracellular pathway or endothelial transport
- Small dissolved solutes and gases move by diffusion
- Larger solutes and proteins move by vesicular transport (In most capillaries, large proteins are transported by transcytosis)
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Bulk flow
Bulk flow: Mass movement as a result of hydrostatic or osmotic pressure gradients
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Filtration
- Filtration: fluid movement out of capillaries
- • Caused by hydrostatic pressure
- • Net filtration at arterial end
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Absorption
- Absorption: fluid movement into capillaries
- • Net absorption at venous end
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Lymphatic System:
- returns fluid and proteins to circulatory system, picks up fat absorbed and transfers it to the cirulatory system
- serves as a filter for pathogens
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Edema:
- has 2 causes: inadequate drainage of lymph, or filtration is far greater than absorption
- disruption of the balance between filtration and absorption causes: an increase in hydrostatic pressure, a Decrease in plasma protein concentration, and an Increase in interstitial proteins
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