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Blood Vessels and Circulation (Test)

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Term
Definition
Vessel Wall:   Tunica Interna, Tunica Media, Tunica Externa  
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Tunica Interna: [tunica intima]   lines the insides of the blood vessel & is exposed to the blood. Loose connective tissue. Contains simple squamous epithelium called endothelium. Endothelium acts a selectively permeable membrane barrier to the materials entering/leaving the blood.  
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Tunica Media: [middle layer]   consists of smooth muscle, collagen, & in some cases elastic tissue. Principal function - to strenthen the vessels, and prevent the blood pressure from rupturing. Provide vasomotion (changes in diameter of blood vessel)  
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Tunica Externa: [outermost layer]   Consists of connective tissue, loose connective tissue that merges with neighboring blood organs (nerves). Function - anchors the vessel & provides a passageway for small nerves, small blood vessels, & lympathic blood vessels.  
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Arteries-resistance vessels:   has strong tissue structure  
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Conducting (elastic or large) arteries:   biggest arteries, expand during systole, recoil during diastole which lessens fluctuations in blood pressure.  
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Examples of Conducting Arteries:   Aorta, common carotid, subclavian, pulmonary trunk, common illiac  
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Distributing (muscular or medium) arteries:   distributes blood to specific organs, smooth muscle layers constitue three-fourths of wall of thickness.  
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Examples of Distributing Arteries:   Brachial, Femoral, Renal, Spleenic  
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Arteries:   are divided into categories based on size.  
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Resistance (small) arteries:   arterioles (smallest arteries) - control amount of blood to various organs.  
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Metarterioles (instead of tunica media- has muscle cells):   short vessels that link arterioles to capillaries.  
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Muscle cells:   form a precapillary sphincter about entrance to capillary [constriction of these sphincters reduces or shuts off blood flow through their respective capillaries, diverts blood to other tissues)  
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Aneurysm:   when there is a weak point in an artery or the heart wall. When it ruptures, cause hemorrhages which can lead to death.  
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Causes of Aneurysm:   (1)Congenital (born with it) (2)Atherosclerosis (narrowing of blood vessels (3)Hypertension (high BP) (4)Trauma to blood vessels or heart (5)Bacterial infections (6)syphilis  
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Carotid Sinuses: (baroreceptors) pressure sensors   in walls of internal carotid artery, & monitors blood pressure-signaling brain stem  
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Carotid Bodies: (chemoreceptors)   oval bodies near branch of common carotids, monitor blood chemistry, mainly transmit signals to the brainstem respiratory centers, adjust respiratory rate to stablilize pH, CO2, and O2  
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Aortic Bodies: (chemoreceptors)   one to three in walls of aortic arch, same function as carotid bodies  
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Capillaries (exchange vessels):   site where nutrients, wastes, and hormones pass between the blood and tissue fluid through the walls of the vessels.  
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Continuous Capillaries (occur in most tissues):   endothelial cells have tight junctions forming a continuous tube with intercellular clefts. [solute (like glucose) can pass through]  
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Fenestrated Capillaries (kidneys, small intestine):   organs that require rapid absorption or filtration, endothelial cells riddled with holes called filtration pores (fenestrations) - allow the passage of only small molecules  
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Sinusoids: (discontinuous capillaries) - liver, bone marrow, spleen   irregular blood-filled spaces with large fenestrations. -large pores can pass through [albumin, clotting factors, new blood cells that will enter circulation.  
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Capillaries organized into new networks called:   capillary beds  
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Thoroughfare channel:   metarteriole that continues through capillary bed to venule.  
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Precapillary sphincters:   control which beds are well perfused  
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When sphincters open:   capillaries are well perfused with blood  
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When sphincters close:   blood bypasses the capillaries, flows through thoroughfare channel to venule  
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Venule:   minute vein that is continuous with a capillary.  
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Arteries:   More muscular than veins, carries blood away from heart, resist high blood pressure, resilient tissue.  
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Veins:   carry blood back to the heart, not as thick, thinner walls, less muscular, has a greater capacity for blood containment than arteries.  
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Postcapillary venules (smallest veins):   even more porous than capillaries (can exchange fluids with surrounding tissues)  
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Muscular venules (1-2 layers of tunica media):   receive blood from the postcapillary venules  
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Medium Veins:   tunica interna forms venous valves & skeletal muscle pump propels venous blood back toward the heart.  
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Venous Sinuses (ex. coronary sinus):   veins with especially thin walls, large lumens, and NO SMOOTH MUSCLE!! it is not capable of vasomotion.  
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Large Veins:   some smooth muscle in all three tunics, thin tunica media with moderate amount of smooth muscle, tunica externa is thickest layer (contains longitudinal bundles of smooth muscle)  
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Examples of Large Veins:   Pulmonary, Internal Jugular, Renal, & Superior/Inferior Vena Cava  
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What causes varicose veins?   (1)Hereditary weakness (2)When pregnant, amount of blood flow increases  
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How do varicose veins emerge?   When valves fail to prevent back flow of blood, cusps of valves pull apart. This weakens vessels & starts the backflow of blood, when walls grow weaker...varicose veins form.  
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Who can get varicose veins?   People who stand for a long period of time,this pulls the lower extremities.  
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Hemorrhoid:   varicose veins of the anal canal.  
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Circulatory Routes (simplest and most common route):   heart to arteries to aterioles to capillaries to venules to veins.  
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Portal System:   blood flows through two consecutive capillary networks before reutrning to heart. [between hypothalamus and anterior pituitary, in kidneys, & between intestines to liver]  
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Anastomosis:   the point where two blood vessels merge.  
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Arteriovenous anastomosis (shunt):   artery flows directly into vein bypassing capillaries.  
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Venous Anastomosis: [most common anastomosis]   one vein empties directly into another, provides alternative routes of drainage from an organ.  
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Arterial Anastomosis:   two arteries merge, provides collateral routes of blood supply to a tissue.  
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Blood supply to a tissue can be expressed in terms of:   flow and perfusion  
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Perfusion:   the flow of given volume or mass of tissue in a given time (mL/min/g)  
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Principles of Blood Flow - at rest:   total flow is quite constant = to cardiac output  
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Blood Flow is important for:   delivery of nutrients and oxygen, and removal of metabolic wastes.  
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Blood Flow:   amount of blood flowing through an organ, tissue, or blood vessel in a given time.  
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Hemodynamics:   physical principals of blood flow (flow is proportional to change in pressure difference , resistance to flow)  
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What does that mean? (hemodynamics):   The greater the pressure difference between 2 points, the greater the flow. The greater the resistance, the lesser the flow.  
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What is blood pressure?   the force that blood exerts against a vessel wall. Normal valve adults = 120/75 mmHg  
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Blood Pressure:   is measured brachial artery of arm  
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Two pressures are recorded:   Systolic Pressure, Diastolic Pressure  
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Systolic Pressure:   peak arterial BP taken during ventricular contraction.  
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Diastolic Pressure:   minimum arterial BP taken during ventricular relaxation between heart beats.  
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Pulse Pressure:   difference between systolic and diastolic pressure (120-74 = 45 mmHg)  
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Pulse pressure:   important measure of stress exerted on small arteries by pressure surges generated by the heart.  
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Abnormalities of Blood Pressure:   Hypertension vs hypotension  
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Hypertension:   High blood pressure - chronic resting BP > 140/90. Weaken small arteries, cause aneurysm  
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Hypotension:   Chronic low resting BP. Blood loss can cause this along with dehydration and anemia. BP is lower than 120/75  
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Blood Pressure:   one of the body's chief mechanisms in preventing excessive blood pressure. Is the ability of the arteries to stretch and recoil during the cardiac cycle.  
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Importance of Arterial Elasticity:   expansion and recoil maintains steady flow of blood throughout cardiac cycle, smoothes out pressure fluctuations and decreases stress on small arteries.  
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Blood pressure:   rises with age  
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Blood pressure:   is determined by cardiac output, blood volume and peripheral resistance.  
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