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Frank Johnson Andy Murillos Made up of 2 systems Cardiovascular System Lymphatic System Moves 2 Major Fluids Blood & Lymph Transports nutrients Gases, Hormones, & Blood Fight disease Stabilize body temperature & pH Maintain Homeostasis Made up of Blood –Fluid in body that carries nutrients and wastes to the parts of the body Blood Vessels –Carry blood to necessary sections of body Heart –Major organ of Cardiovascular system; pumps blood through blood vessels Pumps oxygenated blood to all tissues of the body Divided into a left and right side and then into 4 chambers The left Atrium & Ventricle The right Atrium & Ventricle It pumps about 5 quarts of blood a minute, and beats around 100,000 times a day, or 35 million times a year Sits just left of center in your body, in the pericardial cavity Covered in coronary arteries that supply it with oxygenated blood. Left Ventricle of the Heart Arteries Body Tissues Veins Right Atrium Right Ventricle Lungs Pulmonary Veins Left Atrium The 4 valves control the blood flow by only opening one way when pushed on. They each open and close once per beat There are 2 phases of a heartbeat Systole: The contraction phase ▪ Ventricles contract forcing blood into your body tissues and lungs. Tricuspid and Mitral valves open Diastole: The relaxation phase ▪ Ventricles relax, and fill up with blood from the upper chambers (left & right atria). Pulmonary and Aortic valves open Electrical signals continuously tell the heart to beat. The time between the start of one heartbeat and the next is called a cardiac cycle. Atrial stystole: small amount of blood goes into relaxed ventricles Atrial Diastole: Atria rest Ventricular systole (1st) : Pressure in ventricles forces tricuspid and mitral valves closed, but cannot force open pulmonary and aortic Ventricular systole (2nd) : Aortic and Pulmonary finally open and blood is forced through them. Early Ventricular Diastole: Ventricles relax, pressure drops, and blood flows against tricuspid and mitral valves Late Ventricular Diastole: All chambers are relaxed and the ventricles fill back up passively as tricuspid and mitral valves reopen (also called cardiac diastole) Atrial Systole through Ventricular Systole 1st Ventricular Systole 2nd Early and Late Ventricular Diastole Arrhythmia –An irregular heartbeat Atrial Fibrilation –A Fib is a very common disorder where the brain will send too many signals to the heart causing it to beat over 300 times a minute but it is an irregular beat Atrial Flutter –similar to A Fib, but it is a completely regular beat. Neither is life threatening, but can lead to other diseases Myocardial Infarction –(Heart attack) blockage of coronary arteries keeps oxygen from getting to the heart, causing permanent damage to the heart tissue. Hypertrophic Cardiomyopathy –Inherited disease that causes certain parts of the heart muscle to be thicker, making it work harder to push blood out. Carry blood throughout the body Three Major Types Arteries –Carry oxygenated blood (red blood) away from heart to tissues in body Veins –Carry deoxygenated blood (blue blood) to the heart then lungs to be re-oxygenated Capillaries –Enable exchange of water and chemicals from blood to tissues 3 Layers Tunica Interna (intima) –Thinnest layer; single layer of simple squamous endothelium surrounded by elastic bands, and connective tissue Tunica Media –Thickest layers; connective tissue surrounded by elastic bands Tunica Externa (adventitia) –All connective tissue ▪ Elastic is there to avoid pressure build ups, and allow for smooth blood flow ARTERIES Elastic Arteries –Largest of arteries –About and inch thick, they transport large amounts of blood away from heart Muscular Arteries –Medium sized arteries –around 0.4 cm, distribute to muscles and organs Arterioles –Smallest other than arteries –around 30 micrometers thick, they bridge muscular arteries to continuous capillaries Thicker, more elastic and stronger than veins VEINS Large Veins –Largest of Veins –Equivalent to Elastic artery Medium Veins –Similar to muscular arteries, they just carry deoxygenated blood Venules –Collect blood from capillary beds, similar to arterioles Usually contain valves to avoid backflow and sometimes collapse under pressure Only blood vessel that allows the exchange between blood and surrounding fluid, the walls are extremely thin Made up of and endothelial tube inside a basement membrane, there is no tunica media or externa Around 8 micrometers around the same diameter of a RBC 2 major types Continuous: paired with arteries; has a complete endothelial lining Fenestrated: Paired with veins; have pores in their lining that allow for a more rapid exchange of water and solutes They do not function individual, but as a network called a capillary bed/plexus The entrance is guarded by smooth muscle called a precapillary sphincter Then there is a metarteriole which completes the bridge from arteriole to capillary Many arteries might converge into a single capillary bed, they are called collaterals The exchange of water into these capillaries then to the lymphatic system serves 4 major purposes Ensures Plasma and interstitial fluid are always in communication Accelerates the distribution of nutrients, hormones, etc. It assists in the transport of insoluble lipids that cannot enter the bloodstream through the capillaries Has a flushing action that carries bacterial toxins and chemical stimuli to lymphoid tissues. Main Functions Transports nutrients to body through blood vessels Regulation of pH and ion composition Restriction of fluid loss at injury sites Defense again toxins and pathogens Stabilization of body temperatures Consists of 2 Parts Plasma –Fluid connective tissue Formed Elements –Blood cells and cell fragments suspended in plasma ▪ 3 Types include: Red Blood Cells (erythrocytes/RBC’s), White Blood Cells (leukocytes/WBC’s), and Platelets All whole blood shares three characteristics Temperature (100.4°F), Viscosity (5 times greater than water), and pH (between 7.35 and 7.45) Hemopoiesis is the process that produces formed elements Composed of 55% plasma and 45% blood cells Blood Cells are mainly red blood cells (RBC’s) and white blood cells RBC’s contain hemoglobin which turn bright red when oxygenated Oxygen binds to a iron-containing protein in red blood cells 55% of whole blood is Plasma Blood’s liquid medium 92% water, 8% plasma proteins Yellow in color Used to transport dissolved nutrients and waste such as carbon dioxide On Left: Erythrocytes separated from plasma On Right: Freshly Drawn Blood They have a special shape that helps their function It gives them a greater surface area to volume ratio, which allows for a more rapid transfer of the oxygen they carry It allows them to stack up like plates to flow faster through the blood vessels They can bend and flex when entering very small capillaries and branches ▪ They also have no nuclei, or organelles. They contain only cytoskeleton. Hemoglobin (Hb) makes up 95% of an RBC’s intracellular proteins. Each molecule has 2 alpha chains and 2 beta chains of polypeptides Each chain has a molecule of heme, a pigment complex Each heme holds an iron ion so that the iron can bond to oxygen making oxyhemoglobin. When these bond the RBC’s turn bright red. When the oxygen is released it becomes deoxyhemoglobin. Once they travel through the capillaries and the oxygen has been dispersed the alpha and beta chains bond to the carbon dioxide waste that is left forming carbaminohemoglobin. These are carried to the lungs so that the CO2 can be exhaled through the lungs and then oxygen can be rebonded to the heme units and the cycle can start over. Antigens are substances that can trigger an immune response to fight off an infection. Most are proteins Your cell membranes contain surface antigens that your immune defense recognizes as normal, and doesn’t attack Blood types are classified based on the presence of certain surface antigens There are 4 surface antigens on RBC’s called agglutinogens. They are called A, B, and Rh. Type A Blood contains only the “A” antigen, Type B only the “B” antigen, and type O contains neither. The distinction from + and – depends on the presence of the Rh antigen. Unlike RBC’s they contain nuclei and other organelles, and they lack hemoglobin. They help defend the body against invasion by pathogens, remove toxins, wastes and abnormal or damaged cells Usually divided into two groups Granular Leukocytes (granulocytes) –Abundant stained granules ▪ The neutrophils, eosinophils, & basophils Agranular Leukocytes (agranulocytes) –Few if any stained granules ▪ Monocytes and Lymphocytes Are generally found in connective tissue proper or organs of the lymphatic system. Neutrophils, Eosinophils, Basophils, and Monocytes protect the body against nonspecific threats. They are activated by a variety of things, but do not differentiate one threat from another. Lymphocytes, however, are responsible for specific defenses: mounting of counter attack against a specific pathogen 50-70% of circulating WBCs. Named because their granules are neutral and are difficult to stain acidic or basic dyes. Have a very dense, segmented nucleus that forms 2-5 lobes resembling beads on a string, giving them another name polymorphonuclear leukocytes or PMNs Around 12 micrometers across, their cytoplasm is filled with pale granules containing lysosomal enzymes, and bactericidal compound Highly mobile, usually first to arrive at injury They eat bacteria and digest them They live for around 10 hours in the blood stream, when actively fighting off pathogens they might last 30 minutes. 2-4% of circulating WBCs Named because their granules stain darkly with eosin. Also named acidophils, because acid dyes stain them as well. Look like neutrophils, but have only 2 lobes on nucleus They attack things coated with antibodies, they will engulf bacteria, protozoa, or cellular debris. Primary mode of attack is exocytosis of toxic compounds They defend against large invaders, like worms Their production increases dramatically during infections, and allergic reactions. Have numerous granules that stain darkly with any dyes Smaller than neutrophils and eosinophils, they only account for around 1% of the circulating WBCs They go to injury sites and discharge histamines a chemicals that dilates blood vessels and causes swelling to increase They attracts other basophils and eosinophils From left to right: Neutrophil, Eosinophil, Basophil Monocytes Twice as big as an RBC; they have a large, kidney bean shaped nucleus. It accounts for 2-8% of the total WBCs in circulation, and only uses the bloodstream to reach tissues. When it arrives, it enters those tissues and becomes a macrophage, or an aggressive phagocyte. Lymphocytes Slightly larger than RBCs and lack a lot of deeply stained granules. They account for 20-30% of the WBC population, however there are many more than that, because they are usually in surrounding tissues, not the bloodstream There are 3 Classes of them that cannot be distinguished under a light microscope T Cells: Responsible for cell mediated immunity, a defense against invaders, and coordination of immune response. They can attack directly or get other lymphocytes to attack. B Cells: In charge of humoral immunity, a defense that involves the production of antibodies, which then attack the foreign cells. NK Cells: (Natural Killer) are responsible for surveillance, or detecting the foreign invader. Flattened discs that assist in blood clotting It will circulate for 9 to 12 days before being replaced 1/3 of the platelets in the body are held in the spleen at any given time. They have 3 function Transport important blood clotting chemicals Form patches on walls of damaged blood vessels Contraction after clot formation has occurred. Platelets contain actin and myosin and they shrink the clot as the break in the wall disappears The act of controlling/minimizing bleeding There are three stages Vascular: A vascular spasm occurs, contracting the blood vessel in order to slow or stop blood flow. Platelet: Platelets stick to endothelial cells and try to form a platelet plug to close off the break in the vessel wall. If it is not a serious injury this will happen in about 15 seconds after the injury Coagulation: Also known as blood clotting, involves several factors that make a sort of web that traps platelets and block off the whole Anemia: body does not have enough healthy RBCs because of a lack of hemoglobin Blood Cholesterol: Too much cholesterol in the blood can stick to walls of arteries, blocking blood flow to the heart and causing heart attacks Hemophilia: Lack of blood clotting factors cause small cuts to bleed profusely Leukemia: Cancer of the leukocytes. These cancerous cells do not die off when they should, and can block other cells from performing correctly Sickle Cell Anemia: abnormal hemoglobin cause RBC’s to become fragile and prevents them from carrying as much oxygen as is necessary Left: Sickle Cell Right: Hairy Cell Leukemia Made up of: Lymph: a fluid that is like plasma but has fewer suspended proteins, Lymphatic Vessels (lymphatics): begin in tissues and end at connections to veins, Lymphoid Tissues/Organs: connected to lymphatic vessels and contain lymphocytes Lymphocytes are the main cells of this system, and they respond to invading pathogens (viruses), abnormal body cells (cancer cells), and foreign proteins (bacteria toxins). Serves 3 Purposes Production, Maintenance, and Distribution of Lymphocytes: They are stored in lymphoid organs (thymus/spleen) and red bone marrow Return of fluid and solutes from peripheral tissue: Capillaries deliver more fluid than they return, and if not for these lymphatic vessels the balance of blood volume would be off Distribution of hormones, nutrients, and waste products from tissues to the bloodstream Lymphatic Capillaries (terminal lymphatics) : Start of the network, they branch through peripheral tissues They are different than Blood Capillaries because they Originate as blind pockets Are thick in diameter Have thinner walls In sectional Capillaries flow into larger vessels similar to veins in thickness and the presence of valves 2 kinds of Vessels collect lymph Superficial lymphatics: located in the SubQ layer of skin, and in the tissues of mucous membranes lining: digestive, respiratory, urinary, and reproductive tracts. And in serous membranes lining the pleural, pericardial, and peritoneal cavities. Deep Lymphatics: larger than the superficial ones, and they accompany arteries and veins, supplying organs. They both converge to form Lymphatic trunks, which empty into the 2 biggest lymph vessels in the body called lymphatic trunks Thoracic Duct: Collects lymph from the body below diaphragm and from the left side only above it. Starts at cisterna chyli. Comes from Left & Right Lumbar Trunk and Intestinal Trunk. Also from left subclavian and left jugular trunk. Empties into left subclavian vein Right Lymphatic Duct: formed by merging of right jugular, subclavian, and bronchomediastinal trunks. Empties into right subclavian vein Connective tissues dominated by lymphocytes. Areas around this that contain densely packed lymphocytes are called lymphoid nodules. Lymphoid tissues linked with the digestive system are part of MALT (mucosa-associated lymphoid tissue). Large nodules in the walls of the pharynx are called tonsils. Most people have 5 1 Pharyngeal tonsil (adenoid), on the posterior superior wall of the nasopharynx 2 Palatine tonsils, the ones in the back of your throat 2 Lingual tonsils, usually not visible, because they are located under the attached base of the tongue A special connective tissue separates these organs from surrounding tissues Lymph Nodes: Small oval organs that are around an inch in diameter that function like a kitchen filter. They are covered by dense connective tissue that form a wall called trabecula. They can swell often due to the infection of peripheral tissues. There are two types of vessels that connect to each lymph node. Afferent Lymphatics: carry lymph to lymph node; attached from peripheral tissue Efferent Lymphatics: carry lymph away; attached at the base Located right behind the sternum, its pink and has a grainy consistency. Covered by a capsule that separates it into two lobes. Septae are fibers that divide the lobe into lobules (smaller lobes). It produces and sends out several hormones that are important to immune divisions, and helps stimulate T Cell growth. Largest amount of lymphoid tissue. Lies along border of stomach and between the 9th and 11th ribs on the left. It removes abnormal blood cells and other components, stores iron from recycled RBC’s and initiates the immune response. It is shaped very specifically to fit against the left kidney, stomach, and diaphragm. Its smooth and soft. Innate –Genetically determined, and present at birth. Only broken down in the presence of AIDS or other conditions that depress specific immunity Acquired Immunity –Not present at birth, but once your are exposed to an antigen once you become immune. It can come on Actively or passively Active Immunity: Comes from either a vaccine or a natural exposure to new antigens Passive Immunity: Transfer of antibodies from one person to another. Can happen in the case of a mother and her baby or through injection of antibodies. There are 4 Specificity –The act of dispatching a specific lymphocyte to a specific kind of injury Versatility –The presence of a variety of lymphocytes to deal with different kinds of invaders Memory –The immune system remembers every antigen it encounters, thus the 2nd time it encounters the same one, the response is faster and longer Tolerance –The failure to respond to certain antigens is called tolerance. Rheumatoid Arthritis –When antibodies attack normal antigens in connective tissues, especially around joints. Allergy & Asthma –Overreaction by immune system against generally harmless antigens. Also called Hypersensitivity HIV/AIDS –Viruses that weaken your immune system and allow opportunistic infections Multiple Sclerosis –Caused by the immune system attacking the nervous system. Causes loss of control over bodily functions; more prevalent in women than men. Graves Disease –Caused by an enlarged thymus, and causes bulging eyes, inability to sleep, anxiety, heat intolerance, and excessive energy