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Human Anatomy and Physiology II Lab 2: Blood Pathologies Heart Anatomy Activity 1 Blood Pathologies Observe prepared slides of blood smears taken from patients with the following disorders: pernicious anemia iron deficiency anemia sickle cell anemia chronic lymphocytic leukemia eosinophilia Anemia refers to any condition in which there is a reduction in the number of RBCs or a reduction in the concentration of normal hemoglobin Anemia can be classified according to etiology (cause) or on the basis of morphology – For morphological classification, the following terms are used: RBC Size Microcytic: RBC Color small size Hypochromic: pale color Normocytic: normal size Normochormic: normal color Macrocytic: large size Hyperchromic: dark color Pernicious Anemia: caused by vitamin B12 deficiency http://library.med.utah.edu/WebPath/jpeg5/ HEME083.jpg A. Can be either macrocytic, hyperchromic or macrocytic, normochromic B. Note the enlarged, dark red blood cells, and the hypersegmented neutrophil in this smear Iron Deficiency Anemia caused by iron insufficiency leading to decreased hemoglobin synthesis A. Is an example of microcytic, hypochromic anemia B. Note the small erythrocytes of varying sizes and the large area of central pallor Sickle Cell Anemia: caused by a single amino acid substitution in the β chain of hemoglobin (valine replaces glutamic acid) A. This is a normochromic, normocytic anemia B. Note the sickle shaped erythrocytes. Disorders Related to Leukocytes: I. Chronic Lymphocytic Leukemia caused by malignant lymphocyte progenitor cells in bone marrow A. Note the abundant small lymphocytes in this blood smear B. The lymphocyte nucleus may have a small indentation, or cleft II.Eosinophilia many causes, including malignancy, connective tissue diseases, parasitic diseases, allergies; in some cases, no known cause Note the two normal looking eosinophils in the field Objective 2 Human Heart Anatomy The heart has an apex and a base: Base Apex The heart is located in the mediastinum, surrounded by a pericardium: The wall of the heart consists of three tissue layers: 1. Epicardium (visceral pericardium) 2. Myocardium 3. Endocardium Structures Visible On the Anterior Surface/Associated Vessels: Structures Visible on The Posterior Surface: The Heart Has Four Chambers: Right chambers Left chambers Atria Ventricles Interatrial Septum: lies between the atria Interventricular Septum: lies between the ventricles Internal Structures of the Heart These two Structures of the Adult Heart Are Remnants of Fetal Circulation: Ligamentum Arteriosum Fossa Ovalis The heart receives its own branch of systemic circulation – there vessels collectively are called coronary circulation A Sectioned Preserved Human Heart: 1. Interatrial septum 2. Right atrium 3. Left atrium 4. Interventricular septum’ 5. Right ventricle 6. Left ventricle 9. Pulmonary trunk Frontal Section: anterior view of posterior section Sheep’s Heart Dissection: note the thickness of the right ventricular and left ventricular walls Cardiac Muscle in found in the myocardium: Muscle Tissue Cardiac Muscle Location Structure Function heart wall cells (myocytes) are faintly striated and branching with one (or two) centrally placed nuclei provide pressure for the circulation of blood cells are connected by intercalated discs (gap junctions/desmosomes) Intercalated Disc Nuclei Skeletal Muscle Location Structure Function Attached to the skeleton long, thin cells (fibers) are striated and multinucleated, nuclei are in the periphery of the cell posture, movement stabilizes joints nucleus