Exam #3

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brain #2, ANS, Blood, Heart

40 Terms

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Effectors

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Autonomic NS and innervation

Sympathetic

Parasympathetic

  • Preganglionic Neurons – Cell bodies originate in the CNS

  • Postganglionic Neurons – Cell bodies found at ganglia


<p>Sympathetic</p><p>Parasympathetic</p><ul><li><p><strong>Pre</strong>ganglionic Neurons – Cell bodies originate in the <strong>CNS</strong></p></li><li><p><strong>Post</strong>ganglionic Neurons – Cell bodies found at <strong>ganglia</strong></p></li></ul><p></p>
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Parasympathetic Division

maintain homeostasis (stable internal enviro)

fx: Slows heart rate, increases digestive fxs, controls sphincters of digestive,

urinary, and reproductive systems. Constricts pupils


Preganglionic neurons:

  • Long (axons)

  • Secrete acetylcholine (ACh) as a neurotransmitter (cholinergic)

  • Arise from cranial and sacral regions

  • A.K.A. “Cranio-sacral division”

• Cranial = CN III, V, VII, IX, X; Sacral = S2-S4

• The Vagus nerve (CN X) – one of the most important psym nerves (innervates heart, lungs,

stomach, intestines, other viscera)


Postganglionic neurons:

  • Short (axons)

  • Also secrete ACh


<p>maintain homeostasis (stable internal enviro)</p><p>fx: <strong>Slows </strong>heart rate, <strong>increases</strong> digestive fxs, <strong>controls </strong>sphincters of digestive,</p><p>urinary, and reproductive systems. <strong>Constricts </strong>pupils</p><p></p><p><strong>Preganglionic neurons:</strong></p><ul><li><p>Long (axons)</p></li><li><p>Secrete <strong>acetylcholine </strong>(ACh) as a neurotransmitter (cholinergic)</p></li><li><p>Arise from cranial and sacral regions</p></li><li><p>A.K.A. “Cranio-sacral division”</p></li></ul><p>• Cranial = CN III, V, VII, IX, X; Sacral = S2-S4</p><p>• The<strong> Vagus nerve (CN X)</strong> – one of the most important psym nerves <strong>(innervates heart, lungs,</strong></p><p><strong>stomach, intestines, other viscera)</strong></p><p></p><p><strong>Postganglionic neurons:</strong></p><ul><li><p>Short (axons)</p></li><li><p>Also secrete <strong>ACh</strong></p></li></ul><p></p>
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Sympathetic Division

response to emergencies or stress

fx: Increases heart rate, shunts blood toward skeletal mms, increases respiration rate. Dilates pupils


Preganglionic neurons

  • Short (axons)

  • Secrete acetylcholine (ACh) as a neurotransmitter.

  • Arise from thoracic/lumbar regions

  • A.K.A. “sympathetic trunk”

  • T1-L2

  • Synapse with postganglionics at Sympathetic Chain Ganglia

Postganglionic neurons:

  • Long (axons)

  • Secrete norepinephrine/noradrenaline (adrenergic).

also innervates the adrenal medulla which releases epinephrine (adrenaline)

<p>response to emergencies or stress</p><p>fx: <strong>Increases </strong>heart rate, <strong>shunts </strong>blood toward skeletal mms, <strong>increases </strong>respiration rate. <strong>Dilates </strong>pupils</p><p></p><p>Preganglionic neurons</p><ul><li><p><strong>Short </strong>(axons)</p></li><li><p>Secrete <strong>acetylcholine </strong>(<strong>ACh</strong>) as a neurotransmitter.</p></li><li><p>Arise from thoracic/lumbar regions</p></li><li><p>A.K.A. “sympathetic trunk”</p></li><li><p>T1-L2</p></li><li><p>Synapse with postganglionics at <strong>Sympathetic Chain Ganglia</strong></p></li></ul><p><strong>Postganglionic neurons:</strong></p><ul><li><p>Long (axons)</p></li><li><p>Secrete <strong>norepinephrine</strong>/<strong>noradrenaline </strong>(<strong>adrenergic</strong>).</p></li></ul><p>also innervates the adrenal medulla which releases <strong>epinephrine </strong>(<strong>adrenaline</strong>)</p>
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blood Fx

  • Transportation - oxygen and carbon dioxide as well as nutrients and waste products

  • Regulation - body temperature, pH, and fluid volume

  • Protection - by mounting an immune response and the production of antibodies


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composition of blood

erythocytes: 44% = hematocrties

Buffy Coat: 1% (WBC and Platelets)

Plasma: 55%

<p>erythocytes: 44% = hematocrties</p><p>Buffy Coat: 1% (WBC and Platelets)</p><p>Plasma: 55%</p>
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Blood Plasma Composition

water 92%


plasma proteins 7%

  • albumin 58%

  • globulins 37%

  • fibrinogen 4%

  • regulatory proteins 1%


other 1%

  • nutrients, respiratory gases, wastes


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Hematocrit

% of the volume of all formed elements in ones blood (primarily RBC)

female: 38-45%

males: 40-50%

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Erythocytes

  • not true cells, no organelles, no nucleus

  • 7.5 um. biconcave to increase SA

  • rouleau - line up like a stack of coins in capillaries


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Hemoglbin in erythocytes

  • 280 per rbc

  • reversible binding to 4 O2 or 4 CO2

  • heme: ringed moleucle with iron ion


<ul><li><p><strong>280 per rbc </strong></p></li><li><p>reversible binding to <strong>4 O2 </strong> or <strong>4 CO2</strong></p></li><li><p>heme: ringed moleucle with iron ion</p></li></ul><p></p>
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Erythopoiesis

creation of RBCs/erythrocytes @ red marrow

  • 120 day cycle

  • erythropoietin (EPO) = hormone produced by kidneys low o2. stimulates erythopoiesis

3 mill a sec. 200 billion a day. 25 trillion total

<p>creation of RBCs/erythrocytes @ red marrow</p><ul><li><p>120 day cycle</p></li><li><p>erythropoietin (EPO) = hormone produced by kidneys <strong>low o2</strong>. stimulates erythopoiesis</p></li></ul><p>3 mill a sec. 200 billion a day. 25 trillion total</p>
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recycling aged or damaged erythocytes

aged erythocytes gets phagocytized in liver and spleen

-recycled heme (without Fe) turnin into bile from liver

-Fe is transported ad stored in liver

-proteins are borken down into amino acids which can make new erythocytes

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Doped blood

rbc from donor or previously removed

or the homrone EPO is injected

  • muscles work longer and harder wout cramping


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Leukocytes

true cells: nucleus and organelles

“buffy coat”

initiate immune response

1.5 to 3 times larger than erythocytes

  • diapedesis: leaving bv to enter tissues

  • chemotaxis: attraction to site of infection/damage by chemicals


<p>true cells: nucleus and organelles</p><p>“buffy coat”</p><p>initiate immune response</p><p>1.5 to 3 times larger than erythocytes</p><ul><li><p><strong>diapedesis: </strong> leaving bv to enter tissues</p></li><li><p><strong>chemotaxis: </strong> attraction to site of infection/damage by chemicals</p></li></ul><p></p>
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Classification of Leukocytes

granulocytes (visible granules)

  • Neutrophils 50-70% (baceterial fungal)

  • Eosinophils: 1-4% (allergens, parasites)

  • Basophils: 0.5-1% (release histamine in inflammation)

Agranulocytes

  • lymphocytes: 20-40% (activate b and t cells against viruses, tumors, adaptive, immune responses return to normal fx)

  • monocytes: 2-8% (migrate from blood, form mmacrophages, target bacteria, tumor cells)


<p>granulocytes (visible granules)</p><ul><li><p><strong>Neutrophils </strong>50-70% (<strong>baceterial </strong>fungal)</p></li><li><p><strong>Eosinophils</strong>: 1-4% (<strong>allergens</strong>, parasites)</p></li><li><p><strong>Basophils</strong>: 0.5-1% (release <strong>histamine </strong>in inflammation)</p></li></ul><p>Agranulocytes</p><ul><li><p><strong>lymphocytes</strong>: 20-40% (activate <strong>b </strong>and <strong>t cells </strong>against viruses, tumors, adaptive, immune responses return to normal fx)</p></li><li><p><strong>monocytes</strong>: 2-8% (migrate from <strong>blood</strong>, form <strong>mmacrophages</strong>, target bacteria, tumor cells)</p></li></ul><p></p>
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platelets (thrombocytes)

fragments of large cells = megakaryoctyes (15x)
¼ size of erythocytes

clotting of blood when exposed to collagen

  • fibrin provides meshwork of clot


<p>fragments of large cells = <strong>megakaryoctyes </strong>(15x)<br>¼ size of <strong>erythocytes</strong></p><p>clotting of blood when exposed to <strong>collagen</strong></p><ul><li><p><strong>fibrin </strong>provides meshwork of clot</p></li></ul><p></p>
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Blood Clot

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hemopoiesis

formed elements (rbcs, platelets) short life span

  • occurs in red marrow

  • hemocytoblasts = stem cells (pluripotent)

  • two lines of dev

    • myeloid = erythocytes, (erythopoiesis) megakaryocyes (thrombopoiesis), all leukocytes (leukopoiesis)

    • lymphoid = lymphocytes exception (b and t lymphoblast)


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Pulmonary vs Systemic Circuit

one pump directs blood to lungs (right)

one pumps directs blood to most body tissues (left)

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blood pressure

force of the blood on walls of arteries

  • normal 120/80mmHg


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Pericaridum

  • within mediastinum
    fibruos pericardium: outer covering (dense irrct)

  • serous pericardium

    • parietal and visceral (epicardium)

    • pericardial cavity and pericardial fluid


<ul><li><p>within mediastinum<br>fibruos pericardium: outer covering (<strong>dense irrct)</strong></p></li><li><p><strong>serous pericardium</strong></p><ul><li><p>parietal and visceral (epicardium) </p></li><li><p>pericardial cavity and pericardial fluid</p></li></ul></li></ul><p></p>
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pericarditis vs pericardial effusion

-inflammation of the pericardium

-fluid accumulates around heart

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heart wall

epicardium - areolar ct

myocardium - thickest

endocardium - internal surface of heart chambers and external of heart valves

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coronary sulcus

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Right Atrioventricular (tricuspid)

  • forced closed when ventricle begins to contract (increases pressure)

  • then after ventricle into: pulmonary semilunar valve


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coronary circulation

  • right and left coronary arteries are only branches off ascending aorta

  • right

    • marginal (r border)

    • posterior interventricular artery

  • left

    • anterior interventircular arteris

    • circumflex artery: left atrium and vent


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Coronary veins

great cardiac vein: anterior interventircular a

middle cardiac vein: posterior interventricular A.

small cardiac vein: to R marginal a.

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gap junctions

comprised as intercalated discs

work as single unit

funcitonal syncytium = mechanical/chemical linkage

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Heart Sounds

lub: AV valves (into ventricle)

dub: closing of the semilunar valves (out of heart)

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autorythmicity

heart capable of initiaing its own heartbeat

  • SA (sinoatrial): roof of R atrium (sinus)

  • AV (antrioventricular) node: floor of R atrium

  • AV (antrioventricular bundles) = bundles of his

  • right and left bundles @ superior septum

  • purkinje fibers: located @ walls of vents


<p>heart capable of initiaing its own heartbeat</p><ul><li><p>SA (sinoatrial): roof of R atrium (sinus)</p></li><li><p>AV (antrioventricular) node: floor of R atrium</p></li><li><p>AV (antrioventricular bundles) = bundles of his</p></li><li><p>right and left bundles @ superior septum</p></li><li><p>purkinje fibers: located @ walls of vents</p></li></ul><p></p>
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Coordinated sequence of heart chamber contractions

  1. SA node generates impulse

  2. atria contract (sys), ventricle relax (dia)

  3. impulse goes to av node then ventricles (via conducting fibers)

  4. ventricles contract (sys), while atria relaces (dia)


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BBB

tight junctions bewtween capillary and endothelial cells

perivascular feet

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Brainstem

autonomic and reflex centers

  • mesencephalon (midbrain, maintain posture)

    • superior coliculus: visual reflexes

    • inferior colliculus: auditory reflexes

    • reticular formation: consciousness

  • pons

  • medulla oblongata


<p>autonomic and reflex centers</p><ul><li><p>mesencephalon (midbrain, maintain posture)</p><ul><li><p>superior coliculus: visual reflexes</p></li><li><p>inferior colliculus: auditory reflexes</p></li><li><p>reticular formation: consciousness</p></li></ul></li><li><p>pons</p></li><li><p>medulla oblongata</p></li></ul><p></p>
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cranial nerves

trochlear: moves eye muscles

trigeminal: sensory and motor information of head and neck

abducens: moves eye muscles

glossopharyngeal: moves neck and tongue muscles

hypoglossal: neck muscles

<p>trochlear: moves eye muscles</p><p>trigeminal: sensory and motor information of head and neck</p><p>abducens: moves eye muscles</p><p>glossopharyngeal: moves neck and tongue muscles</p><p>hypoglossal: neck muscles</p>
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