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What is hematopoiesis?
the formation of all blood cells
What are hemocytoblasts?
progenitor cell for all blood cell types
Where are hemocytoblasts found?
red bone marrow
What does erythropoietin do?
signals hemocytoblasts to differentiate into RBCs
What are platelets?
cell fragments
What function do platelets have?
help to stop bleeding/clotting
What are the three major functions of blood?
transport, immune response and coagulation
The "formed elements" of blood are mainly made up of what?
cells: platelets, WBCs, RBCs
The formation of RBCs is called?
erythropoiesis
What is the main function of RBCs?
store and carry oxygen
What role does testosterone have on RBC production?
enhancer of erythropoietin, stronger signal and more RBCs produced
Low RBC count is called?
anemia
High RBC count is called?
polycythemia
Name one consequence of polycythemia
thickened blood and high BP, strain on heart
What is the main component of plasma?
water
Relate the form of RBCs to their function
large SA:VOL, flexibility, efficient gas diffusion
What are three functions of the skin?
protection, regulation, and sensation
What are the three layers of the skin called?
epidermis, dermis, hypodermis
Name the cells that make up the epidermis
squamous epithelial
What is the name of the epithelial cell that dominated the epidermis?
keratinocytes
Is the epidermis vascular or avascular?
avascular
What is the main function of the epidermis?
protection from external environment
Name the five layers of the epidermis
stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum basale
What layer of the epidermis is only found in thick skin?
stratum lucidum
Is the dermis shed?
no
Is the dermis vascular or avascular?
vascular
What is the superficial layer of the dermis called?
papillary layer
What is the deep layer of the dermis called?
reticular layer
Name the two protein structures found in the dermis
collagen and elastin
What layer of the skin are blood vessels, lymphatics, nerves and accessory structures found?
dermis
What is the other name for hypodermis?
subcutaneous layer
Adipose tissue serves what function in the hypodermis?
insulation and links skin to rest of the body
Why does thick skin have the stratum lucidum?
for extra protection from wear and abrasions
The body is mostly covered in .......... skin
thin
What causes sagging in the skin?
epidermis becoming thinner and drier
The skin becomes thinner because.......?
decreased basal cell activity
The skin becomes drier because........?
sebaceous glands produce less secretions
A decline in melanocyte activity leads to ........ in the skin?
less pigmentation in skin and hair
Name two other effects that age has on the skin
impaired cooling due to less active ecrine glands and slower skin repair
What three features does the hair consist of?
hair follicle, hair shaft and arrector pili muscle
What is the function of sebaceous glands?
produce sebum for moisture and water repellent
Acne is caused by........?
blockage of the hair follicles and infection
What are the two kinds of sweat glands?
apocrine and eccrine
Eccrine sweat glands are found ....... on the body
everywhere
What is the main function of the eccrine sweat glands?
secrete sweat onto surface of the skin for thermoregulatory properties
Are apocrine sweat glands influenced by the nervous system or hormones?
hormones
What kind of sweat gland is found deeper within the skin?
apocrine
Where do apocrine sweat glands empty?
base of the hair follicles
Name two locations where apocrine sweat glands are found
nipples and groin
Name the two functions of nails
enhance sensation and protect fingertips
Free Nerve Endings
mostly unmyelinated and small diameter fibres, respond to temp, painful stimuli, movement, pressure, itch, bending of hairs
Tactile Discs
free nerve endings in deepest layer of epidermis, associated with large disc shaped epidermal cells, abundant in fingertips, sensitive to physical features eg, shape, texture, edges, fine touch and pressure
Tactile Corpuscles
papillary layer of dermis, abundant in hairless skin, encapsulated, sense delicate/fine discriminative touch, shape and textural changes (Braille), light pressure and low frequency vibrations
Lamellar Corpuscle
deep in dermis and hypodermis, single dendrite within concentric layers of collagen fibres and speacialised fibroblasts, dendrite ONLY stimulated by deep pressure, senses deep pressure (only when first applied) and vibration, rapidly adapting
Bulbous Corpuscles
dermis and subcutaneous tissure, nerve endings wrapped around collagen fibres and within capsule, sensitive to sustained deep pressure, stretching/distorting of skin, also aids in signalling degree in joint rotation (proprioception)
What is the main function of melanocytes?
produce melanin pigment
Where are melanocytes found?
stratum basale
What are melanosomes?
vesicles that contain melanin pigment
Where are melanosomes found?
throughout the epidermis
What is the main function of melanin pigment?
to absorb and protect cells from UV light and damage
Are melanosomes shed?
yes
A cluster of melanocytes is called? And overproliferation is caused by what?
mole, sun exposure
What occurs when melanocytes over-produce melanosomes?
freckles
The over-production of melanosomes is triggered by what?
sun exposure
Why is vitamin D important?
essential for normal calcium metabolism and maintaining bone strength
Why is UV exposure important for Vit D?
UV exposure is essential for synthesis of Vit D
Are highly pigmented or lower pigmented people more susceptible to Vit D deficiency?
highly pigmented people
Basal cell carcinoma
common, relatively benign, originates in stratum basale, metastasis is rare
Malignant melanoma
rare but deadly if untreated, originates in melanosomes, highly metastatic
What three factors does the mortality rate depend on for malignant melanoma?
thickness, location, depth
What layer of the skin is tattoo ink needed to be deposited into to ensure the pigment isn’t shed overtime?
dermis
Where is tattoo ink captured?
immune cells and scar tissue
What happens when tattoo ink is captured in lymph nodes?
can look very similar to melanoma cells
What vessels are "supply" structures?
arteries
What are the drainage structures?
veins and lymphatics
What structures are involved in gas and nutrient exchange?
capillaries
Name the three types of capillaries
continuous, fenestrated and sinusoidal
Does blood flow at high pressure through capillaries?
no, smooth and slow
What role do precapillary sphincters play in capillaries?
they are bands of smooth muscle cells which constrict and block pathways, controlling the movement of substances
What is the most common form of capillary and where is it usually found?
continuous and everywhere
Are fenestrated capillaries the leakiest?
no
What is the diameter of continuous and fenestrated capillaries, what does this mean in terms of RBCs?
8-10micrometres, RBCs travel in single file
Which type of capillary features an incomplete basement memebraine?
sinusoidal
What are fenestrations?
pores in the capillary endothelium that help to transfer plasma/fluid out of the capillaries
What kind of muscle are continuous capillaries made out of?
skeletal and cardiac
Where are fenestrated capillaries found?
kidneys and small intestine
Why are sinusoidal capillaries larger and "leakier"?
to allow for large amounts of plasma and blood to travel through and greater nutrient exchange through diffusion
Describe the structure of lymph capillaries
thin-walled, no RBCs, valves and run alongside veins and arteries, large blind-ended capillaries
What do larger lymphatic vessels have to prevent backflow?
numerous valves
What are the functions of the lymph vascular system?
drains excess tissue fluid and plasma proteins from tissues, filter foreign material from lymph, "screens" lymph for foreign antigens and responds by releasing antibodies and activated immune cells, absorbs fat from intestine and transports to blood
What structures do lymph nodes contain?
afferent and efferent lymphatics and blood vessels
What is the lymph vascular system?
open entry drainage system
What are the three layers of blood vessel walls?
tunica intima, tunica media, tunica adventitia
What are the three layers of the tunica intima?
endothelium, sub-endothelium, internal elastic lamina
Why does the thickness of the tunica media differ between veins and arteries?
thicker in arteries to withstand the force of high blood pressure and the "pulse"
What layer of the blood vessel wall is often the thickest of that of the veins?
tunica adventitia
Where can lymphatics, autonomic nerves, collagen and elastin be found within the blood vessel walls?
tunica adventitia
What is thickness of tunica media proportional to?
Both the blood vessel diameter and blood pressure.
Why are major arteries situated deep within the body?
they are crucial for survival and so to avoid damage
Do arteries or veins have valves?
Only veins, since they are low pressure and need to prevent backflow when traveling back to heart