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Circle of Willis
ring of arteries
manages delivering life- sustaining, oxygen-rich blood to the brain
encircles the optic chiasm and hypothalmus
forms a bridge between the internal carotid arteries and the vertebral arteries
Internal carotid arteries
nourish the front of the brain
vertebral (vertebrobasilar) arteries
supplies the back of the brain
A complete circle of Willis exists in…
Less than half of the population
Cerebral Aneurysm
weak spot in vessel walls that can rupture and cause hemorrhage
The Hepatic Portal Vein
directs blood rich with absorbed nutrients, glucose, AAs, vitamins but also toxins, bacteria, and metabolic byproducts to the liver (where it undergoes essential processing).
Sinusoids
within the liver
hepatocytes metabolize nutrients, detoxify harmful substances, regulate blood glucose levels, and prepare vital compounds for storage or release
Cirrhosis
scarring of liver tissue and increase resistance to blood flow
leads to portal hypertension
Portal hypertension
elevated pressure within the portal vein
can result in complications such as varices and ascites (fluid accumulation)
Dural venous sinuses
endothelium-lined spaces located between the periosteal and meningeal layers of the dura mater
lack both valves and muscular walls
structural design allows blood to flow freely, guided by pressure gradients rather than pumps
brain’s essential outflow system
low-pressure but high-importance
ensures circulation remains balanced within cranial cavity
Dural venous sinuses function
collect deoxygenated blood from the cerebrum, cerebellum, and brainstem to return to the heart through cerebral veins
absorbing cerebrospinal fluid (CSF) from subarachnoid space
helps regulate intercranial pressure
Venous blood flow
superior sagittal sinus—→ inferior sagittal sinus—→ straight sinus—→confluence of sinuses—→transverse sinuses—→sigmoid sinuse—→internal jugular veins—→ return of deoxygenated blood to the systemic circulation
Cavernous sinuses
paired
lie on either side of the sella turcica of the sphenoid bone
receive blood from the ophthalmic veins and form connections w facial veins
Infections from the face or nasal region…
spread to the cavernous sinus and pose serious health risks
Dural venous sinus thrombosis( DVST)
consequences are severe if this drainage network becomes obstructed
clot within the sinus can impair venous outflow
raise in interacranial pressure
symptoms such as headache, nausea, and visual disturbances
Lymphatic system
one way circulation of vessels, ducts and organs that works in constant partnership with the cardiovascular and immune systems
body’s additional drainage network
Blood plasma
filters from capillaries to nourish tissues
not all returns to bloodstream
~3 liters remain behind the spaces between cells
What happens if blood plasma is left behind the spaces between cells?
swelling and disruption of normal function
Lymph
leftover interstitial fluid
collected by tiny lymphatic capillaries
moved through progressively larger vessels w one way valves
eventually emptied into
thoracic duct
right lymphatic duct
rejoins the blood stream at the subclavian veins
due to low pressure and easier entry
Thoracic duct
drains the entire lower body, abdomen, left chest, left arm, and left side of the head/neck
Right lymphatic duct
drains the right thorax, right arm, and right head/neck region
Lymph nodes
lymph passes through
small
bean shaped
clustered in the neck, armpits, and groin
Filter out
pathogens
damaged cells
debris
house lymphocytes
lymphocytes
specialized white blood cells that identify and destroy
bacteria
viruses
abnormal cells
What supports lymphocytes?
bone marrow
blood cells produced
Thymus
T cells mature
Spleen
filters blood and removes old RBCs
Mucosa associated lymphoid tissue (MALT)
tonsils
Adenoids
Peyer’s patches of intestine
Peyer’s patches
intestine
guard entry points to the body
Lacteals
specialized lymphatic capillaries in the small intestine
absorb dietary fats and fat soluble citamins that are too large to enter blood capllaries directly
Lymphedema
infection due to blocked vessels
causes swollen lymph nodes
Lymphoma
due to uncontrolled lymphocyte growth
Immunoglobulins
specialized proteins
designed to recognize and neutralize invading threats
aka antibodies
patrol bloodstream and tissues in search of antigens
bacteria
viruses
parasites
other foreign substances
5 classes of Ig
IgG
IgA
IgM
IgE
IgD
IgG
most abundant (75-80% of antibodies in blood)
long-term protector
targets pathogens in tissues and found circulating in the blood
only antibody capable of crossing the placenta
provides newborns w passive immunity during first months
IgM
rapid responder
produced first during an initial infection
circulates as a pentamer
5 antibody units joined together
highly effective at binding and eliminating pathogens early in response
IgA
guards body’s entry points
found in high conc along mucosal surfaces
respiratory tracts
gastrointestinal tracts
saliva
tears
breast milk
prevents pathogens from attaching to and penetrating tissues
IgE
plays a dual role
protects against parasitic infections but is also responsible for allergic reactions
triggers the release of histamine
symptoms suchs as itching swelling and inflammation
IgD
important regulatory function
located mostly on surface of B cells
helps initiate and regulate immune responses
High levels of Ig
chronic infection
autoimmune disease
certain cancers
Low levels of Ig
immunodeficiency
leads to recurrent infections of sinuses, ears, lungs
Immunity
layered system composed of innate and adaptive components
guards against disease
Innate immunity
protection we are born with
acts immediately and non-specifically
Physical barriers:
skin
muscus linings
block pathogens from entering
Immune cells:
macrophages
patrol tissues
engulf and destroy invaders
Adaptive immunity
highly specific and capable of memory
produces antibodies and specialized T and B cells that target a pathogen
Natural active immunity
infection
Artificial active immunity
vaccination
Passive immunity
body receives antibodies from another source
Natural passive immunity
occurs when a mother passes antibodies to her baby through the placeta or breast milk
temporary
Artificial passive
medical treatments
immunoglobulin injections
antivenom
Herd immunity
when a high percentage of people are immune the pathogen struggles to spread
Antigen presenting cells (APCs)
link between body’s first line of defense and its specialized response
Ex) dendritic cells, macrophages, and B cells
patrol tissues
engulf pathogens
break them down into small antigen fragments