CV

Coelom, Cardiovascular, and Lymphatic Systems Lecture

Coelom & Viscera

  • Definitions

    • Coelom: A fluid-filled body cavity entirely lined by serous membrane (mesothelium) derived from embryonic mesoderm; houses and cushions internal organs.

    • Viscera (sing. viscus): The internal organs contained within the coelomic cavities (e.g., stomach, heart, intestines, lungs).

    • Peritoneum: Continuous serous membrane lining the abdominopelvic cavity and covering most abdominal organs.

    • Membrane (anatomical): A thin sheet of tissue acting as a boundary, lining, or partition (e.g., mucous, serous, synovial, cutaneous).

    • Pleura: Serous membrane of the lungs; parietal pleura lines thoracic wall, visceral pleura covers lung surface.

    • Pericardium: Double-walled serous sac surrounding the heart (fibrous + serous layers).

  • Body Cavities

    • Ventral Body Cavity: Entire anterior coelom, subdivided into thoracic and abdominopelvic cavities, separated by the diaphragm.

    • Thoracic Cavity

      • Two pleural cavities (lungs)

      • Mediastinum (contains pericardial cavity, great vessels, esophagus, trachea, thymus)

    • Abdominopelvic Cavity

      • Abdominal cavity: stomach, liver, spleen, small intestine, most of large intestine.

      • Pelvic cavity: urinary bladder, reproductive organs, rectum.

      • Peritoneal cavity: potential space between parietal and visceral peritoneum containing serous fluid.

  • Parietal vs. Visceral Peritoneum

    • Parietal: Lines internal surface of abdominal wall; sensitive to pain, temperature, touch.

    • Visceral: Covers abdominal organs; insensitive to touch and temperature, sensitive to stretch & chemical irritation.

  • Peritoneal Specializations

    • Omenta

    • Greater omentum: Four-layer fatty apron from greater curvature of stomach to transverse colon; immune “policeman.”

    • Lesser omentum: Two-layer sheet from lesser curvature & duodenum to liver (hepatogastric + hepatoduodenal ligaments).

    • Mesentery Proper: Double fold suspending jejuno-ileum to posterior abdominal wall, conduit for superior mesenteric vessels.

    • Mesocolon: Mesentery of parts of large intestine (transverse & sigmoid mesocolons most prominent).

    • Ligaments (peritoneal sense): Double-layered peritoneum connecting organ to organ or wall (e.g., gastrosplenic, falciform, splenorenal).

  • Retroperitoneal Organs (SAD PUCKER)

    • Suprarenal (adrenal) glands

    • Aorta & IVC

    • Duodenum (2nd–4th parts)

    • Pancreas (except tail)

    • Ureters

    • Colon (ascending, descending)

    • Kidneys

    • Esophagus (abdominal part)

    • Rectum (lower two-thirds)

    • Term “retroperitoneal” means organs lie posterior to parietal peritoneum, only anterior surface covered by peritoneum.

Serous vs. Mucous Membranes

  • Serous Membranes

    • Structure: Simple squamous epithelium (mesothelium) + thin areolar connective tissue; secretes watery, protein-poor serous fluid.

    • Function: Reduces friction between moving organs; forms closed cavities (pleural, pericardial, peritoneal).

  • Mucous Membranes

    • Structure: Epithelium (varies) + lamina propria + muscularis mucosae; goblet cells produce mucus (glycoprotein-rich).

    • Line body tracts that open to exterior (respiratory, digestive, urinary, reproductive) and provide protection, lubrication, absorption.

Diaphragm

  • Three Muscular Parts (periphery to center)

    1. Sternal part (from xiphoid process)

    2. Costal part (from lower six ribs)

    3. Lumbar part (from L1–L3 vertebrae via right & left crura)

  • Central Tendon: Strong aponeurotic insertion of all parts.

  • Openings

    • Caval opening (T8): IVC, right phrenic nerve branches.

    • Esophageal hiatus (T10): Esophagus, vagal trunks, esophageal vessels.

    • Aortic hiatus (T12): Aorta, thoracic duct, azygos vein.

Embryonic Germ Layers & Their Derivatives

  • Ectoderm: Epidermis, hair, nails, lens, inner ear, enamel, neural tissue, adrenal medulla.

  • Mesoderm

    • Paraxial: Somites → skeletal muscle, vertebrae, dermis.

    • Intermediate: Urogenital system (kidneys, gonads, gonadal ducts).

    • Lateral plate: Serous membranes, cardiovascular system, limbs, spleen.

  • Endoderm: Epithelia of GI tract, respiratory tract, urinary bladder, liver, pancreas, thyroid, parathyroids.

Inguinal vs. Femoral Canal

  • Inguinal Canal

    • Oblique passage in lower anterior abdominal wall; contains spermatic cord () or round ligament ().

    • Bounded by inguinal ligament (floor), transversalis fascia (posterior wall), etc.; site of inguinal hernias.

  • Femoral Canal

    • Medial compartment of femoral sheath below inguinal ligament; contains lymphatic vessels & node of Cloquet; site of femoral hernias.

“Brief Life Story” (Fertilization → Organogenesis)

  1. Fertilization: Sperm + oocyte → zygote.

  2. Cleavage: Rapid mitotic divisions forming morula.

  3. Blastocyst formation: Inner cell mass + trophoblast; implantation in uterine wall.

  4. Gastrulation (week 3): Formation of ectoderm, mesoderm, endoderm.

  5. Neurulation (week 3-4): Neural tube formation.

  6. Folding (week 4): Embryo transforms from flat disc to C-shape, forming body cavities.

  7. Organogenesis (weeks 4-8): Differentiation of organ systems; by week 8, embryo has basic body plan.

Cardiovascular & Lymphatic Systems

  • Terminology

    • Circulatory system = Cardiovascular + Lymphatic.

    • Cardiovascular system: Heart + blood vessels + blood.

    • Lymphatic system: Lymph, lymphatic vessels, lymphoid organs.

Functions of Cardiovascular System

  • Transport O2, CO2, nutrients, wastes, hormones.

  • Temperature regulation, pH balance, immunity, clotting.

Blood

  • Components

    • Plasma (55 %): Water, proteins (albumin, globulins, fibrinogen), electrolytes.

    • Formed elements (45 %): RBCs, WBCs, platelets.

  • RBCs (Erythrocytes)

    • Fxn: transport O_2 via hemoglobin , carry CO2 (protein, globin)

    • Small cells, no nucleus

    • Life span- live 120 days, removed by macrophages in spleen & liver

  • WBCs (Leukocytes)

    • well defined nucleus & organelles

    • Granulocytes: Neutrophils (phagocytes), Eosinophils (parasites, allergy), Basophils (histamine).

    • Agranulocytes: Lymphocytes (B, T, NK cells), Monocytes → macrophages.

  • Platelets (Thrombocytes): Cell fragments aiding hemostasis

    • formed by Megakaryocytes

    • No nucleus, not a cell

    • Helps plug small holes in blood vessels, granules contain chemicals upon release to help clot

    • Life span 5-9 days, removed by phagocytes in spleen, liver

  • Fxn: of blood- transport: Oxygen, nutrients, waste, hormones, heat

Regulation: pH, temperature

Protection : prevents blood loss by clotting mechanism

Prevents/ limits infection via actions of WBC’s and plasma proteins: Antibodies, complement

  • Formation of blood cells: Hemopoiesis

Heart Anatomy

  • Pericardial Sac

    • Fibrous pericardium (outer) + serous pericardium (parietal + visceral/epicardium).

  • Heart Wall: Epicardium, myocardium (cardiac muscle), endocardium.

  • Chambers & Valves

    • Right atrium → Tricuspid → Right ventricle → Pulmonary valve → Pulmonary trunk.

    • Left atrium → Mitral (bicuspid) → Left ventricle → Aortic valve → Aorta.

  • Coronary Circulation: Right & left coronary arteries (from aortic sinuses), cardiac veins → coronary sinus.

Circulatory Routes

  • Pulmonary: RV → lungs → LA.

  • Systemic: LV → body → RA.

  • Hepatic Portal: GI tract & spleen → portal vein → liver → hepatic veins → IVC.

Vessels Structure & Function

  • Arteries: Thick tunica media, elastic tissue; high pressure.

  • Arterioles: Resistance vessels; regulate BP.

  • Capillaries

    • Continuous (muscle, CNS), Fenestrated (kidney, endocrine), Sinusoidal (liver, spleen).

  • Venules & Veins: Thin walls, valves, blood reservoir; aided by skeletal muscle pump, respiratory pump.

“Trace a Drop of Blood” (Example: Left index finger)

  1. LV → Ascending aorta → Aortic arch → Left subclavian → Axillary → Brachial → Radial → Palmar arches → Digital arteries → Capillaries (finger) → Digital veins → Cephalic/Basilic → Axillary → Subclavian → Brachiocephalic → SVC → RA → RV → Pulmonary arteries → Lungs → Pulmonary veins → LA → LV.

Lymphatic System

  • Components: Lymph, lymphatic capillaries, vessels, trunks, ducts, lymph nodes, spleen, thymus, tonsils, MALT.

  • Primary Organs: Red bone marrow (B-cell maturation), Thymus (T-cell maturation).

  • Secondary Organs: Lymph nodes, spleen, tonsils, Peyer’s patches, appendix.

  • Functions

    • Return interstitial fluid to blood (~3\ L/day).

    • Absorb lipids via lacteals.

    • Immune surveillance: lymphocytes & macrophages destroy pathogens.

  • Thymus: Bi-lobed, in mediastinum; involutes after puberty; educates T cells (positive/negative selection).

  • Lymph Nodes: Filter lymph; cortex (B-cell follicles), paracortex (T cells), medulla (plasma cells, macrophages).

  • Spleen: Largest lymphoid organ; white pulp (immune), red pulp (RBC recycling, blood reservoir).

Nervous System (Information Flow Overview)

  • Receptors detect stimuli → Afferent (sensory) neuronsCNS integrationEfferent (motor) neuronsEffectors (muscles/glands).

    • Somatic vs. Visceral divisions; sympathetic vs. parasympathetic outputs.