Medical School Histology Basics Blood and Lymph Vessels VIBS 243 Lab Introduction Multicellular Organisms Need 3 Mechanisms ------1
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Chapter 20 *Lecture Powerpoint the Circulatory System: Blood Vessels and Circulation
Chapter 20 *Lecture PowerPoint The Circulatory System: Blood Vessels and Circulation *See separate FlexArt PowerPoint slides for all figures and tables preinserted into PowerPoint without notes. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Introduction • The route taken by the blood after it leaves the heart was a point of much confusion for many centuries – Chinese emperor Huang Ti (2697–2597 BC) believed that blood flowed in a complete circuit around the body and back to the heart – Roman physician Galen (129–c. 199) thought blood flowed back and forth like air; the liver created blood out of nutrients and organs consumed it – English physician William Harvey (1578–1657) did experimentation on circulation in snakes; birth of experimental physiology – After microscope was invented, blood and capillaries were discovered by van Leeuwenhoek and Malpighi 20-2 General Anatomy of the Blood Vessels • Expected Learning Outcomes – Describe the structure of a blood vessel. – Describe the different types of arteries, capillaries, and veins. – Trace the general route usually taken by the blood from the heart and back again. – Describe some variations on this route. 20-3 General Anatomy of the Blood Vessels Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Capillaries Artery: Tunica interna Tunica media Tunica externa Nerve Vein Figure 20.1a (a) 1 mm © The McGraw-Hill Companies, Inc./Dennis Strete, photographer • Arteries carry blood away from heart • Veins -
The Circulatory System
Lec. 3 General Histology Instructor: Assist. Prof. Rasha A. Azeez The circulatory system The circulatory system provides a means of conveying nutrients and oxygen to and wastes out of the internal cells that make-up our bodies. There are two major components of the circulatory system. A. The cardiovascular system 1. Arteries, 2. Arterioles, 3. Capillaries, 4. Veins 5.Venules 6. Heart. B. The lymph vascular system 1. Blind ended lymphatic capillaries that collect lymph fluid from tissues. 2. Larger lymphatic vessels that connect with one and other and finally empty collected lymph into large veins in the neck where the lymphatic and cardiovascular systems merge. The cardiovascular system 1. Arterial system: There are three main types of arteries: o Elastic arteries o Muscular arteries o Arterioles o Elastic arteries These arteries that receive blood directly from the heart; includes the Aorta and the pulmonary artery; they need to be elastic because when the heart contracts, and ejects blood into these arteries, the walls need to stretch to accommodate the blood surge. The walls of these arteries have lots of elastin. a- Tunica intima is made up of an epithelium, which is a single layer of flattened epithelial cells, together with a supporting layer of elastin rich collagen. This layer also has fibroblasts and 'myointimal cells' that accumulate lipid with ageing, and the intima layer thickens, one of the first signs of atherosclerosis. a- Tunica media is broad and elastic with concentric fenestrated sheets of elastin, and collagen and only relatively few smooth muscle fibers. b- Tunica adventitia - has small vasa vasorum "a network of small blood vessels is present in the adventitia" as the large arteries need their own blood supply. -
Cardiovascular System 9
Chapter Cardiovascular System 9 Learning Outcomes On completion of this chapter, you will be able to: 1. State the description and primary functions of the organs/structures of the car- diovascular system. 2. Explain the circulation of blood through the chambers of the heart. 3. Identify and locate the commonly used sites for taking a pulse. 4. Explain blood pressure. 5. Recognize terminology included in the ICD-10-CM. 6. Analyze, build, spell, and pronounce medical words. 7. Comprehend the drugs highlighted in this chapter. 8. Describe diagnostic and laboratory tests related to the cardiovascular system. 9. Identify and define selected abbreviations. 10. Apply your acquired knowledge of medical terms by successfully completing the Practical Application exercise. 255 Anatomy and Physiology The cardiovascular (CV) system, also called the circulatory system, circulates blood to all parts of the body by the action of the heart. This process provides the body’s cells with oxygen and nutritive ele- ments and removes waste materials and carbon dioxide. The heart, a muscular pump, is the central organ of the system. It beats approximately 100,000 times each day, pumping roughly 8,000 liters of blood, enough to fill about 8,500 quart-sized milk cartons. Arteries, veins, and capillaries comprise the network of vessels that transport blood (fluid consisting of blood cells and plasma) throughout the body. Blood flows through the heart, to the lungs, back to the heart, and on to the various body parts. Table 9.1 provides an at-a-glance look at the cardiovascular system. Figure 9.1 shows a schematic overview of the cardiovascular system. -
Heart Vein Artery
1 PRE-LAB EXERCISES Open the Atlas app. From the Views menu, go to System Views and scroll down to Circulatory System Views. You are responsible for the identification of all bold terms. A. Circulatory System Overview In the Circulatory System Views section, select View 1. Circulatory System. The skeletal system is included in this view. Note that blood vessels travel throughout the entire body. Heart Artery Vein 2 Brachiocephalic trunk Pulmonary circulation Pericardium 1. Where would you find the blood vessels with the largest diameter? 2. Select a few vessels in the leg and read their names. The large blue-colored vessels are _______________________________ and the large red-colored vessels are_______________________________. 3. In the system tray on the left side of the screen, deselect the skeletal system icon to remove the skeletal system structures from the view. The largest arteries and veins are all connected to the _______________________________. 4. Select the heart to highlight the pericardium. Use the Hide button in the content box to hide the pericardium from the view and observe the heart muscle and the vasculature of the heart. 3 a. What is the largest artery that supplies the heart? b. What are the two large, blue-colored veins that enter the right side of the heart? c. What is the large, red-colored artery that exits from the top of the heart? 5. Select any of the purple-colored branching vessels inside the rib cage and use the arrow in the content box to find and choose Pulmonary circulation from the hierarchy list. This will highlight the circulatory route that takes deoxygenated blood to the lungs and returns oxygenated blood back to the heart. -
The Circulatory System
TheThe CirculatoryCirculatory SystemSystem Xue Hui DepartmentDepartment ofof HistologyHistology && EmbryologyEmbryology TheThe CirculatoryCirculatory SystemSystem Cardiovascular system (blood vascular system) Heart Artery Capillary Vein Lymphatic vascular system Lymphatic capillary Lymphatic vessel Lymphatic duct II GeneralGeneral structurestructure ofof thethe bloodblood vesselsvessels Tunica intima Tunica media Tunica adventitia Drawing of a medium-sized muscular artery, showing its layers. II GeneralGeneral structurestructure ofof thethe bloodblood vesselsvessels IIII ArteryArtery Large artery Medium-sized artery Small artery Arteriole II Artery LargeLarge arteryartery Structure Tunica intima Tunica media 40-70 layers of elastic lamina Smooth muscle cells, collagenous fibers Tunica adventitia Function Carry the blood from the heart to the middle arteries Tunica Tunica intima intima Tunica Tunica media media Tunica Tunica adventitia adventitia Transverse sections showing part of a large elastic artery showing a well developed tunica media containing several elastic laminas. II Artery MediumMedium--sizedsized arteryartery Structure Tunica intima: clear internal elastic membrane Tunica media: 10-40 layers of smooth muscle cells Tunica adventitia: external elastic membrane Function Regulate the distribution of the blood to various parts of the body Tunica Internal intima elastic membrane Tunica media External elastic membrane Tunica adventitia II Artery SmallSmall arteryartery Structure characteristic Diameter:0.3-1mm Tunica intima: clear -
29 Assessing the Cardiovascular and Lymphatic Systems
29 Assessing the Cardiovascular and Lymphatic Systems LEARNING OUTCOMES 1. Describe the anatomy, physiology, and functions of the 5. Explain techniques used to assess cardiovascular and cardiovascular and lymphatic systems. lymphatic structure and function. 2. Describe normal variations in cardiovascular assessment 6. Identify manifestations of impaired cardiovascular structure findings for the older adult. and functions. 3. Give examples of genetic disorders of the cardiovascular system. 4. Identify specific topics for consideration during a health history assessment interview of the patient with cardiovascu- lar or lymphatic disorders. CLINICAL COMPETENCIES 1. Complete a health history for patients having alterations in 3. Assess an ECG strip and identify normal rhythm and cardiac the structure and functions of the cardiovascular or lymphatic events and abnormal cardiac rhythm. systems. 4. Monitor the results of diagnostic tests and communicate 2. Conduct and document a physical assessment of cardiovas- abnormal findings within the interprofessional team. cular and lymphatic status. MAJOR CHAPTER CONCEPTS • Correct structure and function of the cardiovascular and • Manifestations of dysfunction, injury, and disorders affecting lymphatic systems are vital to the transport of oxygen and the cardiovascular and lymphatic systems may be detected carbon dioxide throughout the body and for the return of during a general health assessment as well as during focused excess tissue fluids back to the bloodstream. cardiovascular and lymphatic system -
Molecular Signatures of Tissue-Specific
Developmental Cell Resource Molecular Signatures of Tissue-Specific Microvascular Endothelial Cell Heterogeneity in Organ Maintenance and Regeneration Daniel J. Nolan,1,6 Michael Ginsberg,1,6 Edo Israely,1 Brisa Palikuqi,1 Michael G. Poulos,1 Daylon James,1 Bi-Sen Ding,1 William Schachterle,1 Ying Liu,1 Zev Rosenwaks,2 Jason M. Butler,1 Jenny Xiang,4 Arash Rafii,1,7 Koji Shido,1 Sina Y. Rabbany,1,8 Olivier Elemento,3 and Shahin Rafii1,5,* 1Department of Genetic Medicine, Howard Hughes Medical Institute 2Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine 3HRH Prince Alwaleed Bin Talal Bin Abdulaziz Alsaud Institute for Computational Biomedicine 4Genomics Resource Core Facility Weill Cornell Medical College, New York, NY 10065, USA 5Ansary Stem Cell Institute, New York, NY 10065, USA 6Angiocrine Bioscience, New York, NY 10065, USA 7Weill Cornell Medical College-Qatar, Stem Cell and Microenvironment Laboratory, Education City, Qatar Foundation, Doha 24144, Qatar 8Bioengineering Program, Hofstra University, Hempstead, NY 11549, USA *Correspondence: srafi[email protected] http://dx.doi.org/10.1016/j.devcel.2013.06.017 SUMMARY been appreciated. Capillary ECs of the blood brain barrier (BBB) form a restrictive environment for passage between the Microvascular endothelial cells (ECs) within different brain tissue and the circulating blood. Many of the trafficking pro- tissues are endowed with distinct but as yet unrecog- cesses that are passive in other vascular beds are tightly nized structural, phenotypic, and functional attri- controlled in the brain (Rubin and Staddon, 1999). As opposed butes. We devised EC purification, cultivation, to the BBB, the capillary ECs of the kidney glomeruli are fenes- profiling, and transplantation models that establish trated for the filtration of the blood (Churg and Grishman, tissue-specific molecular libraries of ECs devoid of 1975). -
Pelvic Anatomyanatomy
PelvicPelvic AnatomyAnatomy RobertRobert E.E. Gutman,Gutman, MDMD ObjectivesObjectives UnderstandUnderstand pelvicpelvic anatomyanatomy Organs and structures of the female pelvis Vascular Supply Neurologic supply Pelvic and retroperitoneal contents and spaces Bony structures Connective tissue (fascia, ligaments) Pelvic floor and abdominal musculature DescribeDescribe functionalfunctional anatomyanatomy andand relevantrelevant pathophysiologypathophysiology Pelvic support Urinary continence Fecal continence AbdominalAbdominal WallWall RectusRectus FasciaFascia LayersLayers WhatWhat areare thethe layerslayers ofof thethe rectusrectus fasciafascia AboveAbove thethe arcuatearcuate line?line? BelowBelow thethe arcuatearcuate line?line? MedianMedial umbilicalumbilical fold Lateralligaments umbilical & folds folds BonyBony AnatomyAnatomy andand LigamentsLigaments BonyBony PelvisPelvis TheThe bonybony pelvispelvis isis comprisedcomprised ofof 22 innominateinnominate bones,bones, thethe sacrum,sacrum, andand thethe coccyx.coccyx. WhatWhat 33 piecespieces fusefuse toto makemake thethe InnominateInnominate bone?bone? PubisPubis IschiumIschium IliumIlium ClinicalClinical PelvimetryPelvimetry WhichWhich measurementsmeasurements thatthat cancan bebe mademade onon exam?exam? InletInlet DiagonalDiagonal ConjugateConjugate MidplaneMidplane InterspinousInterspinous diameterdiameter OutletOutlet TransverseTransverse diameterdiameter ((intertuberousintertuberous)) andand APAP diameterdiameter ((symphysissymphysis toto coccyx)coccyx) -
Histological Study of the Elastic Artery, Muscular Artery, and Their Junction in Neonate Dog
Winter & Spring 2016, Volume 13, Number 1 Histological Study of the Elastic Artery, Muscular Artery, and Their Junction in Neonate Dog Fatemeh Ramezani Nowrozani1* 1. Department of Anatomical Sciences, School of Veterinary Medicine, Kazerun Branch, Islamic Azad Univercity, Kazerun, Iran. Citation: Ramezani Nowrozani F. Histological study of the elastic artery, muscular artery, and their junction in neonate dog. Anatomical Sciences. 2016; 13(1):33-38. Dr. Fatemeh Ramezani Nowrozani is the assistant professor of anatomy, histology and embryology in the department of anatomical science at Kazerun Branch, Islamic Azad Univercity, Kazerun, Iran. She was graduated with a DVM and PhD from the College of Veterinary Medicine at Shiraz University. Since 2008, she has advised DVM students at Kazerun Branch, Islamic Azad Univercity anatomy, histology and embryology. Article info: A B S T R A C T Received: 12 Jan. 2015 Accepted: 02 Oct. 2015 Introduction: We did this study because there were a few studies about aorto-branch junction. Available Online: 01 Jan 2016 Methods: Four light microscope and electron microscope study, the abdominal aorta, renal artery, and the adjoining right and left renal arteries were dissected out from 4 neonate dogs. Results: Based on the results, there is only one cell type in the tunica intima of endothelium in both arteries. In abdominal aorta, there were open connective tissue spaces, containing elastic fibers between the internal elastic membrane and endothelium. In renal artery, endothelial cells were attached directly to the internal elastic membrane. In the abdominal aorta tunica media, layers of smooth muscle cells alternating with elastic lamellae were observed, but in renal artery, the smooth muscle cells were close to each other and a small quantity of collagen and elastic fibers were found between them. -
Are You Ready for ICD-10-PCS? Expert Tips, Tools, and Guidance to Make the Transition Simple
Are You Ready for ICD-10-PCS? Expert Tips, Tools, and Guidance to Make the Transition Simple By Amy Crenshaw Pritchett February 19, 2014 1 Agenda In this webinar: Expand your understanding of ICD-10-PCS with can’t miss ICD-10-PCS coding conventions & guidelines. Understand the basic differences between ICD-9-CM Volume 3 and ICD-10-PCS. Learn code structure, organization, & characters: Step 1 to coding section “0” ICD-10-PCS? Pinpoint the body system. To build your ICD-10-PCS code, you must identify the root operation. Study 7 options when assigning your PCS code’s 5th character. Master how to determine the device value for your PCS code’s character. Raise your awareness of unique ICD-10-PCS challenges pertaining to documentation and specificity: Prepare physicians now for more detailed transfusion notes under ICD- 10-PCS. Discover why writing “Right Carotid Endarterectomy” won’t be enough. Know where to find ICD-10-PCS tools, techniques, and best practices. 2 Understanding ICD-10-PCS ICD-10-PCS is a major departure from ICD-9-CM procedure coding, requiring you to know which root word applies. Effective October 1, 2014, this procedure coding system will be used to collect data, determine payment, and support the electronic health record for all inpatient procedures performed in the US. 3 Gear Up for ICD-10-PCS This procedure coding system is starkly different from ICD-9-CM procedure coding: Every ICD-10-PCS code has seven characters, each character defining one aspect of the procedure performed. For instance, not correctly identifying your physician’s approach – the fifth character – and not being able to distinguish between similar root operations can throw off your claims accuracy! 4 Converting to ICD-10-PCS Have your inpatient coders and clinical documentation specialists begun preparing for ICD-10-PCS yet? That’s why we’re here today … to ease your transition from ICD-9-CM procedure coding to ICD-10-PCS. -
Blood and Lymph Vascular Systems
BLOOD AND LYMPH VASCULAR SYSTEMS BLOOD TRANSFUSIONS Objectives Functions of vessels Layers in vascular walls Classification of vessels Components of vascular walls Control of blood flow in microvasculature Variation in microvasculature Blood barriers Lymphatic system Introduction Multicellular Organisms Need 3 Mechanisms --------------------------------------------------------------- 1. Distribute oxygen, nutrients, and hormones CARDIOVASCULAR SYSTEM 2. Collect waste 3. Transport waste to excretory organs CARDIOVASCULAR SYSTEM Cardiovascular System Component function Heart - Produce blood pressure (systole) Elastic arteries - Conduct blood and maintain pressure during diastole Muscular arteries - Distribute blood, maintain pressure Arterioles - Peripheral resistance and distribute blood Capillaries - Exchange nutrients and waste Venules - Collect blood from capillaries (Edema) Veins - Transmit blood to large veins Reservoir Larger veins - receive lymph and return blood to Heart, blood reservoir Cardiovascular System Heart produces blood pressure (systole) ARTERIOLES – PERIPHERAL RESISTANCE Vessels are structurally adapted to physical and metabolic requirements. Vessels are structurally adapted to physical and metabolic requirements. Cardiovascular System Elastic arteries- conduct blood and maintain pressure during diastole Cardiovascular System Muscular Arteries - distribute blood, maintain pressure Arterioles - peripheral resistance and distribute blood Capillaries - exchange nutrients and waste Venules - collect blood from capillaries -
Overview of Gastrointestinal Function
Overview of Gastrointestinal Function George N. DeMartino, Ph.D. Department of Physiology University of Texas Southwestern Medical Center Dallas, TX 75390 The gastrointestinal system Functions of the gastrointestinal system • Digestion • Absorption • Secretion • Motility • Immune surveillance and tolerance GI-OP-13 Histology of the GI tract Blood or Lumenal Serosal Side or Mucosal Side Structure of a villus Villus Lamina propria Movement of substances across the epithelial layer Tight junctions X Lumen Blood Apical membrane Basolateral membrane X X transcellular X X paracellular GI-OP-19 Histology of the GI tract Blood or Lumenal Serosal Side or Mucosal Side Motility in the gastrointestinal system Propulsion net movement by peristalsis Mixing for digestion and absorption Separation sphincters Storage decreased pressure GI-OP-42 Intercellular signaling in the gastrointestinal system • Neural • Hormonal • Paracrine GI-OP-10 Neural control of the GI system • Extrinsic nervous system autonomic central nervous system • Intrinsic (enteric) nervous system entirely with the GI system GI-OP-14 The extrinsic nervous system The intrinsic nervous system forms complete functional circuits Sensory neurons Interneurons Motor neurons (excitatory and inhibitory) Parasympathetic nerves regulate functions of the intrinsic nervous system Y Reflex control of gastrointestinal functions Vago-vagal Afferent reflex Salivary Glands Composition of Saliva O Proteins α−amylase lactoferrin lipase RNase lysozyme et al mucus O Electrolyte solution water Na+ , K + - HCO3