Skip to main content
Indietro

Blood and Hematology: Structure, Function, and Clinical Relevance

Guida di studio - Note intelligenti

Appunti personalizzati basati sui tuoi materiali, ampliati con definizioni chiave, esempi e contesto.

Blood Vessels

Types and Functions of Blood Vessels

Blood vessels are tubular structures that transport blood throughout the body. They are classified into three main types, each with distinct functions:

  • Arteries:

    • Function: Carry oxygenated blood away from the heart to tissues (except pulmonary arteries, which carry deoxygenated blood to the lungs).

  • Veins:

    • Function: Return deoxygenated blood from tissues back to the heart (except pulmonary veins, which carry oxygenated blood from the lungs to the heart).

  • Capillaries:

    • Function: Facilitate exchange of gases, nutrients, and waste products between blood and tissues.

Blood

Functions of Blood

Blood is a specialized bodily fluid that performs several vital functions:

  • Transport: Delivers oxygen, nutrients, and hormones to cells; removes waste products.

  • Regulation: Maintains pH, temperature, and fluid balance.

  • Protection: Defends against pathogens and prevents blood loss via clotting.

  • Homeostasis: Maintains stable internal conditions.

  • Communication: Transports signaling molecules.

Composition of Blood

Liquid Part (Plasma)

Plasma is the liquid component of blood, making up about 55% of total blood volume.

  • Percentage of blood: ~55%

  • Composition:

    • Water: ~90-92%

    • Proteins: Albumin, globulins, fibrinogen

    • Solutes: Electrolytes, nutrients, hormones, waste products

  • Percentage of plasma:

    • Water: ~90-92%

    • Proteins: ~7-8%

    • Other solutes: ~1-2%

Cell and Cell Fragment Part (Formed Elements)

Formed elements make up about 45% of blood volume and include:

  • Erythrocytes (Red Blood Cells):

    • Function: Transport oxygen and carbon dioxide.

  • Leukocytes (White Blood Cells):

    • Function: Defend against infection and disease.

  • Platelets (Thrombocytes):

    • Function: Aid in blood clotting.

Additional info: Erythrocytes are the most numerous formed element.

Formation of Blood Cells (Hematopoiesis)

Stages of Hematopoiesis

Hematopoiesis is the process of blood cell formation, primarily occurring in the bone marrow.

  • Stem Cell: Hematopoietic stem cell (pluripotent)

  • Myeloblasts: Differentiate into granulocytes (neutrophils, eosinophils, basophils)

  • Megakaryocytes: Produce platelets

  • Proerythroblasts: Develop into erythrocytes

  • Hormone involved: Erythropoietin stimulates erythrocyte production

Hematology

Purpose and Scope

Hematology is the study of blood, blood-forming organs, and blood diseases.

  • What does it look at: Blood composition, function, and disorders

  • Types of disorders: Anemia, leukemia, clotting disorders

  • Complete Blood Count (CBC): Measures red cells, white cells, platelets, hemoglobin, hematocrit

  • CBC with differential: Includes breakdown of white blood cell types

Erythrocytes (Red Blood Cells)

Structure and Function

Erythrocytes are biconcave, anucleate cells specialized for gas transport.

  • Primary function: Carry oxygen from lungs to tissues and carbon dioxide from tissues to lungs

  • Shape: Biconcave disc increases surface area for gas exchange

  • Main organelle: Lack nuclei and most organelles; packed with hemoglobin

  • What can't it do: Cannot divide or repair itself

Main Protein: Hemoglobin

  • Function: Binds and transports oxygen and carbon dioxide

  • Iron: Each hemoglobin molecule contains iron, which binds oxygen

  • Oxygen capacity: Each hemoglobin can carry up to 4 oxygen molecules

  • Comparison:

    • Oxyhemoglobin: Hemoglobin bound to oxygen

    • Deoxyhemoglobin: Hemoglobin not bound to oxygen

Life Cycle of Erythrocytes

  • Production: Made in bone marrow

  • Lifespan: ~120 days

  • Destruction: Removed by spleen and liver; hemoglobin recycled

  • Waste product: Bilirubin, excreted in bile

Blood Typing

ABO Blood Groups

Blood type is determined by the presence or absence of antigens on erythrocytes.

Blood Type

Antigens Present

Antibodies Made

Can Donate To

Can Receive From

A

A

Anti-B

A, AB

A, O

B

B

Anti-A

B, AB

B, O

AB

A, B

None

AB

A, B, AB, O

O

None

Anti-A, Anti-B

A, B, AB, O

O

Rh Blood Typing

  • Rh antigen: Presence = Rh+; absence = Rh-

  • Rh incompatibility: Can cause hemolytic disease of the newborn if Rh- mother carries Rh+ fetus

  • First pregnancy: Usually not affected

  • Subsequent pregnancies: Risk increases if mother has developed anti-Rh antibodies

Leukocytes (White Blood Cells)

Types and Functions

Leukocytes are immune cells that protect the body from infection.

Granulocytes

  • Neutrophils: Most common; phagocytize bacteria

  • Eosinophils: Combat parasitic infections and mediate allergic responses

  • Basophils: Release histamine; involved in allergic reactions

Agranulocytes

  • Lymphocytes: B cells and T cells; adaptive immunity

  • Monocytes: Phagocytize pathogens; become macrophages in tissues

Fibrinolysis

Definition and Process

Fibrinolysis is the process of breaking down fibrin in blood clots, preventing excessive clotting and maintaining blood flow.

  • Summary: Plasmin enzyme digests fibrin, dissolving the clot

Additional info: Fibrinolysis is essential for wound healing and preventing thrombosis.

Pearson Logo

Study Prep