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Blood and Blood Vessels: Structure, Function, and Pathology

스터디 가이드 - 스마트 노트

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The Circulatory System

Overview

The circulatory system is a complex network responsible for transporting blood, nutrients, gases, and waste throughout the body. It consists of the heart, blood vessels (arteries, veins, capillaries), and the lymphatic system. - Closed circulatory system: Blood is contained within vessels and circulates in one direction. - Open circulatory system: Blood is not enclosed in vessels; instead, it mixes with interstitial fluid in a cavity called the hemocoel.

Main Components

- Blood: The circulating fluid that transports substances. - Vascular System: The network of blood vessels. - Lymphatic System: Returns excess fluid to the bloodstream and filters pathogens.

Blood

Functions of Blood

Blood serves three primary functions: - Transportation: Oxygen, carbon dioxide, nutrients, hormones, heat, and wastes. - Regulation: pH, body temperature, and water content of cells. - Protection: Clotting to prevent blood loss and defense against disease via white blood cells and proteins (antibodies, interferons, complement proteins).

Composition of Blood

Blood is a fluid connective tissue composed of cellular elements suspended in plasma.

  • Plasma: Nonliving fluid matrix (55% of blood volume).

  • Formed elements: Living cells (erythrocytes, leukocytes, platelets; 45% of blood volume).

Blood composition and functions table Blood consists of plasma and cellular elements

Physical Characteristics and Volume

- Sticky, opaque fluid, heavier and thicker than water. - Color varies: oxygen-rich blood is scarlet red; oxygen-poor is dull red or purple. - Slightly alkaline pH (7.35–7.45). - Blood temperature is slightly higher than body temperature. - Volume: 5–6 liters in a healthy adult (8% of body weight).

Plasma

Plasma is a straw-colored fluid, 90% water, containing dissolved substances: - Nutrients: Glucose, amino acids, fatty acids. - Electrolytes: Sodium, potassium, calcium, chloride, bicarbonate. - Respiratory gases: Oxygen, carbon dioxide. - Hormones and waste products. - Plasma proteins: Albumin (osmotic pressure, buffer), clotting proteins, antibodies.

Formed Cellular Elements

Erythrocytes (Red Blood Cells, RBCs)

Erythrocytes are specialized cells for oxygen transport. - Anucleate: No nucleus; lack mitochondria. - Shape: Biconcave discs for increased surface area. - Haemoglobin: Iron-bearing protein; each molecule binds 4 oxygen molecules. - Normal count: 5 million RBCs per mm3 of blood. - Lifespan: ~120 days; formed in bone marrow from stem cells. Blood cell types in artery

Haemoglobin Structure

Haemoglobin consists of four polypeptide chains (two alpha, two beta) and a heme group containing iron. The heme group binds oxygen and gives blood its red color. Haemoglobin structure

Homeostatic Imbalances of RBCs

- Anaemia: Decreased oxygen-carrying ability due to low RBC count or abnormal haemoglobin. - Sickle cell anaemia: Abnormal haemoglobin shape reduces oxygen binding. Sickle cell erythrocyte Blood smear with sickle cells - Iron-deficiency anaemia: Low iron or haemoglobin, decreased oxygen capacity. - Polycythemia: Excessive RBCs, increases blood viscosity; may result from bone marrow cancer or high altitude.

Leukocytes (White Blood Cells, WBCs)

Leukocytes are crucial for defense against disease. - Complete cells: Have nucleus and organelles. - Diapedesis: Move in and out of blood vessels. - Positive chemotaxis: Respond to chemicals from damaged tissues. - Normal count: 4,800–10,800 WBCs per mm3 of blood.

  • Neutrophils

  • Lymphocytes

  • Monocytes

  • Eosinophils

  • Basophils

Mnemonic: Never Let Monkeys Eat Bananas (order of abundance).

Homeostatic Imbalances of WBCs

- Leukocytosis: Elevated WBC count, normal in infection, pathological in leukemia. - Leukopenia: Low WBC count, often drug-induced. - Leukemia: Cancerous bone marrow produces immature WBCs.

Platelets

Platelets are cell fragments from megakaryocytes, essential for blood clotting. - Normal count: 300,000 platelets per mm3 of blood.

Hematopoiesis (Blood Cell Formation)

Process and Regulation

Hematopoiesis occurs in red bone marrow. All blood cells derive from a common stem cell (hemocytoblast). - Lymphoid stem cell: Produces lymphocytes. - Myeloid stem cell: Produces all other formed elements.

Red Blood Cell Formation

- RBCs cannot divide or synthesize proteins. - Lifespan: 100–120 days; eliminated by phagocytes in spleen or liver. - Reticulocytes: Young RBCs entering circulation. - Erythropoietin: Hormone from kidneys regulates RBC production in response to low oxygen. - Negative feedback: Maintains homeostasis of blood oxygen levels.

Blood Vessels

Types and Structure

Blood vessels form a closed delivery system beginning and ending at the heart.

  • Arteries: Carry blood away from the heart; main artery is the aorta.

  • Capillaries: Sites of exchange between blood and tissues; narrow diameter, leaky epithelium.

  • Veins: Carry blood toward the heart; contain valves to prevent backflow.

Systemic blood vessel types and flow

Major Arteries and Veins

The aorta branches into major arteries (carotid, brachial, thoracic, iliac) supplying various organs and limbs. Major arteries and veins in the human body

Capillary Beds

Capillary beds consist of numerous capillaries branching among cells and tissues, facilitating exchange of nutrients, gases, and wastes. Capillary bed structure

Structure of Blood Vessels

- Arteries and arterioles: Thick walls to withstand high pressure. - Veins and venules: Thinner walls, wider diameters, lower pressure, valves to prevent backflow. - Lumen: Hollow passageway for blood flow. Artery wall structure Vein wall structure

Comparison of Blood Vessels

Type

Direction

Wall Thickness

Pressure

Valves

Arteries

Away from heart

Thick

High

No

Veins

Toward heart

Thin

Low

Yes

Capillaries

Connect arteries to veins

Very thin

Low

No

Vein structure with valves Artery structure with thick walls

Medical Professions Related to Blood

Phlebotomists

Health professionals trained to draw blood for analysis, transfusion, donation, or research.

Medical Laboratory Technologists

Perform complex laboratory tests on blood, tissues, and bodily fluids, providing diagnostic data for physicians.

Example:

Blood tests for communicable diseases, monitoring treatments, and diagnosing disorders. Additional info: The notes above expand on brief lecture points with academic context, definitions, and relevant examples for self-contained study.

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