Professional Documents
Culture Documents
The circulatory system is a system that is associated with the transportation of oxygenated and
deoxygenated blood, dissolved substances, digested food substances, gases (carbon dioxide and
oxygen), electrolytes, nitrogenous waste products and hormones in and out of the body system.
The circulatory or cardiovascular system includes the heart as a muscular pumping organ, a
blood vessel which includes arteries, veins, lymph and capillaries. The circulatory system
consists of the pulmonary circulation and systemic circulation.
Pulmonary circulation is the circulation of oxygenated and deoxygenated blood within the heart
and the lungs. While systemic circulation is the circulation of oxygenated blood through the
artery round the systems, organs, tissues of the body for the supply of food substance, oxygen
and removal of nitrogenous waste product from the body by veins.
The cardiovascular system structures are;
Heart
Pulmonary circulation
Systemic circulation
Blood
Blood Vessels; Arteries and Veins.
HEART
The heart is a hollow muscular pumping organ that is situated at the mediasternum of the
thoracic cavity. The heart has an apex and a base, the apex is inferior to the base. The heart is of
the size of the owners fist and it is found at the level of the second rib. The heart is covered by
pericardium which is a sling-like structure, pericardium help to attach the heart with the
surrounding structures in the thoracic cavity.
The coverings of the heart are of three layers of tissues, epicardium as the outer covering,
myocardium the middle middle layer and the most muscularized layer of the heart and
endocardium the inner most layer that is continuous with the blood vessels arteries, veins and the
chambers of the heart.
The heart is divided into two equal halves by septum while the valves further divide the heart
into four chambers, the upper right and left atria and the lower right and left ventricles. The right
atrium and right ventricle are separated by the tricuspid valve while the left atrium and left
ventricle is separated by the bicuspid valve (mitral) the two valves are also called atrioventricular
valves. However, other valves are found within the heart such as the pulmonary valves these
valves help to prevent the damping back of blood from the ventricles into the atrium and from
the pulmonary arteries and veins. Chordae tendineae help to anchor the valves to the ventricular
wall (It is a tough fibrous tissue).
ELECTROCARDIOGRAM (ECG OR EKG)
The cardiac impulses that stimulate the muscles of the muscles of the heart to contract is
called electrical signal. This is measured by placing 12 electrodes on the chest and attached
the electrode to a recording device, hence the recording is called electrocardiogram
thereby making the heart muscles to contract. QRS Complex: this is when the ventricles
depolarized i.e. ventricular depolarization.
T Wave: - Reflect the electrical activity that is concerned with ventricular repolarizationthereby making the inside of the cell to become negative
P-R interval: - this is time it takes the cardiac impulse to travel from the atria to the
ventricles (P wave QRS Complex) i.e. atrial depolarization
ST: - This is the time it takes the cardiac impulse to move travel from the atrial to the
ventricles repolarization of ventricles
PULMONARY CIRCULATION
Pulmonary circulation is the circulation of both deoxygenated and deoxygenated blood within
the heart and the lungs. The heart received deoxygenated blood from the whole body system
through the inferior and superior vena cava into the right atrium when the right atrium is filled up
with deoxygenated blood the tricuspid valve will open and then pour or inject the blood into the
right ventricle the blood in the right ventricle then enters into the lungs through the pulmonary
arteries which is the only artery that carry deoxygenated blood in the body through the opening
of the pulmonary valves. It should be understood at this point that the two atria contract and relax
simustianously or at the same time.
At the lungs there is exchange of gases between the alveoli of the lungs and the lungs tissue
capillaries which then leads to the exchange of oxygen from the high concentrated region to the
lower concentrated region with that of carbon dioxide from higher concentrated area to low
concentrated region thereby making deoxygenated blood to become oxygenated (the mechanism
of gaseous exchange is termed diffusion). The oxygenated blood is then transported by the
pulmonary veins into the left atrium where it is poured into the left ventricle that push the
oxygenated blood into the main aorta or ascending aorta from where the oxygenated blood is
circulated into the whole body system through the branches of the arch of the aorta
Brachiocephalic, right and left Common Carotid and right and left Subclavian arteries and the
decending aorta. At this point where the blood enters into the ascending aorta mark the end
pulmonary circulation and the beginning of systemic circulation
BLOOD
The blood is the fluid connective tissue of the body, the blood is divided into two major
components:
Plasma
Formed Cells
Plasma forms about 55% of the total blood volume and it is the liquid part of the blood that
consists of the following dissolved substances: gases e.g. carbon dioxide, oxygen, Protein
globulin Hormones Electrolytes: Calcium, Potassium, Sodium, Chloride
Formed cells: The formed cells account for about 45% of the total blood volume Red blood cells,
white blood cells and Platelets.
The red blood cells (RBC) contain haemoglobin that helps to transport oxygen round the body.
During packed cell volume (Pcv) procedure it is the volume of the formed cells that determine if
an individual is anemic or not
The (WBC) white blood cells act as the first level of the body defense mechanism that is
providing immunity for the body. The white blood cells consists of the following parts;
Eosinophil, Basophil, Lymph, Leukocytes, Monophil.
PACKED CELL VOLUME ANALYSIS (PCV)
PLASMA 55%
RED
BLOOD FORMATION
STEM CELL
Proerthroblast.
Myloblast.
Lymphoblast.
Monoblast.
Megakaryoblast.
Megakarcyte
Monocyte
Lmphocyte
Platelet (Thrombocyte)
Reticulocyte
Erythrocytes
Progranulocyte:
Basophil
Neutrophil
Eosinophil
BLOOD CLOTTING
A clot is a network of thread-like protein fibers, called fibrin which help to trap blood cells,
(Rbc & Wbc) platelets and fluid. Blood vessels constriction and platelet plugs are not
sufficient to arrest bleeding in the case of major injury to the body system blood vessels. When
blood vessel is severely damaged, blood clothing or coagulation result in the formation of a
clot.
The formation of a blood clot depends on a numerous / numbers of proteins found within the
plasma that is called clotting factors. In normal condition the clotting factors are inactive but
when there is injury the clotting factors are activated to bring or cause clotting of the blood.
Blood clotting is a complex process involving many chemical reactions within the body system
that involves the blood and the circulatory system.
The chemical reaction involved in blotting is in two ways; the contact of inactive clotting
factors with the injured or exposed connective tissues result in the activation of the clotting
factors; chemicals such as thromboplastin, released from the injured or damaged connective
tissues can also cause the activation of the clotting factors.
When the initial clotting factors have been activated they will in turn activate other clotting
factors. During this other reactions enzyme prothrombinase is formed this enzyme will act on
the inactive prothrombin (inactive clotting factor) and then convert it to active thrombin.
Thrombin will then convert fibrinogen (inactive clotting factor) into fibrin which is active
clotting factor which is a threadlike protein.
A each step of clotting process each clotting factor activate many additional clotting factors. A
the end of the activation of the clotting factors large quantity of clotting factors is activated/
formed thereby resulting in the formation of blood clot.
Most clotting factors are manufactured in the liver and many of the require vitamin K for the
synthesis of the clotting factors. Also calcium (Ca+) is required in the process of clot
formation with the chemical release from the platelets.
Low levels of vitamin K+, Ca+ platelets and reduced synthesis of clotting factors due to liver
dysfunction or disease of the liver can bring about reduced clot formation.
In addition, plasma from Type A blood contain anti-B antibodies which act against Type B
antigens; whereas plasma from Type B blood contains anti-A antigens which act against Type A
antigens.
Type AB blood plasma has neither Type of antibody and type O blood plasma has both anti A and
B antibodies.
The ABO blood types are not found in equal numbers. In USA , the white people has the
following distribution,
Type O -------47%,
Type A--------41%
Type B---------9%
Type AB-------3%
African American
Type O---------47%
Type A---------27%
Type B---------20%
Type AB--------7%
Antibodies do not normally develop against an antigen unless the body is exposed to that
antigen. Example a person with type A blood would not have anti-B antibodies unless he or she
receives blood transfusion of type B blood that contains type B antigens.
Individuals with type A blood do have anti-B antibodies, not necessarily that they have received
a blood transfusion of a type B blood, one possible explanation is that type A or B antigen can be
present in the body as a result of bacterial infection or food in the digestive tract which will
further stimulate the formation of antibodies.
Antigen-Antibodies Interaction
The blood type A contains the A antigen (RBC) and anti-B antibodies (plasma). What would
happen if a person had the A antigen on his RBCs and anti-A antibodies in his plasma. The A
antigen and the anti-A antibody would cause a clumping reaction much like the curdling seen
when milk and vinegar are mixed together.
The clumping of the antigen-antibody interaction is called agglutination. Agglutination reaction
causes the RBCs to burst or lyse, a process called hemolysis. If rapid hemolysis were to occur
within the circulation, hemoglobin would be liberated from the RBCs and would eventually clog
the kidneys and possibly cause death.
Prostate gland
EXCRETORY ORGANS:
Kidneys: Help to excrete Drugs. Urea, Water and Electrolytes
Skin: Help to excrete urea, Water and Electrolytes
Intestine: Help to excrete Bile & Feaces
Lungs: Help to excrete Carbon dioxide and water
KIDNEY
The kidneys are two in number the right and left reddish-brown beanlike shaped organ located at
the retro- peritoneal cavity, the right kidney is lower than the left due to the location of the liver.
The kidney is enclosed or covered by tough fibrous capsule, kidney is about 10cm long and
about 5cm wide and about 2.5cm in thickness. The indentation of the bean shaped kidney is
called HILLUS and it is at that point that the nerve, blood vessels and ureter enters and exit the
kidney.
When the kidney is cut longitudinally, three structural regions can be well identified
Renal cortex
Renal medulla
Renal pelvis
The lighter outer region is called the cortex i.e. back/outer layer, while the darker triangular
region is the renal medulla which is located deeper within the kidney. The renal medulla is in
striped cone shaped regions called the renal pyramids in which each pyramid is separated by
renal columns which are extensions of the renal cortex. The calyces help to collect the urine
formed by the nephrons which is the functional unit of the kidney.
BLOOD SUPPLY:
Blood supply to the kidney is from the right and left renal arteries that are branches that arise
from the abdominal aorta. Renal artery delivers a large amount of blood to the kidneys which is
about 20-25% of the total cardiac output, after entry into the kidney, the renal artery makes
contact with the nephrons, which are the urine forming structure of the kidneys, the kidneys are
drained by the renal veins.
FUNCTIONS OF THE KIDNEY
Maintains fluids and electrolyte balance of the body
Helps in excretion of nitrogenous waste product
Maintains the acid base balance of the body
Maintains blood pressure with rennin secretion
Helps to regulate red blood cells through erythropoietin secretion
URETER:
The ureters are two in numbers and that connects the kidneys to the bladder, the ureters originate
from the pelvis of the kidney, and they are 10 -13inches long. The ureter is slender structure that
helps to transport urine to the bladder, by peristaltic movement or rhythmic contraction, if there
is any obstruction of the tube the flow of urine into the urinary bladder will be prevented thereby
causing pain and renal colic due to backup of urine, infection to the kidney can also occur from
the backup of urine.
URINARY BLADDER:
The urinary bladder acts as a temporary storage organ for urine or reservoir of urine; it is below
the peritoneal membrane when emptied and behind the pubis symphysis. When the urinary
bladder is full it rises to the abdomen and it can be palpated at the lower abdomen, the bladder
has four layers of muscles namely:
The outermost layer of the upper part of the bladder is called serosa, the lower part of the bladder
is covered by connective tissues. The bladder is arranged in folds called rugae. Rugae allows the
bladder to stretch or expand as it is filled with urine (200mls). The trigon of the urinary bladder
is in a triangular shape and forms a three point: the entrance of the ureters, the exit point of the
ureters. Trigon is very important in such that it is an area of infection i.e. infection persist at this
point. The exit of the urinary bladder contains sphincter muscles; internal sphincter-involuntary
control, external sphincter- control voluntary. Internal sphincter consist of smooth muscles that
contracts involuntarily to prevent the emptying of the urinary bladder.
URINE FORMATION
Urine is formed in the nephrons which is the functional unit of the kidney. During the formation
of urine, water and dissolved substances move between the vascular and tubular structures of the
kidneys.
Tubular Re-absorption:
Most of the filtrate, approximately 178.5 liters is re-absorbs into the circulation at the proximal
and distal tubules of the kidney, this is the process water and dissolve substances move from the
tubules back into the blood stream. All the re-absorption occurs throughout of the renal tubule,
mainly in the proximal convoluted tubule. The kidney determines the types and quantity of
substances to be re-absorbed, examples Glucose (sugar) are completely re-absorbed to the body.
HORMONAL CONTROL OF WATER AND ELECTROLYTES BY THE KIDNEY
ALDOSTERONE (Homeostasis)
Aldosterone is a hormone secreted by the adrenal cortex of the adrenal gland (supra renal gland).
Aldosterone acts majorly/primarily by reabsorbing sodium and water from the distal renal tubule
of the kidney and the excretion of potassium, thereby resulting in increasing blood volume and
blood pressure. If there is a decrease in aldosterone production it result in low blood volume, low
blood pressure and shock.
Rennin help in the secretion of aldosterone, and rennin is an enzyme secreted by the
juxtaglomerular apparatus in the afferent arterioles of the kidney. Rennin then initiates what is
known as rennin angiotensin aldosterone system/mechanism.
Rennin help to activate angiotensin often secreted by the liver into angiotensin I which circulate
in the blood constantly is an inactive form (not potent).
Angiotensin I is then converted into angiotensin II by angiotensin converting enzyme which is
highly potent/active. Angiotensin II then help to stimulate the adrenal cortex of the adrenal gland
to release aldosterone which is the chief mineralocorticoid that help in the re-absorption of
sodium (Na) and water of the distal tubule and favor the excretion of potassium.
Angiotensin II is a vasopressor which cause vasoconstriction thereby causing elevated or
increase in blood pressure one can then say that rennin angiostensin aldosterone system help in
the regulation of blood volume and blood pressure.
Clinically, blood pressure can be controlled by drugs like angiotensin converting enzyme
inhibitors (ACEI) by blocking the convention of angiotensin I to angiotensin II, example of such
drug is Enalapril.
ANTIDIURETIC HORMONE (ADH)/ Vasopresin
ADH is another hormone that helps in the reabsorption of water in the body by helping to
concentrate urine. ADH is secreted by the hypothalamus and stored in the posterior pituitary
gland pending its release for use; the posterior pituitary is also called neurohypophysis (i.e. under
the control of the nervous system).
ADH work primarily on the collecting ducts by determining the permeability of water, with the
presence of ADH the collecting duct become permeable to water hence water is reabsorbed from
the collecting duct into the peritubular capillaries. This then means that ADH help to decrease the
excretion of urine but favors the excretion of concentrated urine (ADH helps to concentrate
urine). The absence of Antidiuretic hormone (ADH) leads to an increase in urine production due
to the inability of the kidney collecting duct to reabsorb water which result in the production of
diluted urine. ADH plays a vital role in determining blood volume and blood pressure, excessive
ADH increase blood volume while deficiency of ADH decreases blood volume. The stimulus for
ADH release is due to increased solute concentration in blood plasma and decrease blood
volume.
Types
MECHANICAL (PHYSICAL)
Chew
Tear
Grind
Mash
Mix
Catabolic reactions
Enzymatic hydrolysis
CHEMICAL
Carbohydrate
Protein
Lipid
Ingestion
Movement
Digestion
Absorption
Further digestion
PHASES:
Gastrointestinal (Gl) tract (Alimentary canal) Tube within a tube Direct link/path between
organs
STRUCTURES:
Mouth
Oral Cavity
Pharynx
Esophagus
Stomach
Duedenum
Jejenum
kIleum
Cecum
Ascending colon
transverse colon
DESCENDING COLON:
Sigmoid colon
Rectum
Anus
Accessory structures
Organs
Teeth
Tongue
Salivary glands
Liver
Gall bladder
Pancreas
PERMANENT TEETH:
SALIVARY GLAND:
DEGLUTITION/SWALLOWING:
Sequence
Voluntary stage
Push food to back of mouth
Pharyngeal stage
Raise
Soft palate
Larynx and hyoid
TONGUE TO SOFT PALATE
Esophageal stage
Open esophagus
Start peristalsis
Nerves
Glossopharyngeal
Vagus
Accessory
Brain stem
Deglutition center
Medulla oblongata
Pons
Disorders
Dysphagia
Aphagia
CONTROL:
EOSOPHAGUS:
Sphincters
Upper
Lower
Achalasia
Atresia
Hernia
Barrets esophagus
Esophageal varices
Abnormalities:
STOMACH:
Usually J shaped
Mucous membrane
Pepsin
Gastric lipase
Circular
Longitudinal
Regions
Cardiac sphincter
Fundus
Antrum (pylorus)
Pyloric sphincter
Vascular
Functions:
Reservoir/Storage of food
Protein
Nucleic acids
Fats
Absorbs
Alcohol
Water
Lipophilic acid
B 12
SMALL INTESTINE:
Regions
Duodenum
Jejenum
Ileum
Movements
Segmentation
Peristalsis
Microvilli
Lacteals
Plica circularis
Smooth muscle
Lymphatic tissue
Vascular
Histology
Saccharidases
Lipase
Nucleases
Small intestine
LARGE INTESTINE:
Regions
Cecum Appendix
Colon
Ascending
Transverse
Descending
Rectum
Anal canal
Histology:
No villi
Smooth muscle
Taeniae coli
Haustra
Epiploic appendages
Feces composition
Water
Inorganic salts
Epithelial cells
Bacteria
Byproducts of digestion
Defecation
Parasympathetic
Voluntary
Control
LIVER
Location:
Right Hypochondrium
Epigastric region
4 Lobes
Left
Right
Quadrate
Caudate
Each lobe has lobules Contains hepatocytes Surround sinusoids Feed into
central vein
Functions:
Makes bile
Detergent emulsifies fats
Release promoted by:
Vagus nerve
Cholecyctokinase (CCK)
Secretin
Contains
Water
Bile salts
Bile pigments
Electrolytes
Cholesterol
Lecithin
Liver Detoxifies/Removes:
Drugs
Alcohol
Stores
Gycolgen
Vitamins (A D E K)
Fe and other minerals
Cholesterol
Activates vitamin D
Phagocytosis
Carbohydrates
Proteins
Lipids:
Hepatic artery/vein
Biliary System:
REPRODUCYIVE SYSTEM
Sac of loose skin, fascia & smooth muscle divided into two pouches by a septum
Temperature regulation of testes
Introduction:
Fertilization produces one cell (a zygote)with one set of chromosomes from each
parent
Reproductive systems
Scrotum
Sac of loose skin, fascia & smooth muscle divided into two pouches by a septum
Sperm survival requires 2-3 degrees lower temperature than core body
temperature
Muscle in scrotum
Testes:
Scrotum
Spermatogenesis
Sperm forming cells go through two meiotic divisions. Each of four spermatids develop into a
sperm.
Second meiosis division give four spermatids,each with 23 single stranded chromosomes
First meiosis division give two secondary spermatocytes, each with 23 chromosomes that
become double stranded.
Primary spermatocyte with 2n=46 chromosomes
Spermatogonium with 2n=46 chromosomes multiply by mitosis.
Sperm Morphology
Adapted for reaching and fertilizing the egg
Head contains DNA and the acrosome with enzymes for penetrating the egg
Head contains DNA and the acrosome with enzymes for penetrating the egg
Midpiece contains mitochondria to form ATP for energy
Male Glands:
Semen
Erection:
Sexual stimulation
Blood enters the penis compressing the veins so that the blood is trapped
Erection
Emission
Fluids propelled through ductus deferens, seminal vesicles, & ejaculatory ducts
into bulb of penis
Ejaculation
Spermatogenesis
The Ovary:
Histology:
Capsule of dense CT
Cortex just deep to capsule contains follicles with egg cells (ocytes)
Ovarian Follicles
Ovarian Follicles:
Ovarian Follicles
Primordial follicle
Primary follicle
Ovarian Follicles
Secondary follicle
Graafian follicle
Ovulation
Corpus Luteum:
Corpus albicans is a white scar tissue left after the corpus luteum dies.
Germ cells from yolk sac migrate to ovary and become potential egg cells called ogonia
In fetus, millions of ogonia produced by mitosis but most of them degenerate (atresia)
Some develop into immature egg cells called primary ocytes during fetal development
40,000 remain at puberty but only 400 mature during a womans reproductive life
Each month about 20 primary ocytes become secondary ocytes but usually only one
survives to be ovulated from Graffian follicle
Ogenesis
Site of menstruation
& development of fetus
Description
Endometrium
Functional layer
Basal layer
Myometrium
Perimetrium
--Visceral peritoneum
FEMALE REPRODUCTIVE
Description
Mammary Glands:
Oxytocin causes smooth muscles around alveoli to contract and squeeze milk into
lactiferous ducts, lactiferous sinuses and into the nipple
Oxytocin causes smooth muscles around alveoli to contract and squeeze milk into
lactiferous ducts, lactiferous sinuses and into the nipple
Changes in ovary during and after maturation of the follicle and oocyte
If implantation does not occur, the functional layer of endometrium is shed during
menstruation
FSH & LH target the ovaries and drive the ovarian cycle (monthly changes in the ovary)
Estrogens and progesterone from the ovaries drive the uterine cycle (monthly changes in
the uterus)
Follicular Phase
Ovulation
Proliferative phase:
Rising estrogen levels from the growing follicle stimulates growth of the
functional layer of endometrium to 4-10 mm thickness
Secretory phase
Progesterone stimulates
After about two weeks corpus luteum atrophies to corpus albicans (white body)
Functional layer of endometrium discharged into first five days of next cycle
Negative Feedback
MENSTRUAL CYCLE
The Ovary:
Pair of organs, size of unshelled almonds in upper pelvic re
Histology:
Capsule of dense Connective tissue
Cortex just deep to capsule contains follicles with egg cells (ocytes) Medulla is
middle region composed of connective tissue, blood vessels &lymphatics
Germinal epithelium is peritoneal membrane covering the ovary