Hyperemia is an active process --> resulting from ateriolar dilation
increased blood INFLOW, normal blood outflow
Congestion is a passive process --> resulting from decreased OUTFLOW of venous blood from a tissue
(ex. from a clot), same inflow - Answers Hyperemia vs. Congestion
intima, media, adventitia
inner ----> outer - Answers Three layers of a blood vessel
lymphatic system - Answers fluid return system
regulators that increase activity of smooth muscle surrounding blood vessels - Answers PDGF
thrombin
IFN-gamma
IL-1
endothelin
regulators that decrease activity of smooth muscle surrounding blood vessels - Answers NO
heparin sulfate
TGF
Albumin - Answers what protein plays an important role in keeping fluid in the vasculature
Hemmorrhage - Answers blood leaving the vasculature
Petechiae - Answers pinpoint purple or red spots from small hemorrhages under the skin
Purpura - Answers the appearance of multiple purple discolorations on the skin caused by bleeding
underneath the skin
Ecchymoses - Answers larger blue or purplish patches on the skin (what we commonly call bruises)
Hemostasis - Answers to stop or control bleeding
the body's balance of clotting and bleeding
hemostasis is a balance between the fibrinolytic system and the coagulation cascade - Answers
hemostasis is a balance between the fibrinolytic system and the coagulation cascade
endothelium
platelets
coagulation cascade - Answers three important elements of hemostasis
1) Vasoconstriction
2) Platelet plug (primary hemostasis)
3) Coagulation cascade
4) Stable clot formation (secondary hemostasis)
5) Fibrinolytic system - Answers five steps of hemostasis
damage to the endothelial layer exposes it to the ECM. platelets then are able to go through
adherence
activation
aggregation - Answers damage to the endothelial layer exposes it to the ECM. platelets then are able
to go through
adherence
activation
aggregation
alpha granules
dense bodies
cytoskeleton
integrins - Answers components of platelets
, Platelet adhesion - Answers when the endothelium is damaged, collagen is released from the ECM.
endothelial cells make and secrete vWF normally. if collagen is present, vWF binds to it. platelets have
a receptor for vWF called Gp1b, so platelets can bind to vWF
Platelet activation - Answers when platelets bind vWF, they change shape. they also release chemical
messengers:
Ca++ = for coagulation cascade
ADP = platelet activator
thromboxan (TXA2) = activates platelets, platelet aggregation, vasoconstriction
Platelet aggregation - Answers platelets have a receptor on their membrane called GpII/IIIa.
fibrinogen binds to these receptors and causes platelets to aggregate (forms fibrinogen bridges).
this finishes the platelet plug ("loose thrombus")
intrinsic: hageman factor (factor XII)
extrinsic: tissue factor (factor VII) - Answers two ways coagulation cascade can be activated
to make fibrin - Answers goal of the coagulation cascade?
makes the fibrin clot by turning
fibrinogen ---> fibrin
activate platelets, which reinforces the platelet plug
activates leukocytes - Answers function of thrombin?
secondary hemostasis - Answers the platelet plug is stabilized by thrombin from the coagulation
cascade to form a stable fibrin clot.
thrombin turns the fibrinogen bridges into fibrin
Plasmin degrades fibrin clots
it's part of the fibrinolytic system - Answers TTPA (scereted by the endothelium) cleaves plasminogen
into plasmin. what is the function of plasmin? what system is it a part of?
the endothelium can act as either procoagulation or anticoagulation - Answers the endothelium can
act as either procoagulation or anticoagulation
natural anticoagulants in the body - Answers antithrombins
protein C and S
tissue factor pathway inhibitor (TFPI)
edema - Answers abnormal accumulation of fluid in extravascular spaces (within tissues)
normal net loss of fluid from the vasculature to the tissues is returned via the lymphatic system
this is like a cleaning system because it runs the fluid through immune-cell rich areas - Answers
normal net loss of fluid from the vasculature to the tissues is returned via the lymphatic system
this is like a cleaning system because it runs the fluid through immune-cell rich areas
exudate - Answers edema due to increased vascular permeability (like in inflammation)
has a high protein content
Transudate - Answers edema due to increased hydrostatic pressure or reduced proteins in the
vasculature
1. increased intracapillary pressure
2. decrease in plamsa colloid osmotic pressure (decreased albumin)
3. lymphatic obstruction
4. retention of salt/water - Answers 4 causes of edema