Exam 1 Focus A&P 2

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1
Prolactin (PRL)
controlled by prolactin inhibiting hormone (PIH), dopamine, PIH prevents PRL until needed, decrease of PIH leads to lactation, breast swelling/tenderness during cycle due to increase of esterogen & PRL
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Hormonal Stimuli
release of a hormone in response to another hormone
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Humoral Stimuli
control of hormone release in response to changes in extracellular fluid (blood or ion concentration in blood)
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Example of Humoral Stimuli
glucuse amount in the blood stimulates the pancreas to release insulin
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Example of Hormonal Stimuli
Tropic Cells send a messaage to cells which act on the origional target, one needed for the rest
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Neural Stimuli
directly stimulates endocrine glands to release hormones
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Example of Neural Stimuli
short-term stress response
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Down Regulation
presence of a hormone triggers decrease in number of homone receptors, when levels of a particular hormone are high, cells become less senstive to it
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Up Regulation
absence of a hormone triggers increase in number of hormone receptors, when levels of a particular hormone are low, cells become more sensitive to it
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Oxytocin
'feel good hormone', stimuli for release, infants sucklings & uterine stretching, acts a neurotransmitter in brain via PIP2-Calcium second messenger system, has 2 positive feedback mechanisms: contraction of myometrium during labor & milk generation in breasts (let down reflex)
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Antidiuretic Hormone (ADH)
kidney tubule cells reabsorb water from flowing urine back into blood, released due to pain, low B/P & drugs, also called vasopressin
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Gonadotropins
triggered by gonadotropin-releasing hormone (GnRH) during & after puberty, 2 types
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Follicle-Stimulating Hormone (FSH)
production of gametes
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Lutenizing Hormone (LH)
in females, mature follicles of eggs, ovulation, esterogen, & progresterone, in males testosterone production
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Anteiror Pituitary & Hormones
75% of glands, does not directly regualte the bodys processes, other endocrine glands are their targets
hormones: gonadotropins, ACTH, PRL, GH, TSH
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Antagonistic Effects
opposing hormones
insulin & glucagon
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Synergistic Effects
Additive, working together
epilglucagon
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Permissive Effects
one hormone is necessary for another to produce its effect
tropic hormones
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Lipid Based Hormones
steriod based-- long lasting, bound to transporters, arachnidoic acid deratives such as eicosanoids (leukotrienes) & prostaglandins (thromboxanes)
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Amino Acid Derivatives
small molecules structurally related to amino acid, monomer of protein
dopamine, serotonin, melatonin, TH, catecholamines
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Thyroid-Stimulating Hormone (TSH)
triggered by thryotropin releasing hormone (TRH) triggered by thyroid hromone (TH) & growth hormone inhibiting hormone (GHIH), maintains the development of the thyroid & secretion of T3 to T4 from thryoird, produced by hypothalamus
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Peptide Hormones
some synthesized as prohormones, range froma few amino acids to 100s of amino acids, protein
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Adrenocorticotopin (ACTH)
triggered by corticotropin releasing hormone (CRH), ACTH stimulates adrenal cortex, stress response, fever & hypoglycemia, comes from hypothalamus
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Posterior Pituitary & Hormones
25% of gland
stires & releases ADH & Oxytocin
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Growth Hormone (GH)
growth hormone releasing hormone (GHRH) triggered by low blood growth hormone and glucose, an increase of amino acid levels and ghrelin (hunger hormone), GHIH inhibits GH release via increase GH levels, important for muscles, bones & cartilage
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Platelets (WBC, Leukocyte)
needed for normal blood clotting, initiate clotting cascade by clinging to broken area, control blood loss from broken blood vessels
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Monocytes (WBC, Leukocyte)
4%-8% of WBC, active phagocytes that become macrophages in tissues, long term "clean up" team, increase during chronic infections
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Lymphocytes (WBC, Leukocyte)
20-45% of WBC, part of immune system
- B Lymphocytes: produce antiboides
- T Lymphocytes: involved in graft rejection fighting tumurs, viruses, & activating B lymphocytes
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Basophils (WBC, Leukocyte)
0-1% of WBC, granules contain histamine which is discharged at sites of inflammation
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Eosinophils (WBC, Leukocyte)
1-4% of WBC, red, kill parasitic worms, increase during allergy attacks, might activate inflammatory chemicals
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Neutrophils (WBC, Leukocyte)
40-70% of WBC, active phagocytes, number increases rapidly during short term or acute infections
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Erythrocytes (RBCs)
lack nuclei and mitochondria, transport oxygen, contains hemoglobin (red)
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Semilunar Valves
- Pulmonary Semilunar Valve: between right ventricle & pulmonary trunk
- Aortic Semilunar Valve: between left ventricle & aorta
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Heart Vales (2 Types)
- ensure unidirectional blood flow through heart, open & close in response to pressure changes, no valves between major veins & atria b/c incoming blood prevents back flow & heart contractions
1) Atrioventricular Valves: between atria & ventricles
2) Semilunar Valves: between ventricles & major arteries to prevent backflow, open & close based on pressure changes
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Pathway of Blood Through Heart
equal volumes of blood pumped to pulonary & systemic cicuits, pulmonary circuit is short, low pressure circulation, left ventricle is 3x thicker & pumps with greater pressure
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Base
posterior surface, leans to right shoulderq
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Apex
points to left hip
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Apical Impulse
below left nipple, between 5th & 6th rib
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Blood Flow To & Out of Heart (Left Side)
- Oxygenated Blood from 4 Pulmonary Veins
- Left Atrium
- Mitral Valve
- Left Ventricle
- Aortic Semilunar Valve
- Aorta
- Systemic Circulation
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Blood Flow To & Out of Heart (Right Side)
- Deoxygenated Blood from Superior/Inferior Vena Cava & Coronary Sinus
- Right Atrium
- Tricuspid Valve
- Right Ventricle
- Pulmonary Semilunar Valve
- Pulomary Trunk
- Pulmonary Arteries
- Lungs
- Picks up O2 in Pulmonary Circuit
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Cardiac Skeleton (Myocardium)
providing structure & support, crisscrossed interlacing of CT, limits spread of action potential to specific paths
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Layers of Heart
1) Epicardium: visceral layer of serous membrane
2) Myocardium: circular/spiral bundles of contractile cardiac muscle cells, contracts cardiac muscle bundles, bulk of heart
3) Endocardium: innermost layer, continous with endothelial lining of blood vessls, lines heart chambers & covers cardiac skeleton of valves
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Anemia
lack of healthy RBCs for adequate oxygen in tissues
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Aplastic Anemia
bone marrow damaged, toxic chemcials, radiation
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Hemolytic Anemia
RBCs destroyed, toxic chemicals
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Iron Deficiency Anemia
hemoglobin deficient & lack of iron
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Sickle Cell Anemia
abnormal shape of RBCs, defective gene, affects RBC travel
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Pernicious Anemia
excess immature RBCs, inability to absorb B12, can cause brain damage
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Thalassemia
hemoglobin deficient, RBCs short lived, defective gene
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Leukemia
bone marrow occupied with leukocytes, immature nonfunctional WBCs in blood stream, death caused by internal hemhorrage & infections, treatment includes irradiation, antileukemic drugs, & stem cell transplants
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Embolism
thrombus that breaks away & flows freely in blood stream, clogged vessel in critical area (brain)
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Polycythaemia
high concentration of RBC concentration in blood, blood is less thick & less able to travel through organs & blood vessels
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Thrombocytopenia
platelet deficieny, normal movements cause bleeding from small blood vessels that require platelets for clotting
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Blood Typing
sample with antibodies mixed with A & B blood, if blood cells stick, blood reacted with antibodies
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Erythrocyte
RBC production in bone marrow, stimulated from erythropoietin by liver & kidney due to low blood O2, live for about 120 days, destroyed in spleen & liver by macrophages (WBC_ hemloglbin is broken down & iron to bone marrow, too few RBCs leads to tissue hypoxia, balance of RBC production/destruction is dependent on hormones, iron, amino acids & B vitamins
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Rh Dangers During Pregnancy
if mom is Rh- and did is Rh+ but baby is Rh+, causes moms immune system to attacj the babys Rh+ blood (2nd pregnancy)
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Blood Donation
A+ = A+, A=, O-, O+
A- = A- & O-
B+ = B+, N-, O-, O+
AB+ = anyone
O- = O- only
O+ = O-, O+
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Blood Clotting
clots within 3 to 6 minutes, clot remains as endothelium (part of blood vessel) regenerates, clot broken down by fibrinolysis
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Stopping Bleeding (Hemostasis)
1) Platelet Plug Formation: collagen fibers exposed by break in blood vessel, platelets become sticky (thrombopoietin), and anchored platelets release chemicals, platelet plug from piled up platelets
2) Vascular Spasms: serotonin released (b/c platelets), serotonin casues blood vessel muscles to spasm, spasms narrows blood vessels and lowers blood loss
3) Coagulation: thromboplastin is released, interacts with PF3 & calcium ions begin clotting cascade, turns to thrombin & joins fibrogen
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Hemoglobin (Structure, O2 in Lungs, O2 Unloading & CO2 Loading)
Structure: 2 alpha & 2 beta chains (protein globin), heme pigment bonded to each globin chain, unique shape but important
O2 Loading in Lungs: oxyhemoglobin (ruby red)
O2 Unloading in Tissues: deoxyhemoglobin
CO2 Loading in Tissues: carbaminohemoglobin (carries 20% of CO2 in blood)
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Alpha & Beta Globulins (plasma protein)
originate in liver, transports lipids & fat soluble vitamins
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Gamma Globulins
originate in lymphatic tissue, constitue antibodies of immunity
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Fibrogen (plasma protein)
4%, originate in liver, key role in blood coagulation
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Albumins (plasma protein)
60%, help maintain osmotic pressure in blood, holds water in capillaries with colloid pressure
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Volume of Blood
varies with size, fluid concentration, electrolyte concentration & adipose tissue
about *% of body weight
5-6 Liters in Males
4-5 Liters in Females
pH = 7.35 to 7.45, slightly basic
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