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Skeletal System
Three Functions of the Skeletal System:
• Support: The internal framework that anchors the soft organs. The legs are like pillars
when we stand and the ribcage supports the thoracic wall.
• Protection: Bones protect the soft organs. The cranium protects the brain, the vertebrae
protect the spinal cord, and the rib cage protects the thoracic organs.
• Movement: Skeletal muscles are connected to the bones. The bones are levers for the
body to move by the use of the muscles.
• Storage: Fat is stored inside the cavities of bones. Calcium and Phosphorus are stored in
bone itself. Hormones control the movement of calcium to and from the blood and bones.
It depends on calcium levels in the blood.
• Blood Cell Formation: Blood cell formation, also known as hematopoiesis, occurs in the
marrow of some bones.
Fractures:
Explain how homeostasis is maintained over blood calcium levels by the action of
osteoblasts and osteoclasts.
• When there aren’t enough calcium ions in the blood, parathyroid hormone is released. The
PTH activates the osteoclasts to break down bone matrix and release calcium into the
blood. When there are too many calcium ions in the blood, hypercalcemia, the excess
calcium is deposited into bone matrix. The osteoblasts are the bone-forming cells that do
this by laying down matrix where needed.
Microscopic Bone:
Joints:
• Synarthrotic: immovable joints. Ex: the sutures of the skull.
• Diarthrotic: freely movable joints. Ex: the uniaxial elbow joint between the
humerus, radius, and ulna.
• Amphiarthrotic: slightly movable joints. Ex: pubic symphisis and intervertebral
joints.
Blood:
Blood Cells
Formed Elements and Plasma:
• Formed Elements: Living blood cells including the red and white blood cells.
• Plasma: Nonliving fluid matrix that is 90% water. Nutrients, salts, gases, hormones,
plasma proteins, wastes, and products are all in plasma.
Stages of Homeostasis:
• Hemostasis is the stoppage of blood when a blood vessel wall breaks, as in a cut. Blood
clots in 3 to 6 minutes.
• Stages of Hemostasis
1. Platelet plug forms. Platelets become “sticky” and get attached to the collagen
that’s exposed when a vessel breaks. The platelets stuck there release chemicals that
attract more platelets to the site so a small mass of platelets forms. This mass is
called a platelet plug, or white thrombus.
2. Vascular spasms occur. The plates that are anchored release serotonin which
makes the vessel have spasms. The blood vessel narrows so blood loss decreases until
it clots.
3. Coagulation events occur.
1. The injured tissues are releasing tissue factor (tf).
2. PF3 covers the platelet surfaces and interacts with the TF, vitamin K, other
proteins, and calciums. The interaction forms an activator that triggers the
clotting cascade.
3. The prothrombin activator converts prothrombin, present in the plasma, to
thrombin.
4. Thrombin joins fibrinogen proteins into the fibrin meshwork that traps red
blood cells and forms the basis of the clot. The plasma, called serum, is
squeezed from the mass and the ruptured edges of the blood vessel pull
together.
Disorders:
• iron deficiency anemia
• pernicious anemia
• sickle cell anemia
• aplastic anemia
• Leukemia: bone marrow becomes cancerous and huge amounts of white blood cells are
produced. The new white blood cells are immature and incapable of carrying out their
normal protective functions so they crowd out the healthy white blood cells from doing
their job so the body becomes susceptible for disease-causing bacteria and viruses.
• Leukopenia: abnormally low white blood cell count. Commonly caused by use of
certain drugs such as corticosteroids and anticancer agents.
• Leukocytosis: A total white blood cell count above 11,000 cells/mm. Generally
indicates a bacterial or viral infection in the body.
• Polycythemia: An excessive/abnormal increase in the number of erythrocytes present
in blood. May result from bone marrow cancer. May also result from living in a high
altitude. The problem is the blood is more viscous so it flows sluggishly and impairs
circulation.
• Fetal Hemolytic Disease: Rh negative woman with an Rh positive baby. The
agglutinins will cross through the placenta and destroy the baby’s red blood cells. The
baby becomes anemic and becomes hypoxic and cyanotic. Brain damage and even
death may result unless transfusions are done for the baby.
• Hemophilia: hereditary bleeding disorders resulting from a lack of any of the clotting
factors. Prolonged bleeding that can be life-threatening. Bleeding into joints can be
painful and cause the joints to become disabled. They’re given transfusions of the
clotting factor they’re missing so the blood can clot.
• Thrombus: clot that develops and persists in an unbroken blood vessel. May prevent
blood flow. A coronary thrombosis can result in a heart attack.
• Embolus: a thrombus that breaks away from the vessel wall and floats freely in the
bloodstream. Becomes a problem when it gets lodged in a narrow blood vessel.
The Heart
Pathway of Blood through the Heart:
Electrocardiography: A graph of
electrical activity in the heart
- P wave-atrial depolarization.
Contraction of the atria
- QRS complex-ventricular SA Node: Also known as the heart’s
depolarization natural pacemaker, heart begins with a
• Q: Single leaving the bundle branches to the signal from SA node. When the atrium
Purkinje fibers is filled with blood the signal goes to
• R: Contraction of left ventricle the…
• S: Contraction of right ventricle
AVare
- T wave-ventricular repolarization . Heart ventricles Node: Signal that slows the nodes
relaxing after contractions. for an instant that allows ventricles to
fill with blood. Signal goes to bundle
Disorders from Abnormal ECG waves: branches and spreads all the way to
• the RPurkinje
Enlarged wave - fibers to restart
Enlarged the cycle
ventricles
Pulmonary again
Hypertension
• SA Node
Enlarged P wave -AV Node atria
Enlarged AV Bundle
• Bundle Branches Purkinje
Flat T wave - Inadequate oxygen Fibers
Cardiovascular System
Arteries: Blood is propelled here and then leaves the heart.
• Carry oxygen away from the
heart
• Carry oxygenated blood
• Branch into arterioles
• Muscular and elastic
• Expand and contract with the
pulse
• Walls are usually thicker than
veins
• Pumped by the heart
Capillaries: Directly serve the needs of the body cells. Beds in tissues.
• Once cell thick – Just tunica intima
• Exchanges are easily made between the blood and the tissue cells
• Capillary beds are interweaving networks of capillaries (Arterioles, Capillaries, and
Venules)
Vascular Shunt: Vessel that directly connects the arteriole and the venule at
opposite ends of the bed
True Capillaries: The exchange vessels of gas and nutrients
Terminal Arteriole empties into the postcapillary veins
Precapillary Sphincter: Cuff of smooth muscle fibers. Acts as a valve to
regulate the flow of blood into the capillary.
Arteries Veins
of Willis:
•The brain is supplied with two pairs of
arteries, the internal carotid arteries and
the vertebral arteries. The internal carotid
arteries are branches of the common carotid
arteries that run through the neck and enter
the skull through the temporal bone. Once
inside the cranium, each divides into the
anterior and middle cerebral arteries, which supply most of the cerebellum.
• The vertebral arteries pass upward from the subclavian arteries at the base of the
neck. Within the skull, the vertebral arteries join to form the single basilar artery, which
serves the brain stem and cerebellum as it travels upward. At the base of the cerebellum
the basilar artery divides to form the posterior cerebral arteries, which supply the
posterior part of the cerebellum.
• Circle of Willis: The united anterior and posterior blood supplies of the brain that
are united. Surrounds the base of the brain and protects it by providing more than one
route for blood to reach the brain tissue in
case of a clot or impaired blood flow.
Hepatic Portal Circulation: Veins that drain the
digestive organs, spleen, and pancreas and deliver this
blood to the liver through the hepatic portal vein. Makes
sure the liver processes the substances involved in
digestion before they enter the systemic circulation. Is
able to take some of the nutrients to be stored and
processed for later use. In hepatic portal circulation
veins feed the liver circulation.
• Process: Inferior Mesenteric Vein Splenic Vein
Superior Mesenteric Vein Left Gastric Vein
Stomach Hepatic Portal Vein
Fetal Circulation:
• All nutrients, excretory, and gas exchanges occur through the placenta. Nutrients and
oxygen move from the mother’s blood into the fetal
blood, and fetal wastes move in the opposite
direction.
• Umbilical cord contains three blood vessels:
Umbilical vein and two smaller umbilical
arteries. Umbilical vein carries blood rich in
nutrients and oxygen to the fetus. The umbilical
arteries carry carbon dioxide and debris-laden
blood from the fetus to the placenta.
• As blood flows to heart most of it bypasses the
immature liver through the ductus venosus and
enters the inferior vena cava, which carries the
blood to the right atrium of the heart. Some blood
entering the right atrium is shunted into the left
atrium through the foramen ovale (closes after
birth).
• Blood that does not manage to enter the right
ventricle is pumped out of the pulmonary trunk
where it meets the ductus arteriosus, a short
vessel that connects the aorta and the pulmonary trunk together. Blood tends to enter
systemic circulation here.
Enzyme:
Metabolism: All chemical reactions that are necessary to sustain life. Includes:
• Anabolism: Larger molecules are built from smaller ones
• Catabolism: Substances are broken down into simpler substances. Energy is released
here
• Fat
s:
Temperature Regulation: Most energy is released as foods are oxidized and most energy
escapes as heat.
• Has a narrow range of homeostatic temperature:
Must remain between 35.6 to 37.8 C
The body’s thermostat is located in the hypothalamus
Initiates heat-loss or heat-promoting mechanisms
• Heat Promoting Mechanisms:
Vasoconstriction: Blood is rerouted to deeper, more vital body organs
Shivering: Contraction of muscles produces heat
• Heat Loss Mechanisms: Heat loss from the skin via radiation and evaporation
Skin blood vessels and capillaries are flushed with warm blood
Evaporation of perspiration cools the skin