BIO 132 – Anatomy and Physiology II

LECTURE 11:  HEMATOLOGY

Study Outline

 

11.1.  Functions of Blood:

a.       Blood is actually a specialized form of _______________________________ tissue consisting of cells suspended within a liquid called __________________________________.

b.      The science that studies blood, blood forming tissues, and their disorders is called ______________________________________.

c.       The three primary functions of blood are _____________________________, _____________________________, and _____________________________.

d.      Among the physiological variables that are regulated through processes that take place in blood are ___________________________________________, ____________________________, and ____________________________.

e.       Among the protective functions of blood include protection against __________________________ and ________________________________.

 

11.2.  Composition of Blood:

a.       After spinning a sample of whole blood in a centrifuge, the sample will consist of layers consisting of (starting at the bottom): ____________________________, ____________________________, and __________________________________.

b.      Plasma occupies about ___________________________ of the total volume.

c.       The pH of whole blood varies between pH __________________________ and ________________________.

d.      The typical temperature of whole blood is ___________________________.

e.       The blood volume of a healthy man is _____________________________, whereas that of a healthy woman is _________________________________.

f.        Plasma consists of approximately _________________ water; _____________ proteins; and ____________________ of other solutes.

g.       The term ____________________ proteins describes those proteins which can’t leave the blood stream.  Except for most ________________________, all other plasma proteins are made in the ______________________________.  Many globulins are in reality _________________________ made by cells of the immune system.

h.       The term “formed elements” refers to ______________________________, __________________________, and _____________________________.  Of these, only _____________________________ possess nuclei.

 

11.3.  Erythrocytes: Structure and Function:

a.       The term that describes the relative volume of blood occupied by RBCs is __________________________.

b.      The average hematocrit of a healthy man is _________________________ whereas that of a healthy woman is _______________________________.

c.       The diameter of a RBC is ~ ____________________________, and its shape can be described as a __________________________________________.

d.      To maintain constant RBC numbers, approximately _____________________ are made per second and _________________________ are destroyed per second.

e.       The major intracellular protein of RBCs is ____________________________.

f.        Each hemoglobin molecule consists of ___________________ protein chains, each coupled to a ______________________ group.  At the center of each heme group is an atom of _______________________ which can bind reversibly with ____________________________.

g.       Besides oxygen, hemoglobin can also bind to _______________________.

 

11.4.  Erythrocytes:  Lifecycle:

a.       RBCs live for an average of about _________________________________.

b.      They are formed through the process of _____________________________.  Within this process the cell which becomes committed to RBC formation is called the _____________________________.  The cell which begins protein synthesis is called the ____________________________.

c.       RBCs are formed within _________________________________.  The cell that is eventually released into the blood stream is called a ___________________________________.

d.      RBC formation requires adequate supplies of ________________________ and ____________________________.  It is stimulated by a hormone called ___________________________ made in the kidney in response to ______________________________.  In the male ____________________ stimulates production of this hormone.

e.       RBC destruction takes place mainly in the ____________________________.  The Fe3+ is removed and circulates in blood associated with ____________________________.  The non-iron portion of heme is eventually converted into ______________________ which is used to make bile.  

 

11.5.  Erythrocytes:  Disorders:

a.       Anemia involves a low oxygen carrying capacity and can be due to _________________________, ______________________________, or ______________________________.

b.      In examples of anemia involving a decreased hemoglobin content, these usually result from a ______________________ deficiency or a lack of vitamin B12 due to a lack of __________________________________.

c.       An example of an anemia caused by insufficient RBCs is _________________________________.

d.      Two examples of anemias resulting from abnormal hemoglobin are ________________________ and _____________________________.

e.       By contrast, too many RBCs is a condition known as ____________________________________, which can affect the _________________________ of blood.  These individuals will have an elevated _____________________________.

11.6.  Leukocytes:

a.       The pluripotent stem cell gives rise to two cell lines involving the ____________________________ and ______________________________.

b.      Platelets are derived from cells called _______________________________, and their formation is stimulated by _________________________________.

c.       Lymphocytes derive from ____________________________ stem cells.

d.      White blood cell formation is stimulated by two classes of hormones called _________________________ and _______________________________.

e.       Leukocytes are subdivided into _____________________________ and _____________________________.

f.        Granulocytes consist of ___________________________, ______________________________, and ________________________.

g.       Agranulocytes consist of ________________________________ and _____________________________, of which the latter are further subdivided into ______________________________ and _______________________.

h.       The condition of an abnormally low white count is called ________________________________.

i.         _______________________ are cancers involving elevated white counts.

 

11.7.  Hemostasis:

a.       Hemostasis involves three phases called _____________________________, __________________________, and ________________________________.

b.      Vascular spasm involves _________________________________________.

c.       Platelet plug formation consists of three phases called ____________________________, ____________________________, and _________________________________.

d.      Platelets release _____________________ which makes nearby cells sticky and ______________________________ which activates nearby cells.  In addition _____________________ and ________________________ act as vasoconstrictors.

e.       The fluid that is left after all the clotting factors precipitate from plasma is called _______________________________. 

f.        The first stage of clotting, the formation of prothrombinase involves two pathways called the ____________________ and ______________________ pathway.

g.       In the second stage of clotting, prothombinase and ______________________ convert prothrombin to ______________________________.

h.       In stage 3, soluble fibrinogen is converted into insoluble ____________________________.

i.         Permanent repair of the blood vessel involves recruitment of new cells that form the vessel walls, stimulated by _________________________________.

j.        Clotting factors require vitamin __________________________ which is ________________________ soluble in the gut.

k.      Once a blood vessel has healed, clots are removed by the enzymatic action of _______________________________.

l.         The term __________________________ refers to clotting in an undamaged blood vessel.  These are dangerous because they can travel in blood as an ________________________ and lodge in other vital organs.

m.     Aspirin blocks ______________________ and so helps reduce the risk of clots.  Other anticoagulent drugs are __________________________ and __________________________________.

n.       The term ______________________ refers to a group of inherited diseases involving a congenital lack of clotting factors.

 

11.8.  Blood Groups and Types:

a.       In the ABO blood group system, people with type A blood have ________________________ on their RBCs; type B blood have _______________________; type AB have __________________________ and type O have _________________________.

b.      Because a person only has antibodies to blood antigens that that don’t have, this means that type _________________________ is the universal recipient and type _____________________ is the universal donor.  Similarly type A blood can only receive blood from a donor that is either type ______________ or _______________________; and type B can receive blood from a donor that is either type ________________ or _________________________.

c.       In the Rh system, most people are ______________________, meaning that they possess these antibodies.