Hematopoietic System and Blood Functions

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Questions and Answers

Which component of the hematopoietic system is primarily responsible for producing antibodies?

  • Bone marrow
  • Platelets
  • Red blood cells
  • Plasma cells (correct)

What is the primary function of erythrocytes in the hematopoietic system?

  • Regulate body temperature
  • Transport oxygen (correct)
  • Clotting blood
  • Transport waste products

How does blood viscosity affect arterial blood pressure?

  • Higher viscosity decreases blood pressure
  • Lower viscosity prevents normal blood flow
  • Higher viscosity can lead to hypertension (correct)
  • Viscosity has no impact on blood pressure

Which of the following is NOT a function of blood?

<p>Store oxygen (A)</p> Signup and view all the answers

What is the typical range of blood volume in a healthy adult male weighing 70 kg?

<p>5-6 L (A)</p> Signup and view all the answers

Which plasma protein is primarily responsible for maintaining oncotic pressure in blood?

<p>Albumin (D)</p> Signup and view all the answers

What condition is characterized by decreased blood viscosity?

<p>Anemia (C)</p> Signup and view all the answers

What is the pH range of arterial blood under normal conditions?

<p>7.40 ± 0.02 (C)</p> Signup and view all the answers

What is the primary role of hemoglobin in red blood cells?

<p>To bind and transport oxygen (B)</p> Signup and view all the answers

What is the typical lifespan of human red blood cells in circulation?

<p>100 to 120 days (A)</p> Signup and view all the answers

What factor contributes to blood viscosity?

<p>Concentration of plasma proteins (D)</p> Signup and view all the answers

Which plasma protein is primarily involved in blood coagulation?

<p>Prothrombin (A)</p> Signup and view all the answers

What is the standard concentration of hemoglobin in 100 ml of blood for adult females?

<p>14 g (C)</p> Signup and view all the answers

Which of the following describes the shape of red blood cells?

<p>Biconcave and flexible (B)</p> Signup and view all the answers

Which of the following tissues is mainly responsible for the removal of aged red blood cells?

<p>Spleen (D)</p> Signup and view all the answers

In terms of red blood cell count, which of the following values is typical for adult males?

<p>5.2 million/cubic milliliter (C)</p> Signup and view all the answers

What is the primary cause of vitamin B12 deficiency anemia in adults?

<p>Pernicious anemia resulting from malabsorption (B)</p> Signup and view all the answers

Which condition is least likely to lead to malabsorption of vitamin B12?

<p>Prolonged use of antibiotics (C)</p> Signup and view all the answers

What characteristic blood finding is associated with vitamin B12 deficiency?

<p>High mean corpuscular volume (C)</p> Signup and view all the answers

Which component is essential for the absorption of vitamin B12 in the small intestine?

<p>Intrinsic factor (B)</p> Signup and view all the answers

Which of the following is NOT a clinical feature of vitamin B12 deficiency?

<p>Leukocytosis (C)</p> Signup and view all the answers

What is the primary function of erythropoietin in erythropoiesis?

<p>To promote the maturation of proerythoblasts from stem cells (C)</p> Signup and view all the answers

Which of the following is a significant factor affecting erythropoiesis?

<p>Nutritional deficiencies (A)</p> Signup and view all the answers

Which vitamins are crucial for nuclear maturation and cell division of red cell precursors?

<p>Vitamin B12 and folic acid (A)</p> Signup and view all the answers

What happens to the level of erythropoietin production when oxygen transport to tissues rises above normal?

<p>It decreases due to negative feedback (D)</p> Signup and view all the answers

Which component of hemoglobin is primarily derived from iron?

<p>Heme fraction (D)</p> Signup and view all the answers

Which organ produces the majority of erythropoietin?

<p>Kidney (A)</p> Signup and view all the answers

What occurs to red blood cells after approximately 120 days?

<p>They undergo apoptosis (D)</p> Signup and view all the answers

Which of the following hormones is NOT specifically involved in stimulating erythropoiesis?

<p>Insulin (C)</p> Signup and view all the answers

What is a primary role of the liver in relation to red blood cells?

<p>It manufactures globin. (C)</p> Signup and view all the answers

What is a common symptom associated with iron deficiency anemia?

<p>Spoon-shaped nails. (C)</p> Signup and view all the answers

What can cause aplastic anemia?

<p>Bone marrow destruction. (C)</p> Signup and view all the answers

What type of anemia is characterized by jaundice as a specific sign?

<p>Hemolytic anemia. (C)</p> Signup and view all the answers

Which of the following is least likely to contribute to iron deficiency?

<p>Regular iron supplementation. (D)</p> Signup and view all the answers

Which condition is associated with angular stomatitis as a symptom?

<p>Iron deficiency anemia. (D)</p> Signup and view all the answers

What mechanism leads to anemia caused by a decrease in the concentration of hemoglobin per RBC?

<p>Nutritional defects. (C)</p> Signup and view all the answers

What is one potential cause of increased iron requirements during a specific life stage?

<p>Pregnancy and lactation. (B)</p> Signup and view all the answers

Flashcards

Hematopoietic System

A system responsible for producing blood cells, including leukocytes, erythrocytes, and thrombocytes, primarily within the bone marrow.

Blood Function: Respiratory

Blood carries oxygen from the lungs to tissues and carbon dioxide from tissues to lungs.

Blood Function: Nutrition

Blood transports nutrients absorbed from the digestive system to the body's tissues.

Blood Function: Excretory

Blood carries waste products, like urea and uric acid, to the kidneys for excretion.

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Blood Function: Protective

Blood contains white blood cells, antibodies, and antitoxins that defend the body against infection and injury.

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Blood Function: Regulatory

Blood helps regulate body temperature, pH, and water balance.

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Blood Volume

The typical human blood volume is approximately 5-6 liters in a 70 kg individual.

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Blood Plasma

The liquid component of blood, which is about 55% of total blood volume.

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Blood Plasma Composition

Plasma is primarily water (90%), with inorganic constituents (1%), and organic constituents (9%). Organic constituents include plasma proteins (7%), nutrients and waste products (2%).

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Plasma Proteins

Plasma proteins are crucial for various functions, including blood clotting and maintaining osmotic pressure. A major fraction are produced by the liver.

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Blood pH

Normal blood pH ranges from 7.38-7.40 in both arterial and venous blood.

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Blood Viscosity

Blood viscosity is roughly 5 times greater than water, due to the presence of blood cells (primarily red blood cells) and plasma proteins.

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Erythrocytes Function

Red blood cells transport oxygen to body tissues and remove carbon dioxide.

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Hemoglobin

Iron-containing protein in red blood cells that binds oxygen.

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RBC Shape

Biconcave discs for maximum surface area for oxygen.

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RBC Lifespan

About 120 days in healthy individuals.

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Erythropoiesis

Process of RBC production.

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RBC Removal

Removed from circulation by macrophages in spleen, liver, and lymph nodes.

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Plasma Protein Functions

Plasma proteins help with blood clotting, immunity, transport, blood volume, buffering, and blood pressure.

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Blood Viscosity

Blood's thickness due to RBCs and plasma proteins.

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Blood PH

RBC plays roles to maintain/keep PH in blood.

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Vitamin B12 Malabsorption Causes

Conditions like autoimmune gastritis, stomach removal, pancreatitis, and certain medications (especially long-term proton pump inhibitors) can hinder vitamin B12 absorption.

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Inadequate Dietary Intake

A lack of vitamin B12 in the diet, such as in vegetarians or malnourished individuals, can lead to deficiency.

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Pernicious Anemia

A common cause of vitamin B12 deficiency anemia, stemming from the body's inability to produce or use intrinsic factor (IF).

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Intrinsic Factor (IF)

A stomach protein crucial for binding and absorbing vitamin B12 in the intestines.

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Vitamin B12 Deficiency Anemia

A condition where the body lacks sufficient vitamin B12, leading to anemia and potential neurological problems.

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Megaloblastic Macrocytic Anemia

A type of anemia characterized by large, immature red blood cells, often associated with B12 deficiency.

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Peripheral Neuropathy

Damage to the nerves outside the brain and spinal cord, a potential symptom of vitamin B12 deficiency.

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White Blood Cells (WBCs)

Part of the immune system that protects the body from infection; found in blood, and produced in bone marrow.

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RBC lifespan

Red blood cells (RBCs) typically live for about 120 days.

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Hemoglobin concentration

Healthy adult men have a hemoglobin concentration of 16-18 g/dL, while for women it is 14-16 g/dL.

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Hemoglobin structure

Hemoglobin is made of four heme groups, each containing an iron atom that binds to oxygen, and four protein globin chains.

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Erythropoiesis

The process of creating red blood cells from primitive stem cells.

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RBC maturation features

Maturing RBCs shrink in size, lose their nucleus, and gain hemoglobin.

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Erythropoietin

A hormone made mostly by the kidneys that stimulates the production of red blood cells when oxygen levels are low (hypoxia).

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Hypoxia

Low oxygen levels in the blood.

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Nutritional factors (RBCs)

Iron, proteins, and vitamins (like B12 and folic acid) are crucial for healthy red blood cell production.

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Iron's role in RBCs

Iron is a key component of hemoglobin, a protein in red blood cells that carries oxygen.

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Hormones and RBC production

Hormones like erythropoietin, thyroxine, and androgens, influence RBC production though not as specific as erythropoietin.

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Bone marrow

The site where red blood cells are produced (erythropoiesis).

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Protein's role in RBCs

Proteins, especially animal ones (liver, kidney, muscle), are crucial for building hemoglobin's globin part

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Anemia Definition

A condition where the blood's ability to carry oxygen is reduced, typically due to a lower number of red blood cells (RBCs), less hemoglobin per RBC, or a combination of both.

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Anemia Causes (Blood Loss)

Anemia caused by losing blood, either acutely (sudden, large loss) or chronically (ongoing, small losses, e.g., bleeding ulcers, heavy menstruation).

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Anemia Causes (Decreased RBC Production)

Anemia resulting from problems producing enough red blood cells, such as nutritional deficiencies (e.g., iron deficiency), bone marrow damage (aplastic anemia), or issues with vitamin B12 or folate.

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Anemia Causes (Increased RBC Destruction)

Anemia caused by red blood cells breaking down faster than they are produced, such as due to inherited conditions, infections (e.g., malaria), incompatible blood transfusions, or immune system issues.

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Causes of Iron Deficiency Anemia

Iron deficiency anemia occurs when your body doesn't get or absorb enough iron. This can be due to increased iron needs (e.g., pregnancy, blood loss, rapid growth) or inadequate iron supply (e.g., poor diet, malabsorption).

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Iron Deficiency Anemia Symptoms (Koilonychia)

Spoon-shaped nails are a visible sign of iron deficiency anemia.

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Vitamin B12 Deficiency Anemia

Anemia caused by insufficient vitamin B12, which is needed for DNA synthesis in red blood cells.

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Bone Marrow Function

The bone marrow produces red blood cells and most other blood cells. Damage can cause severe anemia.

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Aplastic Anemia

A type of anemia characterized by bone marrow damage causing deficiency of all blood cells

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Study Notes

Hematopoietic System

  • The hematopoietic system is composed of bone marrow and the cells it creates, including leukocytes, erythrocytes, and thrombocytes.
  • Blood is a connective tissue fluid that contains cells suspended in plasma.

Blood Functions

  • Respiratory: Transports oxygen from lungs to tissues and carbon dioxide from tissues to lungs.
  • Nutrition: Transports nutrients from the gut to tissues.
  • Excretory: Transports waste products from tissues to the kidneys (e.g., urea, uric acid).
  • Protective: White blood cells, antibodies, and antitoxins defend against infection. Blood clotting stops blood loss from injured blood vessels.
  • Regulatory: Blood regulates body temperature through buffers, and water balance.

Physical Characteristics of Blood

  • Volume: Normal total circulating blood volume is 5-6 liters in a 70 kg man. About 55% of this volume is plasma.
  • pH: Normal arterial blood pH is 7.40 ± 0.02; venous blood pH is 7.38 ± 0.02.
  • Viscosity: Blood is 5 times more viscous than water. This is due to the presence of cells (primarily red blood cells) and plasma proteins.

Blood Components

  • Plasma (55%): Water (91%), proteins (7%), and other substances (2%). Plasma proteins include albumin, globulins, and fibrinogen. Albumin is vital for osmotic pressure. Globulins (including antibodies) combat infection, and fibrinogen plays a role in blood clotting.
  • Red Blood Cells (45%): Shaped as biconcave disks, lack nuclei, and have a lifespan of approximately 120 days. They contain hemoglobin, which carries oxygen. Normal count is 4.2-5.8 million/µL in men and 4.7-5.2 million/µL in women.
  • White Blood Cells (<1%): Larger than red blood cells and have nuclei. They fight infection. Types include lymphocytes, monocytes, neutrophils, basophils, and eosinophils, and their counts and proportions vary.
  • Platelets (<1%): Crucial for blood clotting, with a count of 250,000-400,000/µL.

Red Blood Cells (Erythrocytes)

  • Shape and size: Non-nucleated, biconcave discs for oxygen transport.
  • Life span: About 120 days.
  • Number: Approximately 5.2 million/cubic millimeter in men and 4.7 million/cubic millimeter in women.
  • Hemoglobin concentration: Usually 14-16 g/100 ml blood, depending on sex.
  • Function: Transport oxygen from lungs to tissues; maintain blood viscosity and pH.

Erythropoiesis

  • Process of producing red blood cells.
  • Key features of the maturation process: reduction in size, disappearance of the nucleus, and hemoglobin acquisition.
  • Factors affecting erythropoiesis include: tissue oxygenation (role of erythropoietin), nutritional factors (proteins, iron, vitamins), hormones, liver, and bone marrow.

Regulation of Erythropoiesis (Tissue Oxygenation)

  • Hypoxia (low oxygen in the blood) stimulates erythropoietin production by the kidneys.
  • Conditions that cause hypoxia: Low red blood cell count (anemia), hemorrhage, high altitude, prolonged heart failure, and lung disease.

Regulation of Erythropoiesis (Nutritional Factors)

  • Proteins: Necessary for hemoglobin synthesis
  • Iron (Fe): Vital component of hemoglobin; mostly in hemoglobin and ferritin.
  • Vitamins (B12 & folic acid): Needed for DNA synthesis required for red blood cell precursors.

Regulation of Erythropoiesis (Hormones)

  • Hormones such as thyroxine and androgens influence overall metabolism affecting red blood cell production.

Regulation of Erythropoiesis (Liver)

  • The liver plays a crucial role in red blood cell formation by producing globin, a protein component of hemoglobin. It also stores iron, copper, vitamin B12, and folic acid.

Regulation of Erythropoiesis (Bone Marrow)

  • Bone marrow is the primary site of red and most other blood cell production.

Anemia

  • Definition: A decreased ability of the blood to carry oxygen;
    • Low RBCs count.
    • Low hemoglobin per RBC.
    • Combination of both.
  • Causes of Anemia:
    • Increased destruction (hereditary hemolytic anemia, infections, mismatched blood transfusions, autoimmune diseases).
    • Blood loss (acute or chronic).
    • Decreased production (nutritional deficiencies, bone marrow destruction/disease, megaloblastic anemia).

Iron Deficiency Anemia (IDA)

  • A common form of malnutrition.
  • Causes: increased iron requirements (e.g., blood loss, pregnancy), inadequate iron intake, or malabsorption.
  • Symptoms: Koilonychia (spoon nails), angular stomatitis/glossitis, dysphagia (difficulty swallowing).

Vitamin B12 Deficiency Anemia

  • Condition causing malabsorption of vitamin B12 (e.g., autoimmune gastritis, surgical removal of the stomach, chronic inflammation of the pancreas, and long-term use of proton pump inhibitors).
  • Symptoms: fatigue, headache, impaired balance, muscle weakness, mood changes, especially depression.
  • Pernicious anemia is a most common cause.

Leukocytes (White Blood Cells)

  • Protect against infectious microorganisms.
  • 6000–11,000 per cubic millimeter in loose connective tissue.
  • Larger than red blood cells and have nuclei.
  • Most are produced in the bone marrow.

Types of Leukocytes

  • Granular: neutrophils, eosinophils, basophils.
  • Agranular: lymphocytes, monocytes.

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