Splanchnic Circulation Overview

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Questions and Answers

What is the primary function of lymph nodes along the bronchial tree?

  • To filter oxygen from the air in the lungs
  • To produce red blood cells
  • To facilitate unidirectional flow of lymph to the subclavian veins (correct)
  • To allow multiflow of lymph to the heart

Which of the following is NOT a cause of heart failure?

  • Coronary artery disease
  • Cardiomyopathy
  • Reduced glomerular filtration (correct)
  • Valve disease

What is the immediate effect when a heart experiences severe damage, such as a myocardial infarction?

  • Rise in oxygen levels in the blood
  • Enhanced lymph flow to the lungs
  • Increased cardiac output
  • Damming of blood in the veins (correct)

What typically occurs in left-sided heart failure?

<p>Fluid transudation into air spaces in the lungs (B)</p> Signup and view all the answers

Which compensatory mechanism is activated in response to decreased cardiac output?

<p>Activation of the Renin-angiotensin system (B)</p> Signup and view all the answers

What best describes the relationship between heart failure and peripheral edema?

<p>Peripheral edema results from activation of the Renin-angiotensin system (D)</p> Signup and view all the answers

Which statement accurately reflects the impact of chronic high blood pressure on heart function?

<p>It contributes to the weakening of the heart muscle over time (A)</p> Signup and view all the answers

What is a common symptom of left-sided heart failure?

<p>Shortness of breath (A)</p> Signup and view all the answers

Which arteries are primarily responsible for supplying blood to the splanchnic organs?

<p>Celiac artery, superior mesenteric artery, inferior mesenteric artery (C)</p> Signup and view all the answers

What intrinsic factors influence splanchnic circulation?

<p>Vasculature properties and local metabolites (D)</p> Signup and view all the answers

What percentage of the cardiac output is received by the splanchnic circulation?

<p>25% to 35% (C)</p> Signup and view all the answers

Which statement about the pulmonary and bronchial circulations is correct?

<p>The pulmonary circulation oxygenates blood before it returns to the heart. (C)</p> Signup and view all the answers

What primarily regulates splanchnic perfusion?

<p>Autoregulation, neurogenic, and humoral regulation (D)</p> Signup and view all the answers

How does the bronchial circulation specifically contribute to pulmonary health?

<p>It nourishes the trachea and supplies the pleura. (A)</p> Signup and view all the answers

Which mechanisms are NOT involved in the regulation of splanchnic circulation?

<p>Hormonal regulation from the kidneys (B)</p> Signup and view all the answers

What is true regarding the bronchial arteries?

<p>They come from systemic arteries and form capillaries. (A)</p> Signup and view all the answers

Flashcards

Heart Failure

A condition where the heart is unable to pump blood effectively to meet the body's needs.

Cardiomyopathy

A group of diseases that weaken the heart muscle, making it less efficient at pumping blood. Examples include coronary artery disease, cardiomyopathy, and valve disease.

Cor Pulmonale

A condition where the right ventricle of the heart is weakened, leading to increased pressure in the pulmonary arteries.

Compensatory Mechanisms

A process where the body attempts to compensate for heart failure. This involves mechanisms like increased heart rate, vasoconstriction, and fluid retention.

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Peripheral Edema

The accumulation of excess fluid in the tissues, often in the legs and feet, caused by inadequate heart function.

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RAAS Activation

The activation of the Renin-Angiotensin-Aldosterone System (RAAS) in heart failure leads to increased fluid retention, which contributes to peripheral edema.

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Left-Sided Heart Failure

Left-sided heart failure causes increased pressure in the pulmonary veins, leading to fluid buildup in the lungs, causing shortness of breath and coughing.

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Lymphatic System

A network of vessels and nodes that collect and transport lymph fluid throughout the body. These channels are particularly abundant in the lungs.

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What is the splanchnic circulation?

The splanchnic circulation encompasses the blood supply to the digestive organs: stomach, small intestine, colon, pancreas, liver, and spleen. These organs are connected in parallel, allowing for independent blood flow regulation.

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What are the major arteries supplying the splanchnic organs?

The celiac, superior mesenteric, and inferior mesenteric arteries are the three main arteries supplying the splanchnic organs. These arteries branch into smaller arteries that form a network, ensuring blood flow even if one artery is blocked.

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What is intramural circulation?

Intramural circulation refers to the network of blood vessels within the walls of splanchnic organs. This allows for localized blood flow adjustments based on the organ's needs.

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What factors influence the splanchnic circulation?

The splanchnic circulation is influenced by both external factors like nervous system commands and hormones, and internal factors such as local metabolites, intrinsic nerves, and hormones.

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How is splanchnic perfusion controlled?

Autoregulation ensures constant blood flow to splanchnic organs even when blood pressure fluctuates. This happens through changes in vessel diameter. Neurogenic and humoral regulation involve nervous system signals and hormones, respectively, to adjust blood flow.

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What are the two main blood circulations in the lungs?

The pulmonary circulation delivers deoxygenated blood to the lungs for oxygenation. The bronchial circulation, a smaller system, supplies oxygen and nutrients to the lung tissues itself.

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What is the role of the bronchial circulation?

The bronchial arteries, part of the systemic circulation, supply the airways, pleura, and lymph nodes. Their blood eventually drains into the azygos vein.

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How do pulmonary arteries and veins differ in their paths?

The pulmonary arteries follow the branching of the bronchi, supplying areas for gas exchange. Pulmonary veins, however, take a different route back to the heart.

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Study Notes

Splanchnic Circulation

  • Composed of gastric, small intestinal, colonic, pancreatic, hepatic, and splenic circulations, arranged in parallel
  • Supplied by three major arteries (celiac, superior and inferior mesenteric), branching into smaller arteries
  • Arteries anastomose extensively
  • Some splanchnic organs have intramural circulation
  • Influenced by extrinsic and intrinsic factors
  • Extrinsic factors include general hemodynamic conditions, autonomic nervous system, and circulating neurohumoral agents
  • Intrinsic factors include vasculature properties, local metabolites, intrinsic nerves, paracrine substances, and local hormones

Splanchnic Circulation (Further Detail)

  • Receives 25-35% of cardiac output.
  • Perfusion modulated by autoregulation, neurogenic, and humoral regulation to meet metabolic demand.
  • Blood and lymph in lungs are contributed to by pulmonary circulation and bronchial circulation
  • Pulmonary circulation oxygenates blood through pulmonary arteries and veins.
  • Bronchial circulation supplies trachea and bronchioles via bronchial arteries and lymph nodes
  • Lymph nodes vary in size (1-10mm) and are connected for unidirectional flow to the subclavian veins.

Heart Failure

  • Condition where the heart fails to pump adequately, leading to reduced cardiac output and increased venous pressure.
  • Common causes include coronary artery disease, cardiomyopathy, conditions overworking the heart.
  • Compensatory mechanisms include renin-angiotensin system, salt and water retention, and stimulation of baroreceptors and chemoreceptors.
  • Causes of peripheral edema in heart failure include decreased glomerular filtration, activation of the renin-angiotensin system, increased aldosterone secretion, and weakening of the heart muscle.

Left-Sided Heart Failure

  • Causes increased pulmonary venous pressure, leading to pulmonary congestion and pulmonary edema.
  • Symptoms include shortness of breath, coughing, and potential blood in mucus.

Right-Sided Heart Failure

  • Causes increased venous pressure, leading to fluid transudation in tissues (ankle, sacral edema, ascites, and hepatomegaly)
  • Usually a result of left-sided failure, where fluid pressure is transferred to the right side of the heart.

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