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Study Outline
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Chapter 18: The Circulatory System: Blood
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Functions and Properties of Blood (pp.640-642)
- Functions (table 18.1)
- Composition
- Plasma
- Formed elements
- Physical properties
- Viscosity
- Osmolarity
Plasma (pp.642-645)
- Plasma and serum
- Plasma proteins (table 18.3)
- Albumins
- Globulins
- Fibrinogen
- Nonprotein nitrogenous substances
- Nutrients
- Gases
- Electrolytes
Blood Cell Formation (pp.645-649)
- Hemopoietic tissues at various ages
- Types of hemopoiesis
- Myeloid
- Lymphoid
- Erythropoiesis
- Role of erythropoietin
- Stages in RBC differentiation
- Response to hypoxemia
- Nutritional requirements
- Iron metabolism
- Leukopoiesis
- Pathways of WBC differentiation
- Role of colony-stimulating factors
- Fate of WBCs after entering circulation
- Thrombopoiesis
Erythrocytes (pp.649-655)
- Form and function
- Gas transport functions
- Size and shape
- Membrane proteins
- Lack of organelles
- Carbonic anhydrase
- Hemoglobin
- a- and ß-globin chains
- Heme group
- Binding of O2 and CO2
- Adult and fetal hemoglobins
- Quantities of erythrocytes and hemoglobin
- Hematocrit
- Hemoglobin concentration
- RBC count
- Gender differences
- Erythrocyte destruction
- Aging and hemolysis of RBCs
- Disposal of globin
- Iron recycling and storage
- Heme and bile pigments
- Polycythemia
- Primary polycythemia
- Secondary polycythemia
- Effects of chronic polycythemia
- Anemia
- Symptoms and effects
- Hemorrhagic anemia
- Anemia due to depressed erythropoiesis
- Insufficient exercise
- Aging
- Nutritional anemia
- Pernicious anemia
- Hypoplastic and aplastic anemia
- Hemolytic anemia
- Sickle-cell anemia
- Thalassemia
Blood Types (pp.655-660)
- Blood type antigens and antibodies
- ABO blood group
- A and B agglutinogens
- Anti-A and anti-B agglutinins
- Blood typing procedure
- Comparison of ABO types (table 18.7)
- Transfusion compatibility
- Rh blood group
- Rh+ and Rh- blood types
- Transfusions and Rh type
- Hemolytic disease of the newborn
- Other blood groups
Leukocytes (pp.660-663)
- General appearance and function
- Granulocytes
- Neutrophils
- Eosinophils
- Basophils
- Agranulocytes
- Lymphocytes
- Monocytes
- Abnormalities of leukocyte count
- Leukopenia
- Leukocytosis
- Leukemia
- Myelocytic and lymphocytic
- Chronic and acute
- Effects of leukemia
Hemostasis (pp.663-669)
- Meaning and general mechanisms
- Platelets
- Structure and number
- Functions
- Mechanisms of hemostasis
- Vascular spasm
- Platelet plug formation
- Coagulation
Details of blood coagulation
- General goal-fibrin production
- Intrinsic and extrinsic mechanisms
- Clotting factors (procoagulants)
- Initiation of coagulation
- Extrinsic pathway
- Intrinsic pathway
- Completion of coagulation
Fate of blood clots
- Clot retraction
- Role of platelet-derived growth factor
- Clot digestion
Prevention of inappropriate coagulation
- Platelet repulsion
- Dilution of thrombin
- Anticoagulants
Coagulation disorders
- Thrombocytopenia
- Hemophilia
- Thrombosis and embolism


