Chapter 7 Circulatory System Photo from forestpath/Shutterstock Learning Objectives 1. 2. 3. 4. Recognize or write the functions of the circulatory system. Recognize or write the meanings of Chapter 7 word parts and use them to build and analyze medical terms. Write terms for selected structures of the cardiovascular and lymphatic systems or match terms with their descriptions. Write the names of the diagnostic terms and pathologies related to the cardiovascular and lymphatic systems when given their descriptions or match terms with their meanings. Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 2 Learning Objectives (cont’d) 5. Match surgical and therapeutic interventions for the cardiovascular and lymphatic systems or write the names of the interventions when given their descriptions. 6. Spell terms for the circulatory system correctly. Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 3 Components of the Circulatory System The circulatory system = cardiovascular system (heart and blood vessels) + lymphatic system (structures involved in the conveyance of lymph) Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 4 Functions of the Circulatory System Functions of the Cardiovascular System supplies cells with nutrients transports waste products for disposal maintains acid-base balance prevents hemorrhage protects against disease helps regulate body temperature Primary Function of the Lymphatic System collects fluid that escaped from the smallest blood vessels and returns it to circulation Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 5 Cardiovascular System Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 6 Capillary Bed Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 7 Structures of the Cardiovascular System arteries arterioles capillaries venules veins venae cavae Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 8 Circulation Through the Heart from Jacob S: Human anatomy: Copyright © 2013, 2011, A 2007, 2003 by Saunders, an imprint of Elsevier Inc. A clinically-orientated approach, St Louis, 2008, Churchill-Livingstone. 9 Heart Valves Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 10 Coronary Arteries, Layers of the Heart Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 11 Combining Forms: Blood Vessels angi/o, vas/o, vascul/o aort/o arter/o, arteri/o arteriol/o Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. vessel aorta artery arteriole 12 Quick Quiz! Capillaries are branches of A. B. C. D. arteries arterioles lymphatics veins Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 13 Combining Forms: Blood Vessels (cont’d) ather/o phleb/o, ven/o venul/o Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. yellow fatty plaque vein venule 14 Diseases, Disorders, and Diagnostic Terms: The Heart cardiomyopathy endocarditis myocarditis pericarditis Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 15 Diseases, Disorders, and Diagnostic Terms: The Heart (cont’d) Invasive Procedures cardiac catheterization, catheter endoscopic, endoscope Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 16 Cardiac Catheterization Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 17 Diseases, Disorders, and Diagnostic Terms: The Heart (cont’d) Noninvasive Procedures electrocardiography stress tests, treadmill stress test echocardiography (ECHO), echocardiogram MRI, CT, PET Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 18 Echocardiogram From Ballinger PW, Frank ED: Merrill’s atlas of radiographic positions and radiologic procedures, vol 3, ed 12, St Louis, 2011, Mosby. Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 19 Diseases, Disorders, and Diagnostic Terms: The Heart (cont’d) angina pectoris arrhythmia, dysrhythmia heart murmur cardiomegaly congenital heart defects: atrial and ventricular septal defects (ASDs and VSDs) congestive heart failure (CHF), heart failure hyperlipidemia Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 20 Myocardial Infarction Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 21 Ventricular Septal Defect Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 22 Diseases, Disorders, and Diagnostic Terms: The Heart (cont’d) coronary artery disease (CAD), coronary heart disease fibrillation, defibrillation, defibrillator hypertension, hypotension infarction, myocardial infarction (MI), myocardial ischemia shock Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 23 Diseases, Disorders, and Diagnostic Terms: Blood Vessels vasodilation, vasoconstriction cholesterol, triglycerides, lipids aortography, aortogram angiography, angiocardiography, arteriogram, arteriography, radiopaque Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 24 Arteriogram From Braunwald: Heart disease: a textbook of cardiovascular medicine, ed 6, Philadelphia, 2001, Saunders. Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 25 Quick Quiz! Myocardial infarction is A. death of an area of the heart muscle B. deficiency of blood supply to the myocardium C. a defect in the wall separating the left and right sides of the heart D. heart damage resulting from insufficient oxygen Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 26 Diseases, Disorders, and Diagnostic Terms: Blood Vessels (cont’d) angioma, hemangioma, lymphangioma arteritis, polyarteritis, aortitis arteriosclerosis, atherosclerosis pulse, tachycardia, bradycardia Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 27 Diseases, Disorders, and Diagnostic Terms: Blood Vessels (cont’d) arteriopathy arteritis arteriosclerosis atherosclerosis aortitis aneurysm, cerebral aneurysm, hemorrhage Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 28 Aneurysm B from Kowalcyk N, Mace J: Radiographic pathology for technologists, ed 5, St. Louis, 2009, Mosby Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 29 Diseases, Disorders, and Diagnostic Terms: Blood Vessels (cont’d) cerebrovascular accident (“CVA” = STROKE!) thrombus, cerebral thrombus embolism, embolus, thrombotic embolus polyarteritis bradycardia, tachycardia phlebitis, thrombophlebitis, venous thrombosis Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 30 Types of Stroke Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 31 Varicose Veins A, From Lewis SM, Heitkemper MM, Dirksen SR, O’Brien PG, Bucher L: Medical-surgical nursing: Assessment and management of clinical problems, ed 8, St. Louis, 2011, Mosby. Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 32 Cardiopulmonary Bypass Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 33 Artificial Cardiac Pacemaker Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 34 Implantable Cardioverter-Defibrillator Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 35 Surgical and Therapeutic Interventions: The Heart cardiopulmonary resuscitation (CPR) Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 36 Angioplasty Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 37 Coronary Artery Bypass Graft Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 38 Surgical and Therapeutic Interventions: Blood Vessels thrombolytic agent, heparin, intravascular thrombolysis atherectomy, phlebectomy, hemorrhoidectomy antiarrhythmic drugs, digoxin vasodilators, nitroglycerin antihypertensives, diuretics antilipidemic drugs atherectomy Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 39 Lymph Circulation From Drake R, Vogl W, Mitchell A: Gray’s anatomy for students, ed 2, New York, 2009, Churchill-Livingstone. Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 40 Lymphatic System Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 41 Structures of the Lymphatic System thymus spleen tonsils, palatine tonsils, pharyngeal tonsils, adenoids Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 42 Quick Quiz! Heparin is a(n) A. B. C. D. vasodilator antiarrhythmic antilipidemic thrombolytic Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 43 Additional Combining Forms adenoid/o cervic/o home/o lymphat/o splen/o thromb/o Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. adenoids neck (or uterine cervix) sameness ymphatics spleen thrombus, blood clot 44 Disease, Disorders, and Diagnostic Terms: The Lymphatic System lymphoma lymphangitis lymphangiography, lymphangiogram lymphedema lymphadenitis Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 45 Lymphangitis From Stone DR, Gorbach SL: Atlas of infectious diseases, Philadelphia, 2000, Saunders. Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 46 Lymphedema From Goldstein BJ, Goldstein AO: Practical dermatology, ed 2 St Louis, 1997, Mosby. Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 47 Lymphadenitis From2007, Behrman Kliegman R, Jenson Copyright © 2013, 2011, 2003 byR, Saunders, an imprint of HB: Elsevier Inc. Nelson’s textbook of pediatrics, ed 17, Philadelphia, 2004, Saunders. 48 Disease, Disorders, and Diagnostic Terms: The Lymphatic System, (cont’d.) lymphadenopathy lymphadenoma tonsillitis splenomegaly Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 49 Surgical and Therapeutic Interventions, The Lymphatic System lymphadenectomy splenectomy tonsillectomy adenoidectomy Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 50 Capillary Bed: Self-Test! Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 51 Acronyms and Abbreviations AMI, MI ASD AV, A-V CABG CAD Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 52 Acronyms and Abbreviations, (cont’d.) CHF CPR ECHO, echo ICD T&A VSD Copyright © 2013, 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. 53