BLOOD PHYSIOLOGY 1432 TEXTBOOK OF MEDICAL PHYSIOLOGY GUYTON
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BLOOD PHYSIOLOGY 1432 TEXTBOOK OF MEDICAL PHYSIOLOGY GUYTON & HALL 11 TH EDITION UNIT VI CHAPTERS 32 -36 Professor A M Abdel Gader MD, Ph. D, FRCP ( London and Edinburgh) Department of Physiology College of Medicine King Saud University Riyadh Dr Sitelbanat 2
![BLOOD BLOOD](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-3.jpg)
BLOOD
![](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-4.jpg)
![Objectives At the end of this lecture student should be able to: 1. Describe Objectives At the end of this lecture student should be able to: 1. Describe](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-5.jpg)
Objectives At the end of this lecture student should be able to: 1. Describe Cellular and non-cellular components of blood 2. Recognise functions of blood 3. Define Erythropoiesis; leucopoiesis, thrombopoiesis. 4. Recognize sites of RBC formation at different developmental age 5 Dr Sitelbanat september 2011
![Objectives At the end of this lecture student should be able to: 5. Describe Objectives At the end of this lecture student should be able to: 5. Describe](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-6.jpg)
Objectives At the end of this lecture student should be able to: 5. Describe different stages of RBC differenation. 6. Describe features of RBC maturation. 7. Describe regulation of RBC production and erythropoietin hormone secretion in response to hypoxia. 8. Recognize clinical conditions associated with high level of erythropoitein in the blood 6 Dr Sitelbanat september 2011
![Lecture - 1 Topic: • • Red Blood Cells (RBCs))))) Composition & functions of Lecture - 1 Topic: • • Red Blood Cells (RBCs))))) Composition & functions of](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-7.jpg)
Lecture - 1 Topic: • • Red Blood Cells (RBCs))))) Composition & functions of the Blood Morphological Features of RBCs. Production of RBCs Regulation of production of RBCs
![Blood Composition Blood Composition](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-8.jpg)
Blood Composition
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![Blood Film Blood Film](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-10.jpg)
Blood Film
![BLOOD COMPOSITION 1. Cellular components • Red Blood Cells (Erythrocytes) • White Blood Cells BLOOD COMPOSITION 1. Cellular components • Red Blood Cells (Erythrocytes) • White Blood Cells](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-11.jpg)
BLOOD COMPOSITION 1. Cellular components • Red Blood Cells (Erythrocytes) • White Blood Cells (Leucocytes) • Platelets (Thrombocytes) 2. Plasma • 98% water, ions, plasma proteins (Albumin, globulin, Fibrinogen) • Same ionic composition as interstitial fluid Dr Sitelbanat 11
![FUNCTIONS OF BLOOD 1. Transport § O 2, CO 2, nutrient, hormones, waste product FUNCTIONS OF BLOOD 1. Transport § O 2, CO 2, nutrient, hormones, waste product](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-12.jpg)
FUNCTIONS OF BLOOD 1. Transport § O 2, CO 2, nutrient, hormones, waste product 2. Homoeostasis • Regulation of body temperature, ECF p. H 3. Protecting against infections • White Blood Cells, Antibodies 4. Blood clotting prevent blood loss Dr Sitelbanat 12
![Blood Volume 1. 5 liter in adult • 45% is packed cells volume (PCV) Blood Volume 1. 5 liter in adult • 45% is packed cells volume (PCV)](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-13.jpg)
Blood Volume 1. 5 liter in adult • 45% is packed cells volume (PCV) • 55% is plasma volume Dr Sitelbanat 13
![Blood Cells Formation • • • Erythropoiesis: Formation of RBC (erythrocytes) Leucopoiesis: Formation of Blood Cells Formation • • • Erythropoiesis: Formation of RBC (erythrocytes) Leucopoiesis: Formation of](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-14.jpg)
Blood Cells Formation • • • Erythropoiesis: Formation of RBC (erythrocytes) Leucopoiesis: Formation of WBC (leucocytes) Thrombopoiesis: Formation of platelets (thrombocytes) Dr Sitelbanat 14
![Red Blood Cells • Function – O 2 transport – CO 2 transport – Red Blood Cells • Function – O 2 transport – CO 2 transport –](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-15.jpg)
Red Blood Cells • Function – O 2 transport – CO 2 transport – Buffer Dr Sitelbanat 15
![Red Blood Cells • Shape & size – Flat Biconcave Disc – Non-nucleated – Red Blood Cells • Shape & size – Flat Biconcave Disc – Non-nucleated –](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-16.jpg)
Red Blood Cells • Shape & size – Flat Biconcave Disc – Non-nucleated – Diamter 7 -8 mm x 2. 5 mm , 1 mm – Average volume 90 -95 mm 3 – Flexible – Number =4. 7 -5 x 106 – Hb =34 g/dl of cells – Hb= 14 -16 g/dl in the blood Dr Sitelbanat 16
![Production of RBC • Early few weeks of embryo nucleated RBCs are formed in Production of RBC • Early few weeks of embryo nucleated RBCs are formed in](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-17.jpg)
Production of RBC • Early few weeks of embryo nucleated RBCs are formed in yolk sac. • Middle trimester mainly in liver & spleen & lymph nodes. • Last months RBCs are formed in bone marrow of all bones • Bone marrow of flat bone continue to produce RBC into adult life • Shaft of long bone stop to produce RBC at puberty while epiphysis continued Dr Sitelbanat 17
![Production of RBC Dr Sitelbanat 18 Production of RBC Dr Sitelbanat 18](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-18.jpg)
Production of RBC Dr Sitelbanat 18
![Genesis of RBC • All blood cell are formed from Pluripotential hematopoietic stem cells Genesis of RBC • All blood cell are formed from Pluripotential hematopoietic stem cells](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-19.jpg)
Genesis of RBC • All blood cell are formed from Pluripotential hematopoietic stem cells committed cells: • Committed stem cells for RBC • Committed stem cells for WBC • Growth of different stems cells are controlled by different growth factors Dr Sitelbanat 19
![Genesis of RBC Dr Sitelbanat 20 Genesis of RBC Dr Sitelbanat 20](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-20.jpg)
Genesis of RBC Dr Sitelbanat 20
![Stages of differentiation of RBC – Stages of RBC development • Committed stem cell Stages of differentiation of RBC – Stages of RBC development • Committed stem cell](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-21.jpg)
Stages of differentiation of RBC – Stages of RBC development • Committed stem cell – Proerthroblast – basophil erythroblast – polychromatophil erythroblast – orthochromatic erythroblast – Reticulocytes – Mature erythrocytes • Rapid RBC production reticlocytes in the circulation Dr Sitelbanat 21
![Erythropoiesis – RBC development is characterize by: – decrease in cell size – disappearance Erythropoiesis – RBC development is characterize by: – decrease in cell size – disappearance](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-22.jpg)
Erythropoiesis – RBC development is characterize by: – decrease in cell size – disappearance of nuclus – appearance of haemoglobin Dr Sitelbanat 22
![Regulation of RBC production • Erythropoiesis is stimulated by erythropoietin hormone produced by the Regulation of RBC production • Erythropoiesis is stimulated by erythropoietin hormone produced by the](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-23.jpg)
Regulation of RBC production • Erythropoiesis is stimulated by erythropoietin hormone produced by the kidney in response to hypoxia (low oxygen in the blood) • Hypoxia caused by: – Low RBC count (Anaemia) – Hemorrhage – High altitude – Prolong heart failure – Lung disease Dr Sitelbanat 23
![Tissue oxygenation and RBC formation Dr Sitelbanat 24 Tissue oxygenation and RBC formation Dr Sitelbanat 24](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-24.jpg)
Tissue oxygenation and RBC formation Dr Sitelbanat 24
![Erythropoietin • • • Glycoprotein 90% from renal cortex 10% liver Stimulate the growth Erythropoietin • • • Glycoprotein 90% from renal cortex 10% liver Stimulate the growth](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-25.jpg)
Erythropoietin • • • Glycoprotein 90% from renal cortex 10% liver Stimulate the growth of early stem cells Does not affect maturation process Can be measured in plasma & urine High levels of erythropoietin – anemia – High altitude – Heart failure – Lung Disease (Result in polycythemia) 25
![Role of the kidneys in RBC formation Dr Sitelbanat 26 Role of the kidneys in RBC formation Dr Sitelbanat 26](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-26.jpg)
Role of the kidneys in RBC formation Dr Sitelbanat 26
![Objectives At the end of this lecture student should be able to: 1. Describe Objectives At the end of this lecture student should be able to: 1. Describe](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-27.jpg)
Objectives At the end of this lecture student should be able to: 1. Describe Cellular and non-cellular components of blood 2. Recognise functions of blood 3. Define Erythropoiesis; leucopoiesis, thrombopoiesis. 4. Recognize sites of RBC formation at different developmental age 27 Dr Sitelbanat september 2011
![Objectives At the end of this lecture student should be able to: 5. Describe Objectives At the end of this lecture student should be able to: 5. Describe](http://slidetodoc.com/presentation_image/4f57b4aa4ccbeb37e94f157dd577f843/image-28.jpg)
Objectives At the end of this lecture student should be able to: 5. Describe different stages of RBC differenation. 6. Describe features of RBC maturation. 7. Describe regulation of RBC production and erythropoietin hormone secretion in response to hypoxia. 8. Recognize clinical conditions associated with high level of erythropoitein in the blood 28 Dr Sitelbanat september 2011
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