Fig. 12.01

Fig. 12.01. Fig. 12.47 Elephantiasis: The swelling results from blocked lymphatic vessels

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Fig. 12.01

Fig. 12.47

Elephantiasis: The swelling results from blocked

lymphatic vessels

The distribution of blood flow at rest and during exercise.

Note how blood conditioning organs (the kidneys and abdominal organs) are able to withstand a significant reduction in blood flow during exercise.

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The vascular system

Arteries Low resistance conduits Highly elastic

Arterioles Major site where total peripheral resistance (TPR) is controlledControl of blood flow to organs and tissues

Capillaries and venulesExchange of nutrients, waste, and fluid between the blood and interstitiumLargest cross-sectional area and slowest flow

VeinsLow resistance conduits that return blood to the heartBlood storage reservoir – can be mobilized as needed

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The Skeletal Muscle Pump

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http://www.nlm.nih.gov/medlineplus/ency/imagepages/18072.htm

An Aortic Aneurysm

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http://www.vascularweb.org/graphics/northpoint_graphics_jpg/Varicose_02_Base_300.jpg

Varicose Veins

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Fig. 12.06

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Cardiac Muscle

http://content.answers.com/main/content/img/oxford/Oxford_Body/019852403x.cardiac-muscle.1.jpg

http://content.answers.com/main/content/img/oxford/Oxford_

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Normal ECG (a), partial AV block(b) complete AV block (c)

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Atrial Fibrillation

http://www.lhsc.on.ca/uwodoc/media/fib2.gif

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Two normal beats, followed by ventricular fibrillation

http://noodle.med.yale.edu/~staib/bme355/ecg/vfib.jpg

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Heart Sounds

http://www.nlm.nih.gov/medlineplus/ency/images/ency/fullsize/19613.jpg

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http://connection.lww.com/Products/taylor5e/documents/Ch25/jpg/25_039.jpg

Heart SoundsS1 and S2 are normal S3 and S4 are abnormal

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Extra Diastolic Sounds: S3

• S3 is produced by the tensing of the chordae tendineae, which occurs during rapid filling and expansion of the ventricles.

• Common in children and young adults – the flexible ventricles of young people can expand rapidly.

• In middle-aged or older adults often indicates excessive volume in the ventricles, which usually indicates heart failure.

www.mvprolapse.com/mvp.html

http://www.mvprolapse.com/mvp.html

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Extra Diastolic Sounds: S4

• Produced by the left or right venticle contracting against a stiffened ventricle

• Usually indicates a loss of compliance of the ventricle due to ventricular hypertrophy or myocardial ischemia

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The heart murmur associated with mitral valve prolapse

Mitral valve prolapse causes a late systolic murmur

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Mitral valve prolapse is an example of valve insufficiency. Abnormally shaped valve leaflets are pushed into the left atrium during late systole.

http://www.nlm.nih.gov/medlineplus/ency/images/ency/fullsize/18148.jpg

Mitral Valve Prolapse

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http://www.abcbodybuilding.com/magazine03/wrench/tensionlevels2.jpg

The length-tension relationship

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http://www.cs.stedwards.edu/chem/Chemistry/CHEM43/CHEM43/Leukotr/Kwashiorkor.GIF

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