Body Fluids and Circulation

1. Blood & Plasma

# Keyword Description
1 Blood A fluid connective tissue that circulates in the body; transports nutrients, gases, wastes, and hormones.
2 Plasma The liquid matrix of blood; a pale yellow fluid making up about 55% of blood volume.
3 Fluid matrix The liquid portion (plasma) in which formed elements are suspended.
4 Formed elements Cellular components of blood: RBCs, WBCs, and platelets.
5 Fibrinogen A plasma protein essential for blood clotting; converted to fibrin during coagulation.
6 Globulins Plasma proteins involved in defense mechanisms (antibodies) and transport.
7 Albumins Most abundant plasma proteins; maintain osmotic balance and transport substances.
8 Serum Plasma minus clotting factors; the fluid left after blood clots.
9 Osmotic balance Maintenance of water balance between blood and tissues; regulated by plasma proteins.
10 Clotting factors Proteins in plasma that participate in the cascade of reactions leading to blood clotting.
11 Connective tissue A tissue type that connects/supports body structures; blood is a fluid connective tissue.

2. Formed Elements

# Keyword Description
12 Erythrocytes Red Blood Cells (RBCs); biconcave, enucleate cells that carry oxygen via haemoglobin.
13 Red Blood Cells (RBC) Most numerous blood cells; lifespan ~120 days; produced in red bone marrow.
14 Leucocytes White Blood Cells (WBCs); colourless, nucleated cells involved in immunity and defense.
15 White Blood Cells (WBC) Less numerous than RBCs; include granulocytes and agranulocytes.
16 Platelets (Thrombocytes) Cell fragments produced from megakaryocytes; essential for blood clotting.
17 Megakaryocytes Large bone marrow cells that fragment to form platelets (thrombocytes).
18 Haemoglobin Iron-containing red pigment in RBCs that binds and transports oxygen.
19 Biconcave Disc shape of RBCs — concave on both sides — increasing surface area for gas exchange.
20 Red bone marrow Site of production of RBCs, WBCs, and platelets (haematopoiesis).
21 Spleen Organ that destroys old RBCs; called the 'graveyard of RBCs'.
22 Granulocytes WBCs with granules in cytoplasm: neutrophils, eosinophils, and basophils.
23 Agranulocytes WBCs without visible cytoplasmic granules: lymphocytes and monocytes.
24 Neutrophils Most abundant WBCs; phagocytic cells that engulf bacteria and foreign particles.
25 Eosinophils WBCs that resist infections; involved in allergic reactions and parasite defense.
26 Basophils Rarest WBCs; release histamine and heparin; involved in inflammatory responses.
27 Lymphocytes WBCs forming 20–25% of total; include B and T cells for immune responses.
28 Monocytes Largest WBCs; differentiate into macrophages; involved in phagocytosis.
29 B lymphocytes Produce antibodies (humoral immunity) in response to antigens.
30 T lymphocytes Mediate cell-mediated immunity; attack infected or cancerous cells directly.
31 Phagocytic cells Cells (e.g., neutrophils, monocytes) that engulf and destroy pathogens.
32 Histamine Chemical released by basophils/mast cells during allergic and inflammatory reactions.
33 Serotonin Released by platelets and basophils; involved in vasoconstriction and inflammation.
34 Heparin Anticoagulant substance secreted by basophils; prevents clotting inside vessels.

3. Blood Groups

# Keyword Description
35 ABO grouping Blood classification system based on presence/absence of A and B antigens on RBCs.
36 Rh grouping Blood classification based on presence/absence of Rh (Rhesus) antigen on RBCs.
37 Blood group A Has antigen A on RBCs and anti-B antibody in plasma.
38 Blood group B Has antigen B on RBCs and anti-A antibody in plasma.
39 Blood group AB Has both A and B antigens; no antibodies; called universal recipient.
40 Blood group O Has no antigens; has both anti-A and anti-B antibodies; universal donor.
41 Antigens Surface molecules on RBCs (A, B, Rh) that trigger antibody production if foreign.
42 Antibodies Proteins in plasma that react with foreign antigens and cause agglutination.
43 Universal donor Blood group O (Rh-ve) can donate to any group as it has no surface antigens.
44 Universal recipient Blood group AB (Rh+ve) can receive from any group as it has no antibodies.
45 Blood transfusion Transfer of blood from donor to recipient; compatibility of blood group is critical.
46 Agglutination Clumping of RBCs caused by antigen-antibody reaction in incompatible transfusion.
47 Rh positive (Rh+ve) RBCs carry the Rh antigen; about 80% of humans are Rh+ve.
48 Rh negative (Rh-ve) RBCs lack the Rh antigen; can develop anti-Rh antibodies if exposed to Rh+ve blood.
49 Rhesus monkey Species in which the Rh antigen was first discovered, giving it its name.
50 Erythroblastosis foetalis Condition in which maternal anti-Rh antibodies destroy foetal RBCs in an Rh+ve foetus.
51 Rh incompatibility Mismatch between Rh-ve mother and Rh+ve foetus; dangerous in second pregnancy.

4. Coagulation of Blood

# Keyword Description
52 Coagulation The process of blood clotting to prevent excessive blood loss after injury.
53 Coagulam The clot formed at a wound site; a meshwork of fibrin trapping blood cells.
54 Fibrin Insoluble protein threads formed from fibrinogen; forms the clot framework.
55 Thrombin Enzyme that converts fibrinogen to fibrin during the clotting cascade.
56 Prothrombin Inactive precursor of thrombin; activated during the clotting cascade.
57 Thrombokinase Enzyme released by injured tissues/platelets that initiates the coagulation cascade.
58 Cascade process Sequential series of enzyme activations that amplify the clotting response.
59 Calcium ions (Ca²⁺) Essential cofactors at multiple steps of the blood coagulation cascade.

5. Lymph (Tissue Fluid)

# Keyword Description
60 Lymph A colourless fluid similar to blood plasma; flows through the lymphatic system.
61 Tissue fluid Fluid that accumulates in intercellular spaces, derived from blood plasma.
62 Interstitial fluid Another name for tissue fluid; fills spaces between cells in tissues.
63 Lymphatic system Network of vessels draining lymph from tissues and returning it to blood.
64 Lacteals Lymphatic vessels in intestinal villi that absorb digested fats (chyle).
65 Intestinal villi Finger-like projections of the small intestine mucosa; contain lacteals.
66 Fat absorption Digested fats (fatty acids and glycerol) are absorbed via lacteals into lymph.

6. Circulatory Pathways

# Keyword Description
67 Open circulatory system Blood flows through open sinuses/body cavities; found in arthropods and molluscs.
68 Closed circulatory system Blood flows entirely within vessels; found in annelids and chordates.
69 Sinuses Open spaces/cavities in the body through which blood flows in open circulatory systems.
70 Single circulation Blood passes through the heart once per circuit; seen in fishes.
71 Double circulation Blood passes through the heart twice — once each for pulmonary and systemic circuits.
72 Incomplete double circulation Partial separation of oxygenated and deoxygenated blood; seen in amphibians and most reptiles.
73 Pulmonary circulation Path from right ventricle → lungs → left atrium; blood gets oxygenated.
74 Systemic circulation Path from left ventricle → body tissues → right atrium; delivers O₂ to tissues.
75 2-chambered heart Heart of fishes; one atrium and one ventricle; suited for single circulation.
76 3-chambered heart Heart of amphibians and most reptiles; two atria and one ventricle.
77 4-chambered heart Heart of crocodiles, birds, and mammals; complete separation of oxygenated and deoxygenated blood.

7. Human Heart — Structure

# Keyword Description
78 Heart Muscular pumping organ located in the thoracic cavity; drives blood through the body.
79 Pericardium Double-walled membranous sac enclosing the heart.
80 Pericardial fluid Fluid within the pericardium that reduces friction during heart contractions.
81 Right atrium Upper right chamber; receives deoxygenated blood from the body via vena cava.
82 Left atrium Upper left chamber; receives oxygenated blood from lungs via pulmonary veins.
83 Right ventricle Lower right chamber; pumps deoxygenated blood to lungs via pulmonary artery.
84 Left ventricle Lower left chamber; pumps oxygenated blood to the body via the aorta.
85 Inter-atrial septum Partition separating the right and left atria.
86 Inter-ventricular septum Partition separating the right and left ventricles.
87 Atrio-ventricular septum Partition between the atria and ventricles.
88 Tricuspid valve Three-flap valve between right atrium and right ventricle; prevents backflow.
89 Bicuspid valve (Mitral valve) Two-flap valve between left atrium and left ventricle; prevents backflow.
90 Semilunar valves Valves at the opening of pulmonary artery and aorta; prevent backflow into ventricles.
91 Chordae tendinae Tendon-like cords attaching AV valves to papillary muscles; prevent valve inversion.
92 Aorta Largest artery; carries oxygenated blood from the left ventricle to the body.
93 Vena cava Large veins (superior and inferior) returning deoxygenated blood to the right atrium.
94 Pulmonary artery Carries deoxygenated blood from the right ventricle to the lungs.
95 Pulmonary veins Carry oxygenated blood from the lungs to the left atrium.
96 Sino-atrial node (SAN) Pacemaker of the heart; generates action potentials at 70–75/min in the right atrium.
97 Atrio-ventricular node (AVN) Node at the lower left corner of right atrium; relays impulse from SAN to ventricles.
98 AV bundle Bundle of nodal fibres conducting impulse from AVN through atrio-ventricular septa.
99 Bundle of His Alternative name for the AV bundle; conducts electrical impulse to ventricular walls.
100 Purkinje fibres Fine fibres branching from AV bundle throughout ventricular musculature; conduct impulse.
101 Nodal tissue Specialised cardiac muscle tissue that can generate and conduct action potentials.
102 Cardiac muscles Involuntary, striated muscle cells that make up the heart wall.
103 Pacemaker The SAN; sets the rhythm of the heartbeat at ~70–75 beats per minute.
104 Autoexcitable Property of nodal tissue to generate action potentials without external stimuli.
105 Myogenic Heart contraction originating from muscle tissue itself, not from neural signals.
106 Action potential Electrical impulse generated by nodal cells that triggers cardiac muscle contraction.

8. Cardiac Cycle

# Keyword Description
107 Cardiac cycle One complete sequence of contraction and relaxation of the heart; lasts ~0.8 seconds.
108 Systole Phase of cardiac contraction; blood is pumped out of the chamber.
109 Diastole Phase of cardiac relaxation; chamber fills with blood.
110 Atrial systole Contraction of both atria simultaneously, pushing blood into ventricles.
111 Ventricular systole Contraction of both ventricles; pumps blood into pulmonary artery and aorta.
112 Ventricular diastole Relaxation of ventricles; coincides with atrial contraction.
113 Joint diastole Phase when all four chambers are relaxed simultaneously; blood flows freely.
114 Stroke volume Volume of blood pumped by each ventricle per beat; approximately 70 mL.
115 Cardiac output Volume of blood pumped by each ventricle per minute; ~5000 mL (5 litres) normally.
116 Heart rate Number of cardiac cycles (heartbeats) per minute; normally 72 beats/min.
117 Heart sounds Two sounds (lub and dub) produced during each cardiac cycle; heard via stethoscope.
118 Lub (First heart sound) Sound produced by closure of tricuspid and bicuspid valves at start of ventricular systole.
119 Dub (Second heart sound) Sound produced by closure of semilunar valves at the end of ventricular systole.
120 Stethoscope Instrument used to auscultate (listen to) heart sounds and other body sounds.

9. Electrocardiogram (ECG)

# Keyword Description
121 Electrocardiogram (ECG) Graphical recording of the electrical activity of the heart during a cardiac cycle.
122 Electrocardiograph The machine used to record an ECG; displays voltage traces on a screen.
123 P-wave ECG wave representing depolarisation (electrical excitation) of the atria.
124 QRS complex ECG deflection representing depolarisation of the ventricles; initiates ventricular contraction.
125 T-wave ECG wave representing repolarisation (return to resting state) of the ventricles.
126 Depolarisation Reversal of electrical charge across the cell membrane triggering muscle contraction.
127 Repolarisation Restoration of resting electrical charge; corresponds to muscle relaxation.
128 Excitation Electrical stimulation of cardiac muscle cells triggering their contraction.
129 Electrical leads Electrodes attached to the body surface to detect the heart's electrical signals.
130 Cardiac arrest Sudden cessation of heart activity; ECG shows a flat line (no QRS complexes).

10. Blood Vessels

# Keyword Description
131 Arteries Blood vessels carrying blood away from the heart; thick-walled and elastic.
132 Veins Blood vessels carrying blood towards the heart; thinner walls, contain valves.
133 Arterioles Small branches of arteries that lead into capillaries.
134 Venules Small vessels collecting blood from capillaries and joining into veins.
135 Capillaries Smallest blood vessels; site of exchange of gases, nutrients, and wastes with tissues.
136 Tunica intima Innermost layer of blood vessels; lined with squamous endothelium.
137 Tunica media Middle layer of blood vessels; composed of smooth muscle and elastic fibres.
138 Tunica externa Outermost layer of blood vessels; composed of collagen fibres for structural support.
139 Squamous endothelium Flat epithelial cells lining the inner surface (lumen) of blood vessels.
140 Lumen The inner space/channel of a blood vessel through which blood flows.
141 Elastic fibres Fibres in tunica media allowing arteries to stretch and recoil with each heartbeat.
142 Collagen fibres Tough protein fibres in tunica externa giving structural support to vessels.
143 Hepatic portal system Unique vascular pathway carrying blood from intestine to liver before systemic circulation.
144 Hepatic portal vein Vein that carries nutrient-rich blood from the digestive tract to the liver.
145 Coronary system Network of blood vessels supplying blood exclusively to the cardiac musculature.
146 Dorsal aorta Main artery distributing oxygenated blood from the heart to all body tissues.

11. Regulation of Cardiac Activity

# Keyword Description
147 Autonomic nervous system (ANS) Part of the nervous system controlling involuntary functions including heart rate.
148 Sympathetic nerves ANS nerves that increase heart rate and cardiac output during stress or activity.
149 Parasympathetic nerves ANS nerves that decrease heart rate and slow impulse conduction during rest.
150 Medulla oblongata Brain region containing neural centres that regulate cardiac activity.
151 Adrenal medullary hormones Hormones (e.g., adrenaline) secreted by the adrenal gland that can increase cardiac output.
152 Neural signals Nerve impulses from the ANS that modulate heart rate and contraction strength.
153 Hormonal mechanisms Regulation of heart activity by blood-borne hormones such as adrenaline.

12. Disorders of the Circulatory System

# Keyword Description
154 Hypertension Persistently high blood pressure (≥140/90 mm Hg); damages heart and vital organs.
155 High Blood Pressure Another term for hypertension; increases risk of heart disease, stroke, and kidney damage.
156 Systolic pressure Blood pressure during ventricular contraction; the higher number (normal: 120 mm Hg).
157 Diastolic pressure Blood pressure during ventricular relaxation; the lower number (normal: 80 mm Hg).
158 mm Hg Millimetres of mercury; unit used to measure blood pressure.
159 Coronary Artery Disease (CAD) Disease affecting arteries supplying the heart muscle; often caused by atherosclerosis.
160 Atherosclerosis Narrowing and hardening of arteries due to deposits of calcium, fat, and cholesterol.
161 Angina (Angina pectoris) Acute chest pain caused by insufficient oxygen supply to the heart muscle.
162 Heart failure Condition where the heart cannot pump blood effectively to meet the body's needs.
163 Congestive heart failure Heart failure with lung congestion as a major symptom; not the same as cardiac arrest.
164 Heart attack Sudden death of heart muscle tissue due to inadequate blood supply; myocardial infarction.
165 Cholesterol Fatty substance that accumulates in arterial walls in atherosclerosis.
166 Fat deposits Accumulation of lipids in artery walls contributing to narrowing of the lumen.
167 Calcium deposits Mineral accumulation in artery walls causing hardening (calcification) in CAD.
168 Fibrous tissues Tough connective tissue accumulating in artery walls as part of atherosclerotic plaques.