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Extrinsic pathway

The quicker responding and more direct extrinsic pathway    (also known as the tissue factor    pathway) begins when damage occurs to the surrounding tissues, such as in a traumatic injury. Upon contact with blood plasma, the damaged extravascular cells, which are extrinsic to the bloodstream, release factor III (thromboplastin). Sequentially, Ca 2+ then factor VII (proconvertin), which is activated by factor III, are added, forming an enzyme complex. This enzyme complex leads to activation of factor X (Stuart–Prower factor), which activates the common pathway discussed below. The events in the extrinsic pathway are completed in a matter of seconds.

Intrinsic pathway

The intrinsic pathway    (also known as the contact activation pathway) is longer and more complex. In this case, the factors involved are intrinsic to (present within) the bloodstream. The pathway can be prompted by damage to the tissues, resulting from internal factors such as arterial disease; however, it is most often initiated when factor XII (Hageman factor) comes into contact with foreign materials, such as when a blood sample is put into a glass test tube. Within the body, factor XII is typically activated when it encounters negatively charged molecules, such as inorganic polymers and phosphate produced earlier in the series of intrinsic pathway reactions. Factor XII sets off a series of reactions that in turn activates factor XI (antihemolytic factor C or plasma thromboplastin antecedent) then factor IX (antihemolytic factor B or plasma thromboplasmin). In the meantime, chemicals released by the platelets increase the rate of these activation reactions. Finally, factor VIII (antihemolytic factor A) from the platelets and endothelial cells combines with factor IX (antihemolytic factor B or plasma thromboplasmin) to form an enzyme complex that activates factor X (Stuart–Prower factor or thrombokinase), leading to the common pathway. The events in the intrinsic pathway are completed in a few minutes.

Common pathway

Both the intrinsic and extrinsic pathways lead to the common pathway    , in which fibrin is produced to seal off the vessel. Once factor X has been activated by either the intrinsic or extrinsic pathway, the enzyme prothrombinase converts factor II, the inactive enzyme prothrombin, into the active enzyme thrombin    . (Note that if the enzyme thrombin were not normally in an inactive form, clots would form spontaneously, a condition not consistent with life.) Then, thrombin converts factor I, the insoluble fibrinogen, into the soluble fibrin protein strands. Factor XIII then stabilizes the fibrin clot.

Fibrinolysis

The stabilized clot is acted upon by contractile proteins within the platelets. As these proteins contract, they pull on the fibrin threads, bringing the edges of the clot more tightly together, somewhat as we do when tightening loose shoelaces (see [link] a ). This process also wrings out of the clot a small amount of fluid called serum    , which is blood plasma without its clotting factors.

Questions & Answers

vocal cords
MT Reply
musah was admitted to your ward yesterday with traumatic amputation of the right thump . he complained this morning that he has not passed enough urine. Questions. 1) will you consider his complain to be pathological or physiological?. 2) in less than three sentences, justify your opinion. 3) Apply your understanding of the renin- angiotensin-aldosterone system to explain the factors and mechanisms accounting for his complains.
Ellen Reply
the mineral salt which break up a large portion of bone tissue is
Aurora Reply
calcium
Calcium
Sawda
please I need help. musah was admitted to your ward yesterday with traumatic amputation of the right thump. he complained this morning that he has not passed enough urine. Questions. 1). will you consider his complain to be pathological or physiological?.
Ellen
2). In less than three sentences, justify your opinion.
Ellen
Physiological
Ruth
cholesterol and triglycerides in simplest terms are fats (lipid) found in blood
Roy Reply
calcium is important for bone density and development. it also helps for safe / normal blood clotting, blood circulation to and from the heart, and muscle movement
Roy
what is muscle tissue
Rifat Reply
the muscle tissue is one of the 4 basic tissues in our body and is responsible for movement of our body
What Is difference between Ovary and Ovum
Sawda
ovary is female reproductive organ while ovum is a female gamete formed from ovary
Ubaidah
Thank You
Sawda
What Is Cholesterol and Triglycerides
Sawda
the mineral salt which break up a large portion of bone tissue
Aurora
in simple way muscle tissue is responsible for movement of our body.
Wellington
Hi Be Home Be safe , how are things doing hope all is well
Natarajan Reply
3 longitudinal bands of smooth muscles found in large intestines
Jamia
what's is sutures
Nimeshka Reply
what would I like to know
Roy Reply
anything u can tell me
Roy
anatomy mins
Manish
when two or more bones meet.
Joseph
Joints
Anita
I am interested in learning but it is a little threatening corona virus covid 19
Samnang Reply
I don't know about Corona virus
Vicky
what would you like to know?
Mbasa
what is a peripheral protien
Ayesha Reply
actually its located in between the lipid layer, it does not specify if it's closer to the inside or the outside of the cell
Justin
It is protein found in lipid bilayer but found attached with Cytoplasm aspect
Jamal
what are the collection of blood.?
sunshine Reply
Effect of exercise on different body systems?
Rania Reply
what is ambroylogy
kashif Reply
embryology..is the biological studing of embryos
Ava
I know biological study but embryology mean any pic, example?
kashif
https://upload.wikimedia.org/wikipedia/commons/b/b6/Comparative_embryology_of_the_vertebrates%3B_with_2057_drawings_and_photos._grouped_as_380_illus_%281953%29_%2820482505100%29.jpg
Ava
I like to learn about medical and more
Samnang
what is the function of the blood
Yolanda Reply
Transporting of oxygen,fighting against germs, forms clotting ,distribution of nutrients and minerals through out the body ,
Nimco
Transportation of gases such as oxygen and water blance and carrei metabolites to the exit organ and Acid base equilibrium and clotting blood and Immune
Jamal
What are Gross and microscopicAnatomy
Waiswa Reply
study of the internal structures of a human being
Niyi
gross anatomy is the study of body parts that can be seen with our naked eyes while micro anatomy involves the study of body parts that cannot be seen with our naked eyes but with the aid of a microscope
Oppong
gross means examination of specimen or tissue with bare (unaided ) eye while microscopic means examination of same with the help of microscope
Jamia

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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