Ch. 22 Lymphatic System Flashcards
What is a pathogen?
A disease-causing organism
What is the lymphatic system?
The cells, tissues, and organs responsible for defending the body
What are the primary cells of the lymphatic system?
Lymphocytes
What are lymphocytes vital to?
The body’s ability to resist or overcome infection and disease
Define immunity
The ability to resist infection and disease
All the cells and tissues involved in producing immunity are part of the ____ ____
Immune system
What is the immune system?
A functional system that includes parts of the integumentary, skeletal, lymphatic, cardiovascular, respiratory, and digestive systems
How do vaccines work?
A vaccine, containing weakened or dead forms of the infecting microbe is administered. The antigens are not virulent enough to cause the disease, but they provoke the adaptive immune response in the body. This immune response involves B cells that differentiate into plasma cells and make antibodies. It also involves cytotoxic T cells and helper T cells. Regulatory T cells moderate the immune response. Memory T cells and memory B cells help the body remember the antigen so when the protected person is exposed to the real disease, a strong secondary immune response occurs
What forms of the virus are vaccines given as?
Some vaccines are given as live, attenuated (greatly weakened) forms of a virus. Others are given as inactivated antigens, made from small pieces of killed bacteria. Some require booster shots to boost the secondary immune response and keep immune memory alive
What is “herd” immunity?
Herd immunity, or community immunity, is when a large part of the population of an area is immune to a specific disease. If enough people are resistant to the cause of a disease, such as a virus or bacteria, it has nowhere to go. While not every single individual may be immune, the group as a whole has protection.
Is immunity to chickenpox, developed after vaccination, innate immunity, or adaptive immunity? Why?
Innate immunity is genetically determined and present at birth. For example, skin and mucous membranes provide an innate physical and chemical barrier to infecting organisms. All humans are susceptible to chickenpox, an infectious disease. The immunity developed after a chickenpox vaccination is artificially acquired adaptive immunity, developed to a specific antigen, the varicella- zoster virus (VZV).
What does the lymphatic system consist of?
- Lymph
- A network of lymphatic vessels
- An array of lymphoid tissues and lymphoid organs
- Lymphoid cells
Define lymph
Interstitial fluid that has entered lymphatic vessels
Where does lymphatic vessels begin and connect to?
Begin in peripheral tissues and connect to veins
What do lymphoid cells include?
Lymphocytes and smaller numbers of phagocytes and other cells
What are primary lymphoid tissues and organs?
Sites where lymphocytes are formed and mature
What does primary lymphoid tissues and organs include?
Red bone marrow and the thymus
What is red bone marrow?
Where other defense cells, the monocytes and macrophages, are also formed
What is activated in secondary lymphoid tissues and organs?
Lymphocytes
What does secondary lymphoid tissues and organs include?
The tonsils, MALT, lymph nodes, and the spleen
What does MALT stand for?
Mucosa-associated lymphatic tissue
What is the primary function of the lymphatic system?
To produce, maintain, and distribute lymphocytes and other lymphoid cells that provide defense against infections and foreign substances. It also helps maintain blood volume.
What do lymphocytes do?
To provide an effective defense, lymphocytes must detect problems, and they must be able to reach the site of injury or infection. Lymphocytes and other cells circulate within the blood. They are able to enter or leave the capillaries that supply most of the body’s tissues
Capillaries normally deliver more fluid to _____ _____ than they carry away
Peripheral tissues
Where does the excess fluid delivered by capillaries to peripheral tissues go?
The bloodstream through lymphatic vessels
The continuous circulation of extracellular fluid helps…?
- Transport lymphocytes and WBCs from one organ to another
- To maintain normal blood volume
- Eliminate local variations in the composition of the interstitial fluid by distributing hormones, nutrients, and wastes from their tissues of origin to the general circulation
What do lymphatic vessels do?
Carry lymph from peripheral tissues to the venous system
What is the pathway of lymph?
First enters lymphatic capillaries and then drains into larger major lymph-collecting vessels, known as trunks and ducts
What does the lymphatic network begin with?
Lymphatic capillaries, which branch through peripheral tissues
How do lymphatic capillaries differ from blood capillaries?
- They are closed at one end rather than forming continuous tubes
- Have larger luminal diameters
- Have thinner walls
- Typically have a flattened or irregular outline in sectional view
Fluid moves from the plasma through the tissues as _____ _____, and into the lymphatic system as _____
Interstitial fluid
Lymph
What are lymphatic capillaries lined by?
Endothelial cells
What are lymphatic capillaries either missing or are incomplete?
The basement membrane
How are the endothelial cells of a lymphatic capillary structured?
They are not bound together, but they do overlap
In lymphatic capillaries, what does the region of overlap act as?
A one-way valve
What does the valve in lymphatic capillaries permit and prevent?
It permits fluids and solutes (including proteins) to enter, along with viruses, bacteria, and cell debris, but it prevents them from returning to the intercellular spaces
Where are lymphatic capillaries present?
In almost every tissue and organ in the body
Define lacteals
Lymphatic capillaries in the small intestine that transport lipids absorbed by the digestive tract
Where are lymphatic capillaries absent?
In areas without a blood supply, such as the cornea of the eye
From the lymphatic capillaries, where does lymph flow?
Into larger lymphatic vessels that lead toward the body’s trunk
What is the structure of the walls of larger lymphatic vessels?
Contain three layers, comparable to veins
What do small to medium-sized lymphatic vessels contain?
Valves which are close together and produce noticeable bulges
What is unusual about the appearance of lymphatic vessels and why?
Lymphatic vessels have a beaded appearance due to an irregular lumen
What is the purpose of valves in lymphatic vessels?
They prevent the backflow of lymph within lymphatic vessels, especially in the limbs
What is pressure like in the lymphatic system and how do valves contribute?
Minimal. The valves are essential to maintaining normal lymph flow toward the thoracic cavity
What aids lymph flow in lymphatic vessels?
Contractions of skeletal muscles surrounding the lymphatic vessels
What feature do lymphatic vessels share with veins that allows lymph to flow in only one direction?
Valves
What distinguishes lymphatic vessels from arteries and veins?
Differences in size, general appearance, and branching pattern
What color are arteries, veins, and lymphatic vessels?
Arteries - bright red
Veins - dark red
Lymphatic vessels - pale gold
A tissue contains many more ____ than ____, but the _____ are smaller
Lymphatic vessels
Veins
Lymphatic vessels
What are the two sets of lymphatic vessels that collect lymph from lymphatic capillaries?
Superficial lymphatics
Deep lymphatics
Where are superficial lymphatics located?
- In the subcutaneous layer deep to the skin
- In the areolar tissues of the mucous membranes lining the digestive, respiratory, urinary, and reproductive tracts
In the areolar tissues of the serous membranes lining the pleural, pericardial, and peritoneal cavities
What are deep lymphatics?
Larger lymphatic vessels that accompany deep arteries and veins supplying skeletal muscles and other organs of the neck, limbs, and trunk, and the walls of visceral organs
What converges to form lymphatic trunks?
Superficial lymphatics
Deep lymphatics
Where do lymphatic trunks empty into?
The thoracic duct and the right lymphatic duct
What does the thoracic duct do?
Collects lymph from the body inferior to the diaphragm and from the left side of the body superior to the diaphragm
Where does the thoracic duct begin?
Inferior to the diaphragm at the level of vertebra L2
What is cisterna chyli?
An expended, saclike chamber at the base of the thoracic duct
Where does cisterna chyli receive lymph from?
The inferior part of the abdomen, the pelvis, and the lower limbs by way of the right and left lumbar trunks and the intestinal trunk
Where does the thoracic duct collect lymph from and where is it emptied?
It collects lymph from the left bronchomediastinal trunk, the left subclavian trunk, and the left jugular trunk, and then empties into the left subclavian vein near the left internal jugular vein
Where does lymph reenter the venous circulation?
From the left side of the head, neck, and thorax, as well as from the entire body inferior to the diaphragm
Where does the smaller right lymphatic duct collect lymph from?
The right side of the body superior to the diaphragm
What merges to create the smaller right lymphatic duct?
Formed by the merging of the right jugular, right subclavian, and right bronchomediastinal trunks in the area near the right clavicle
Where does the right lymphatic duct empty?
Empties into the right subclavian vein, delivering lymph from the right side of the body superior to the diaphragm
Define lymphedema
Swelling as a result of lymphatic vessel obstruction, especially in subcutaneous tissues; large amounts of lymph accumulate
What do lymphoid cells consist of?
Immune system cells found in lymphoid tissues and the cells that support those tissues
Immune system cells that function in defense include _____ and _____
Phagocytes and lymphocytes
Immune system phagocytes include ____ and ____
Macrophages and microphages
In lymphoid cells, what do macrophages and microphages function as?
A general first line of defense against pathogens (bacteria or viruses)
What do lymphocytes respond to?
Specific invading pathogens, as well as abnormal body cells and foreign proteins
How do lymphocytes eliminate threats from invading pathogens?
Through a combination of physical and chemical attacks
Lymphocytes account for ____ of circulating lymphocytes
20-40%
3 classes of lymphocytes in blood
T cells
B cells
NK cells
Define lymphoid tissues
Connective tissues dominated by lymphocytes
What is a lymphoid nodule?
Lymphocytes that are densely packed in an area of areolar tissue
Where do lymphoid nodules occur?
In the connective tissue deep to the epithelia lining the respiratory tract, where they are known as tonsils, and along the digestive, respiratory, urinary, and reproductive tracts. Also found within more complex lymphoid organs, such as lymph nodes or the spleen
What is the central zone called in a nodule, and what does it contain?
A germinal center, which contains dividing lymphocytes
What are the tonsils?
Large lymphoid nodules in the walls of the pharynx
Name the 5 tonsils
A single pharyngeal tonsil
Left and right palatine tonsils
A pair of lingual tonsils
When are lingual tonsils visible?
When they become infected and swollen
What is tonsillitis?
An inflammation of the tonsils
Which tonsils are typically affected by tonsillitis?
The palatine tonsils
When do tonsils reach their largest size?
Puberty, then they begin to atrophy
What does MALT stand for?
Mucosa-associated lymphoid tissue
What is MALT?
The collection of lymphoid tissues that protect the epithelia of the digestive, respiratory, urinary, and reproductive systems
Define aggregated lymphoid nodules
Clusters of lymphoid nodules deep to the epithelial lining of the intestine
Define appendix
A tube-shaped sac opening into the junction between the small and large intestines with walls containing a mass of fused lymphoid nodules
What do lymphoid organs include?
The lymph nodes, thymus, and spleen
What separates lymphoid organs?
A fibrous connective tissue capsule
Where are the greatest number of lymph nodes located?
In the neck, axillae, and groin
What covers each lymph node?
A dense connective tissue capsule
Describe the interior of a lymph node
Bundles of collagen fibers extend from the capsule into the interior
Shape of a lymph node
Kidney beam