Chapter 20) Lymphatic System Flashcards

1
Q

Lymphatic System

A
  • System that returns fluids that leak from blood vessels back to the blood
  • Consists of three parts
    • Network of Lymphatic Vessels (lymphatics)
    • Lymph (Clear Water) - Fluid in vessels
    • Lymph nodes- Clean Lymph
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2
Q

Lymphatic Organs/Tissue

A
  • Proivides the structural basis of the immune system
  • House phagocytic cells and lymphocytes
  • Structures
    • Spleen, Thymus, Tonisls
    • Other lymphoid tissues scatterd in body
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3
Q

Lymphatic Vessels

A
  • Lymph Vessels (lymphatics)
    • Return intersitial fluid and leaked plasma protiens back to the blood
    • Around 3L/ Day
    • Once intersitial fluid enters the lymphatics it is called lymph
  • Distrubition and Structure
    • One Way system; Lymph flows toward the heart
  • Diffrent types include
    • Lymphatic capillaries
    • Collecting lymphatic vessels
    • Lymphatic Trunks
    • Lymphatic Ducts
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4
Q

Lymphatic Capillaries

A
  • Similiar to Blood Capalaries except there are a few key diffrences
    • Very permeable (take up proteins, cell debris, pathogens and cancer cells)
    • Endothelial Cells overlap losley to form easially opened, one-way vales (flaplike-minivalves)
    • Anchored by collagen filaments, preventing collapse of capillaries. Any increase in insterstitial fluid volume opens minivalves
  • Features above ensure than when pressure in instersital fluid is greater than the pressure in lymphatic capillaries, fluid will enter lymphatic capillaries
    • when tissues become inflamed lymphatic capallaries will uptake even larger particles
  • Absent in Teeth and bones but can be found in central nervous system but are limited to specific loacations in the meniges
  • Lacteals) Spcialized Lymph capillaries transports absorbed fat from the small intestine to the blood stream.
    • lymph is milky white because of fat
    • Lymph is known as C
  • Lymph in Lymphatic Capillaries flows through larger and thicker walled channels
    • Collecting Vessels > Trunks > Ducts
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5
Q

Collecting Lymphatic Vessels

A
  • Similar to Veins, Except for:
    • Thinner walls with more internal valves
    • Anstomose more frequently
  • Collecting Vessels in Skin Travel with Superficial Veins
  • Deep Vessels Travel With the Arteries
  • Exact anatomical distrubution of lymphatic vessels varies greatly between indvudials
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6
Q

Lymphatic Trunks

A
  • Largest Collecting Vessels untite to form Lymphatic Trunks, Which Drains into farily large areas of the body
  • Major Trunks
    • Paired Lumber
    • Paired broncohmedistinal
    • Paired Subclavian
    • Paired Jugular
    • Single Intestinal Trunk
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7
Q

Lymphatic Ducts

A
  • Lymph is eventually delivered into one of the two large ducts in the the thoracic region
  • Right Lymphatic Ducts
    • Drains lymph from the right upper arm and right side of the head and thorax
  • Thoracic Duct
    • Much larger
    • recives lymph from the rest of the body. Collects lymph from the two large Lumbar Trunks from digestive organs
    • Begins as an enlargeg sac (cisterna chyli) located between lumbar and thoraic vertabrae
    • As thoracic duct runs superiorly it recived drainage from left thorax, upper limb, and the side of the head.
  • Each terminal empties lymph into venous system circulation at the area where the Internal Jugular and Subclavian Veins meet.
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8
Q
A
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9
Q

Lymph Transport

A
  • Lymph Flows by
    • Milking action of skeletal muscle
    • Pressure changes in throax during breathing
    • Valves to prevent backflow
    • Pulsations of Nearby arteries
    • Contractions of smooth muscle in walls of lymphatics (not smallest vessels)
  • Lymph transport is sporadic and slow. When physical activity increases lymph flows more rapidly
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10
Q

Lymphoid Cells

A
  • Lymphocytes) Main warriors of immune system
    • Arise in red bone marrow
  • Mature into one of two cells
    • T cells (T lymphocytes) and B cells (B lymphocytes)
    • Protect against antigens (anything precived as foreign)
  • T cells) manage immune response, some directily attack and destroy cells
  • B cells) Produce plasma cells which secrete antibodies. Mark antigens for destructuion
  • Other cells
  • Macropgages) Phagotize foreign substances, help activate T cells
  • Dendtrtic Cells) Deliver antiges to lymphnodes
  • Reticular Cells) produce strome which is network that suports other cells in lymhoid organs and tissues
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11
Q

Lymphoid Tissue

A
  • Important componant of the immune system
    • Houses and provides proliefation site for lymphocytes
    • Furnishes an ideal survelliance vantage point for lymphocytes and macrophages
  • Lymphoid tissue is largely composed of reticular connective tissue (loose CT) (except for thymus)
  • Two main Types of Lymphoid tissue
  • Diffuse Lymphoid Tissue) Loose arangment of lymphoid cells and reticular fubers that appears in every organ
    • Larger collections appear in lamina propria (Loose CT) of mucous membranes
  • Lymphoid Follicles (nodules) Solid, spherical bodies of tightly packed lymphoid cells and reticular fibers
    • Germinal Centers) ligher area where B cells proliferate
    • Peyer’s patches) lymphoid follices located in intestional walls
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12
Q

Lymphoid Organs

A
  • Grouped into Two functional categories
  • Primary Lymphoid Organs
    • Where B and T cells Mature
    • Red bone marrow and the thymus
  • Secondary Lymphoid Organs
    • Where mature lymphocytes first encounter antigens and are activated
    • Include the lymph nodes, spleen, and collections of mucosa-associated lymphoid tissue (MALT) that form the tonsils, Peyer’s Patches, and the appendix
  • All lymphoid organs help to protect the body, only lymph nodes filter lymph.
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13
Q

Lymph Nodes

A
  • Most important secondary lymphoid organ
    • Cluster along the lymphatic vessels
    • Hundreds are embedded in connective tissue around the bodu
    • Large clusters in Cervical, Azillary, and Inguinal regions (places where lymph vessels become trunks)
  • Functions
    • Cleansing the Lymph) macrophages destroy mircoorganisms and debris.
    • Immune system activation) Lymphocytes activated and mount attack agaisnst antigens.
  • Structure
    • External Fibrous Capsule provides protection
    • Trabecule extend inward and divide nodes
  • Cortex) contains follicles with germinal centers, Heavy B cell concentration
    • Dendrrtic cells are abundent in the cortex
  • Medulla) consisits of medullary cords, and contain B and T cells.
  • Lymph Sinuses) throuought the Node are large lymphatic capillaries spanned by crisscrossing reticular fibers.
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14
Q

Circulation in the Lymph Nodes

A
  • Lymph enters the cortex side via afferent lyphatic vessels > Travels through Large subcapsular sinus > through smaller sinuses to medullary sinuses
  • Fewer vessels draining the node than entering it which ensures there is propper time to carry out protective functions
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15
Q

Spleen

A
  • Removes bloodborne pathogens and aged red blood cells
  • Largest lymphoid organ
    • served by splenic artery and vein
  • Functions
    • Site of lymphocyte prolifeation and immune surveillance and response
    • Cleanses blood of ages cells and platelets, Marcophages rmove debris
    • Recycles breakdoen products of RBC’s and releases them to blood for processing in liver
  • Structure( two distinct areas)
    • White Pulp) surrounds central arteries
      • where immune functions take place, composed of mostly lymphocytes
    • Red Pulp) where agged RBC’s and blood-born pathogens are destroyed. Contains a huge number of erythrocytes and macrophages that engulf them
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16
Q

Mucosa-Associated Lymphoid Tissue (MALT)

A
  • Guards the body’s entryways against pathogens
    • found in lymphoid tissues in mucous membranes throughout the body
    • Found in tonsils, peyer’s patches and appendix
17
Q

Tonsils

A
  • Form a ring of lymphatic tissue around pharynx (throat)
  • Types
    • Paletine Tonsils) at back of oral cavity (most often infected and largest)
    • Lingual Tonsil) grouped at the base of the tounge
    • Pharyngeal Tonsil) Posterial wall of nasopharynx
    • Tubal Tonsils) surrounding openings of auditory tubes into pharynx
  • Tonsillar Crypts) trap and destroy bacteria and particulate matter
    • Invites infection in to produce a immune memory for trapped pathogens
18
Q

Pyer’s Patches

A
  • Also known as aggregated lymphoid nodules
    • in distal portion of small intestin
19
Q

Appendix

A
  • Tubular offshoot of the fisrt part of the large intestine. Contain lymphoid follices
    • Destroy bacteria to prevent them from breaching the intestinal wall
    • Generate “memory” lymphocytes for long term immunity
20
Q

Thymus

A
  • T lymphocytes mature in the thymus
  • Larger when we are younger
  • thymic lobules contain outer cortex and inner medulla
    • Cortex) contains rapidly dividing lymphocyted and macrophages
    • Medulla) Contains thymic corpuscles involved in T cell development regulation
  • Differs from other lymphoid organs
    • Has no follices because it lacks B cells
    • Does not directley fight antigens, functions striclty in maturation of T lymphocyte precousors.
    • Blood Thymus barrier keeps antigens out of thymus to ensure propper maturation.
    • Stroma consists of epithelial cells (not reticukalr fibers)
21
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