Histo Lymph Flashcards

1
Q

What is the difference b/w stroma & parenchyma?

A

Stroma is the network or framework within the organ. Parenchyma are the cells found w/i that framework that function. Ex: liver…stroma: CT–collagen; parenchyma: hepatocytes

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2
Q

What is the stroma like in lymph nodes? In the thymus?

A

Lymph nodes–fibrous; reticular fibers

Thymus–cellular; epithelial-reticular cells

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3
Q

What happens if your lymph system isn’t working properly–not talking about immunity…

A

Edema.
Peripheral–in the limbs.
Pulmonary–in the lungs…affects cardiac function

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4
Q

What’s the deal with this lymphatic system stuff & chylomicrons?

A

Chylomicrons can’t be absorbed directly into the bloodstream b/c they are too big. Must go thru the lymphatic system. Important to get into system b/c important for nerves.

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5
Q

Which lymphatic organs are primary & which are secondary?

A

Primary–Thymus, Bone Marrow, Fetal liver

Secondary–Tonsils, Spleen, Lymph nodes, diffuse lymphatic tissue

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6
Q

What happens to lymphocytes in primary lymphatic organs?

A

They undergo antigen-independent differentiation.

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7
Q

What happens to lymphocytes in secondary lymphatic organs?

A

They undergo antigen-dependent activation.

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8
Q

Are lymphatic vessels found in places such as hair, nails, cornea, cartilage? Why or why not?

A

No. B/c they are avascular structures. They are also not found in the CNS or bone marrow.

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9
Q

Lymphatic vessels also have afferent & efferent vessels. Which direction do these travel?

A

Afferent–going to the tissue or organ

Efferent–going away from the tissue or organ

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10
Q

Lymphatic nodules are the primary structural unit of which types of tissues?

A

Diffuse lymphatic tissue; tonsils; lymph nodes, spleen; GALT (gut associated lymphatic tissue); MALT (mucosal associated lymphatic tissue); BALT (bronchia associated lymphatic tissue).

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11
Q

Where are lymphatic nodules not found?

A

thymus

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12
Q

What are lymphatic nodules primarily composed of?

A

B cells, lymphoblasts, plasma cells, memory cells

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13
Q

What is the different b/w a primary & secondary lymphatic nodule?

A

Primary: one that hasn’t seen any antigen, appears uniform
Secondary: one with a germinal center in response to antigen

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14
Q

What are germinal centers?

A

In secondary lymphatic nodules…when they have seen antigen a lot of mitosis of B cells occurs in the middle…produces a ton of Plasma cells & memory cells

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15
Q

What do lymphatic nodules NOT have?

A

CT capsules.

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16
Q

Where are Peyer’s Patches found?

A

in the ileum they are found in the lamina propria & they extend down into the mucosa

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17
Q

When tonsils are surgically removed…which ones are usu taken out?

A

nasopharyngeal & palatine

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18
Q

When you take out tonsils why is it important to take out the entire tonsil?

A

B/c if you don’t–it will grow back!!

You should remove it such that you only have a CT cup left.

19
Q

Where are the crypts found in tonsils? What is their purpose?

A

They are indentations on the surface of the tonsil…of epithelium…they are supposed to trap antigen.

20
Q

Explain the basic structure of a single tonsil.

A

lymphatic nodules grouped around crypts…epithelium over the whole tonsil…incomplete CT capsule at the back.
M Cells…only efferent lymphatic vessels (no afferent)

21
Q

What is Waldeyer’s Ring?

A

The group of tonsils that protect the GI & Resp system. Trap antigen w/ their lymphatic tissue.

22
Q

What is the purpose of the CT capsule that surrounds the tonsil?

A

Keeps the antigen from escaping into important spaces.

23
Q

Different tonsils have different forms of covering epithelium. What are the different types of the main tonsils?

A

Palatine & Lingual: stratified squamous

Nasopharyngeal: Pseudostratified ciliated columnar

24
Q

How can you tell a palatine tonsil from a lingual tonsil on a histo slide?

A

Both have stratified squamous BUT the lingual also has skeletal muscle at the base.

25
When you go to the doctor's office & he feels your neck...what is he feeling for?
NOT glands. | He is feeling for cervical lymph nodes.
26
What are lymph nodes filters of?
LYMPH!!
27
CT that extends all the way thru an organ is called? That only extend partially thru an organ?
CT all the way: septa | CT partially: trabeculae
28
What is the purpose of lymph nodes?
to filter the lymph before it gets into the bloodstream.
29
Explain the structure of lymph nodes.
Sorta look like a kidney. Encapsulated in CT which also extend inward as trabeculae Have a cortex & a medulla. Afferent lymphatic vessels comes in thru cortex... Lymphatic nodules found in the cortex. B cells! Paracortical region: T cells found here. Also APCs & macrophages here...also high endothelial venules Medulla: macrophages also found here & plasma cells Have capillary beds Hylum: arterioles enter, venules exit, efferent lymphatic vessel exit.
30
What is the path of the afferent lymphatic vessel of a lymph node?
Comes in sorta thru cortex & goes into subcapsular sinus & trabecular sinuses...eventually turns into the efferent lymphatic vessel that exits thru the hylum.
31
90-95% of the lymphatic nodules in the human body are which type: primary or secondary?
Secondary! We've seen a lot of antigen in our days!
32
What type of CT makes up the capsule of the lymph nodes?
Dense CT
33
What is the purpose of the high endothelial venules? Where are they found?
Found in the paracortical regions of lymph nodes. They break up endothelial jcns & allow the lymph an opportunity to either leave the bloodstream or get into the bloodstream.
34
If lymph enters the right lymphatic trunk...where will it go next?
Right internal jugular & Right subclavian vein. Gets into arterial circulation & then to tissues & back to lymph. Can maybe get back to arterial once it gets to lymph nodes.
35
``` These are the stats on relative abundance of two types of lymphocytes: T & B cells. Which percentage corresponds to which cells? Spleen: about 50/50 Thymus: 100/0 Blood: 80/20 Bone Marrow: 90/10 Lymph Nodes: 60/40 ```
``` Spleen: 50 T/ 50 B Thymus: 100 T/ 0 B Blood: 80 T/ 20 B Bone Marrow: 10 T/ 90 B Lymph Nodes: 60 T/ 40 B ```
36
When does the thymus grow in a person's lifetime?
It grows until mid-teens & then starts to accumulate fat.
37
Where are Hassall's Corpuscles found?
In the medulla of the thymus. Made of epithelial reticular cells. Contain chewed up thymocytes.
38
The capillaries that exist in the thymus exist where?
In the cortex.
39
What does the thymus NOT have? Why is this important?
No afferent lymphatic vessel. This means that it does not bring in antigen. This is important b/c the thymus is a primary lymphatic organ...antigen-INDEPENDENT differentiation. No antigen allowed here!
40
Where is the blood thymic barrier? What is its purpose? What composes it?
``` In the thymus, silly! To keep immature T cells from getting into the circulatory system or from contacting antigen (bad for a primary lymphatic organ) Capillary Endothelium Capillary Basal Lamina CT sheath of the capillary Epithelial Reticular Cell Basal Lamina Epithelial Reticular Cell ```
41
How is the spleen like lymph nodes? How is it different--in such a way that it is similar to the thymus?
Spleen has a hilum like lymph nodes. Like the thymus & unlike the lymph nodes it has NO afferent lymphatic vessel.
42
How do the macrophages of the splenic cords get to where they are?
they are monocytes that enter the spleen (a secondary lymphatic organ) to differentiate into macrophages.
43
What takes over if you lose your spleen b/c of trauma?
Your liver.
44
If someone has a stab wound near their ribs on their left side--what are you worried about?
Puncturing of the spleen & internal bleeding b/c it is a huge reservoir of blood.