Histology Flashcards
What are the 3 parts of the basic structure of blood vessels?
- Tunica intima
- Tunica media
- Tunica adventitia
What is tunica intima made of?
endothelium supported by basement membrane and CT
What is tunica media made of?
smooth muscle tissue, thick in arteries and thin in veins
What is tunica adventitia made of?
Connective tissue, thin in the arteries and thick in the veins
What is the structure of collagen?
It’s a tropocollagen monomer
Where can type 1 collagen be found?
Fibrous supporting tissue skin, tendons, ligaments and bone
Where is type 2 collagen found?
In hyaline cartilage, in the ground substance
What is type 3 collagen? What does it have an affinity to?
Reticulin fibres, with an affinity to silver salts
Where can type 3 collagen be found?
In highly cellular tissues such as the liver, bone marrow and lymphoid organs
Where can type 4 collagen be found?
In the basement membrane
Where can type 5 collagen be found?
In the embryo and placenta
What does type 7 collagen do?
Forms special anchoring fibrils that links ECF to basement membranes
What are the cells of the central glia?
- Macroglia : astrocytes, oligodendrocytes, ependymal cells
- Microglia
What are the peripheral glial cells?
Schwann cells, satellite glial cells
What are chondrons made of? (3)
Chondrocyte cluster + basophilic capsule + territorial matrix
What does the perichondrion cover?
Elastic and hyaline cartilage
What does perichondrion NOT cover?
Fibrocartilage
What are the central (primary) lymphoid organs?
Bone marrow and thymus
What is the role of the central lymphoid organs?
Production and early selectin of lymphocytes
What are the peripheral (secondary) lymphoid organs?
Lymph node, spleen, tonsils, MALT
What is the role of the peripheral lymphoid organs?
Maintain mature lymphocytes and initiate adaptive immune response, site of lymphocyte activation
Which layers is the gallbladder missing?
- muscularis mucosae
- tela submucosa
What is the order of tunica muscularis in the gallbladder?
Circular, longitudinal, oblique
Which follicles have a germinal center?
secondary lymph follicles
What is the role of the dendritic cells in the paracortex of lymph node?
Present antigen to the T cells
What is the role of the mast cells, what do they contain?
produce Ab for inflammation, contain heparine and histamine granules
How are plasma cells recognizable? (2)
Eccentric nuclei and cartwheel arrangement of heterochromatin
What is present in the mitochondria of brown adipocytes?
Cytochrome oxidase
What is heat control by brown adipocytes under the control of?
Of the sympathetic nervous system
How are the muscle layers in the tunica muscularis of the trachea
transverse and longitudinal
What are 2 things that tunica mucosa of the urothelium doesn’t have?
- CT papillae
- Lamina muscularis mucosae
Where is the tela submucosa absent in the urothelium?
In the trigone of the bladder
What are the muscle layers of detrusor muscle (tunica muscularis)
Inner longitudinal
Middle circular
Outer longitudinal
What are the 3 layers in SSNK?
- Stratum basale
- Stratum spinosum
- Stratum planocellulare
Muscles of the 3 parts of oesophagus
Upper 1/3 : inner circular and outer longitudinal = skeletal muscle
Middle 1/3 : inner circular = skeletal, outer longitudinal = smooth
Inferior 1/3 : inner circular + outer longitudinal = smooth muscle
What type of glands are found in the lamina propria mucosae of oesophagus?
Schaffer’s glands, simple or branched tubular mucous glands
What is lamina muscularis mucosa?
A longitudinal smooth muscle layer characteristic of digestive viscera
What are the 5 layers of SSK?
- stratum basale /germinativum
- stratum spinosum / polygonale
- stratum granulosum
- stratum lucidum
- stratum corneum
Which granules in cytoplasm of stratum granulosum of SSK
Dense basophilic granules : keratohyalin
What is the tunica media of the small arteries?
5-10 layers of SMC
What do small arteries have, and what do they miss?
They have the internal elastic lamina and no external elastic lamina
What is the tunica media of arterioles?
1-4 layers of SMC
What does Verhoeff’s elastic stain do?
Elastic fibres black, collagen fibres red
What are the 4 layers of the penis?
- Skin
- Dartos fascia
- Buck’s fascia
- Tunica albuginea
What is the order of arteries to the penis for erection etc?
- Internal iliac
- Internal pudendal
- Deep artery of the penis
- Helicine artery
In which structure do we find Peyer’s patches?
In the ileum
What do duodenum, jejunum and ileum have in common?
Tunica mucosa is simple columnar epithelium, and has plcae circularis (aka valves of kerkring)) and intestinal villi
What are goblet cells?
Unicellular glands that release mucoid granules filled with mucin through exocytosis. has Y shaped nucleus. Mucin is not stained in HE
2 main cell types in pineal gland
Pinealocytes and astroglial cells
What do pinealocytes release
calcium, which condenses and forms corpora arenacea = brain sand
What are the 3 layers of the adrenal cortex?
- zona glomerulosa
- zona fasciculata
- zona reticularis
what does zona glomerulosa of adrenal cortex produce?
Mineralocorticoids (aldosterone)
What does zona fasciculata of adrenal cortex produce?
glucocorticoids (cortisol)
What are the 4 main characteristics of the zona reticularis of adrenal cortex?
- eosinophilic bc less lipid granules
- brown lipofuschin granules in cytoplasm
- pycnotic nuclei
- produce androgens
Which cells make up the adrenal medulla and why are they called like this?
Chromaffin cells due to affinity to chrome salts
What is the role of the chromaffin cells?
Convert NE to E which will the be sent to the vessel
What are the 2 main types of cells in the parathyroid gland?
- Chief (principal) cells
- Oxyphil cells
What do chief cells of the parathyroid gland secrete?
PTH
What do oxyphil cells of the parathyroid gland secrete?
They secrete parathyroid hormone related protein, and calcitriol
What is calcitriol?
An analog of vitamin D
Where does the parathyroid gland come from embryologically?
- Inferior parathyroid gland = 3rd pharyngeal pouch
- Superior parathyroid gland = 4th pharyngeal pouch
What does the calcitonin immunostaining and hematoxylin staining do?
It colours the C cells brown
What lines the follicles in the thyroid gland?
Squamous, cuboidal or low columnar secretory epithelium
What do the secretory cells of the follicles in the thyroid gland produce?
T3 and T4 hormones
What fills the follicular lumen in the thyroid gland?
Colloid material (glycoprotein complex thyroglobulin) which stores the thyroid hormones
What can we find in the interfollicular space (parafollicular space) of the thyroid gland?
- Mixed follicles
- Solid nest cells
What is the embryonic origin of solid nest cells? (thyroid gland)
endodermal origin
What are the 2 types of solid nest cells? (thyroid gland)
Main cells and C cells
What are properties of the Main cells of the thyroid gland? (4)
- Polygonal, elongated or spindle shaped
- Strongly eosinophilic cytoplasm
- Stem cell nature
- Impossible to identify with HE
What are the properties of the C cells of the thyroid gland?
- Pale cytoplasm (paler than other cells in this slide)
- Responsible for secretion of calcitonin
What does Gomori’s chrome hematoxylin-phyloxin do?
Stains Gomori’s substance : the neurophysin dark blue / purple. It is also used to show the different cell types in the adenohypophysis
What is neurophysin?
The transporter molecule for oxytocin and vasopressin in neurosecretory cells
What are the cell types in the adenohypophysis?
Chromophobes (don’t like stain) and chromophils, which are subdivided into acidophils and basophils
What are the types of acidophils in the adenohypophysis and what do they secrete?
alpha 1 (somatotrophs) - GH alpha 2 (lacototrophs) - PRL
What are the types of basophils in the adenohypophysis and what do they secrete?
Beta 1 (corticotrophs) - ACTH Beta 2 (thyrotrophs) - TSH Delta 1 (gonadotrophs) - FSH Delta 2 (gonadotrophs) - LH
What are Herring bodies?
dilated parts of axons from the hypothalamus which have accumulated neurosecretory material. It is stained dark.
What does the neurohypophysis develop from?
From the floor of the diencephalon (ectodermal origin)
What does the adenohypophysis develop from?
From the hypophyseal placode (ectodermal origin)
What are the 2 parts of the neurohypophysis?
Pars nervosa and the infundibular stalk
What are the 3 parts of the adenohypophysis?
- Pars distalis (anterior lobe)
- Pars tuberalis
- Pars intermedia
What is pars intermedia of the adenohypophysis made of? (2)
Basophilic cell cords and follicles lines by chromophobe cells containing colloid material
What is the neurohypophysis made of? (2)
Unmyelinated axon of secretory neurons and pituicytes (type of astrocyte)
What are the 2 types of nuclei in the hypothalamus and what do they produce?
- Paraventricular nucleus - oxytocin and ADH
- Supraoptic nucleus - ADH and oxytocin
How are molecules transported in the hypophysis?
Coupled to neurophysin and through the supraoptico-hyophyseal tract and the paraventriculohypophyseal tract, to the neurohypophysis
Which cells line the third ventricle?
ependymal cells
What is the nucleus basalis of Meynert?
cholinergic neurons that form the sole source of cholinergic innervation of the cortex. Important in Alzeihmer’s.
What type of tissue is the dura matter?
dense, irregular collagen CT covered internally by flat epithelial cells
What type of tissue is the arachnoid?
Fibrocollagenous CT with trabeculae radiating inwards
What type of tissue is the pia matter?
Delicate, loose CT - with collagen fibers under the epithelial cell layer
What does cresyl violet stain?
Basic dye
- Nissl’s substance : deep purple
- Nucleus : purple
- CT fibers : light blue
- RBC : blue
What does luxol fast blue stain?
Myelin staining method
- Binds to lipoproteins of the myelin : blue
- Nucleoproteins : purple / blue
What are the 2 molecules that keep the myelin sheath together?
- MBP : myelin basic protein
- PLP : proteolipid protein (PO in PNS)
Which cells form the myelin sheath in the PNS?
Schwann cells
2 properties of sensory ganglia
- NO synapses
- Pseudounipolar neurons with a central and peripheral process
What is the role of the perineurium?
It maintains the high endoneurial fluid pressure, which is higher than the pressure in the extrafascicular tissue
Diameter of an axon without myelin
1,5 to 2 micrometres
Which protein precipitates in the myelin sheath?
neurokeratin, it stains eosinophilic
What does Bielschowsky’s impregnation do?
It is a type of silver impregnation that stain neurofibrils, reticular fibres, nuclei of glial cells BLACK
What are the characteristics of the autonomic ganglia? (3)
- Multipolar neuron
- CT capsule
- Receives info from preganglionic neuron through synapse
What is the neuropil?
An are in the nervous system composed of mostly unmyelinated axon, dendrites and glial cell processes (so inside ggl)
What is the diameter of multipolar neurons in autonomic ganglions?
20-45 micrometers
What is the parasympathetic pathway to the submandibular ganglion?
Superior salivatory nucleus of pons (CN VII) - Chorda tympani - submandibular ganglion
What is used for cholinesterase enzyme histochemistry?
DAB diaminobenzidien
In which layer are the corpuscule of Meissner found?
In the dermal papillary layer of hairless skin
What is a Meissner corpuscule made of?
Made of flattened Schwann cells that form lamellae parallel to the skin surface.
What connects the Meissner corpuscule to the epidermal basal membrane?
interlamellar collagen fibers and microfilaments, through the upper pole
What happens to nerve cells that enter the Meissner corpuscle?
They lose their myelin sheath and run spirally among the lamellae to the superficial pole
What does the epidermis develop from?
from the surface ectoderm
What does the dermis develop from?
From the mesenchyme
What are the 2 layers of the dermis?
- Papillary layer (loose CT, dermal papillae)
- Reticular layer (dense CT, collagen and elastic fibers)
Which subcutaneous layers NEVER contain fat cells?
eye lids and penis
What is reticular cutis?
Strong CT strands that extend from the fascia to the dermis, tether the skin
What do eccrine glands do?
Produce a clear, odorless sweat consisting mainly of water, through merocrine secretion
What do Pacinian corpuscules detect?
Coarse touch, pressure and vibration
What gland structure do eccrine glands have?
Coiled tubular, helical course in the dermis. Lose their wall in the epidermis
Where can pacinian corpuscles be found?
Deep dermis and hypodermis
What are pacinian corpuscles classified as?
- Encapsulated sensory nerve ending
- A single peripheral neural process encapsulated by 30 layers of flattened Schwann cells and fibroblasts.
- Dense core and lamellar structure
What are the 2 types of fibers in the muscle spindle?
Nuclear chain fiber and nuclear bag fiber
What are the types of nerve endings for muscle spindle?
Annulospiral
Flower spray
Gamma motor fibers
What separates the paired posterior funiculi?
Posterior median septum (composed of neuroglia cells)
Which cells line the central canal of SP?
The ependymal cells (type of CNS glial cell)
Where is the rexed lamina II?
Substantia gelatinosa is in the dorsal horn
What are the 3 layers of the cerebellar cortex?
- Outer molecular layer
- Purkinje layer
- Inner granular layer
Which cells do we find in the outer molecular layer of cerebellar cortex?
Stellate and basket cells
Which cells do we find in the inner granular later of the cerebellar cortex?
Granular cells and golgi cells
What is a glomerular synapse? (glomerulus)
- Axon of Golgi
- Dendrite of granular cell
- Mossy fiber (afferent)
- Glial sheath
Which marker is used for pan filament neuronal neurofilament immunocytochemistry?
SMI311, marks neurons - convenient to trace the dendritic arborization of Purkinje cells
What are lugaro cells?
Bipolar, inhibitory cells that lie in the granular cell later below the purkinje cells
What are the golgi cells of the cerebellum?
Large multipolar, inhibitory (GABA) cells
What are the basket cells of the cerebellum?
Inhibitory (GABA) cells with long axons horizontally oriented
What are the 6 layers of the cerebral cortex?
- Molecular / plexiform layer
- Outer granular layer
- Outer pyramidal layer
- Inner granular layer
- Inner pyramidal layer
- Multiform later
What does Bodian’s silver impregnation stain?
- Nerve fibers in black
- Cell bodies in grey
What is the stripe of Baillager?
2 lamina of white fibers that course parallel to the surface of the cerebral cortex
What do we find in the molecular / plexiform layer of the cerebral cortex?
Mostly fibers + cell bodies of stellate cells (GLU) + Cajal-retzius cells (GABA)
What do we find in the outer granular layer of the cerebral cortex?
stellate and pyramidal cells
What do we find in the outer pyramidal layer of the cerebral cortex?
pyramidal cells
What do we find in the inner granular later of the cerebral cortex?
small pyramidal and stellate shaped cells
What do we find in the inner pyramidal layer of the cerebral cortex?
Pyramidal cells - in precentral gyrus : Betz’s giant pyramidal cells
What do we find in the multiform layer of the cerebral cortex?
Polymorphic cells and fusiform cells, pyramidal neurons
What are the 3 layers of the hippocampal cortex?
- Stratum oriens (outer plexiform)
- Stratum pyramidalis
- Stratum radiatium / stratum moleculare (inner plexiform)
What are the 4 afferent pathways to the hippocampus?
- Alvear path
- Commissural hippocampal fibers
- Schaffer’s collaterals
- Perforant path
What is the alvear path?
In the parahippocampal gyrus (entorhinal cortex), terminate on the dendrites of the pyramidal neurons
What is the commissural hippocampal fibers pathway?
Course in the hippocampal commissure (bw crura fornices) and terminate in the hippocampus as mossy fibers
What is schaffer’s collaterals pathway?
Axon collaterals of the pyramidal neurons of ipsilateral hippocampus terminate on the dendrites of pyramidal neurons
What is the perforant pathway?
dentate gyrus receiving afferent connections from the parahippocampal gyrus
What is the thickened layer of skin surrounding the nail called?
Eponychium
What are the layers of the nail matrix?
Stratum basale (germinativum) and stratum spinosum
What is the hyponichium?
thickened epidermal later extending from the nail bed to the groove under the nail plate. Theoretical border.
What is special about the AV anastomosis histologically?
- between arteriole and post capillary venule
- thicker wall than pre anastomotic arteries
- has extra inner longitudinal smooth muscle layer
- surrounded by CT capsule
What innervates the AV anastomosis?
adrenergic nerve fibers
What are the 3 parts of the hair follicle?
- Infundibulum (continuation of epidermis)
- Isthmus
- Distal part (hair bulb and keratogenic zone)
What are the layers of the (actual) hair strand?
- Medulla (keratin)
- Cortex (melanin and microfilaments)
- Cuticle (6-8 layers)
What are the layers surrounding the hair strand?
- Internal root sheath
- External root sheath
- Glassy membrane
What are the layers of the internal root sheath of the hair?
- Cuticle
- Layer of Huxley
- Layer of Henley
What are the layers of the hair bulb? (5)
- Hair papilla
- Germinal matrix
- Internal root sheath
- External root sheath
- Glassy membrane
What type of gland is mamillary gland?
Modified apocrine sweat gland imbedded in adipose tissue and CT
What is the alveolar duct?
The intralobular ducts of the mammilary gland
What is the lactiferous duct? What is it lined by?
The excretory duct of each lobe, lined by stratified columnar / cuboidal epithelium
What are the lactiferous sinuses? What are they lined by?
Dilations of the lactiferous duct, last “step”, lined by stratified squamous epithelium
How is milk secreted in the pregnant mamillary gland? (2)
- lipid droplets at top of epithelial cells are secreted by apocrine mechanism
- Milk proteins, give eosinophilic tint, are secreted through exocytosis
How are the milk secreting cells in the pregnant mammillary gland?
Small and low cuboidal
What are Montgommery glands?
Combination of sebaceous and milk glands
What are the 3 coats of the eye?
Fibrous coat
Vascular coat
Retina (nervous coat)
What are the parts of the fibrous coat of the eye?
Cornea, sclera
What are the parts of the vascular coat of the eye?
Iris, ciliary body, choroid
What is special about the subcutaneous tissue of the eyelid?
It has no fat
What are the 3 glands you can find in the eyelid?
- Meibomian glands : sebacieous gland w/o hair follicle
- Glands of Zeiss : sebaceous
- Glands of Moll : modified apocrine sweat gland
Where are the meibomian glands of the eyelid?
In the tarsal plate, straight central duct opens at the free margin of the eyelid
Where are the glands of zeiss and moll in the eyelid?
In the subcutaneous tissue, they open into the hair follicles of he eyelashes
What is the cunjunctiva of the eyelid?
A highly vascular membrane covering the posterior part of the eyelid. It transitions from SSNK to stratified columnar with goblet cells.
What muscles can we find in the eyelid?
- Palpebral part of the orbicularis ori
- Levator palpebrae superioris
- Fibers of superior tarsal muscle
What is the tarsus of the eye?
A dense fibrous plate that provides support for the eyelid
What type of gland is the lacrimal gland?
Serous (protein), lobulated, tubuloacinar gland similar to salivary glands
What is the pathways of the tears in the lacrimal gland?
they go directly from the acini to the excretory (interlobar) duct
What is the epithelium lining the duct of the lacrimal gland?
Double layered cuboidal epithelium
What are the 5 layers of the cornea?
- epithelium : SSNK
- Bowman’s membrane (outer limiting membrane)
- Stroma
- Descement’s membrane (posterior limiting membrane)
- Endothelial layer
What is special about the epithelium of the cornea?
No stem cells in the basal layer : new cells migrate from the edge of the cornea (limbal mitotic cells)
What is the role of Bowman’s membrane of the cornea?
Support epithelium and protect stroma
What can we find in the stroma of the cornea? (3)
collagen
fibroblasts
keratocytes
Why is the sclera of the eye white?
due to a normal level of bilirubin, if the level goes up then sclera turns yellow
What are the 3 layers of the sclera?
- Episclera
- Sclera proper
- Lamina fusca
What can we find at the corneo scleral junction?
the canal of Schlemm, which drains aqueous humor
What are the layers of the iris? (4)
- Endothelium
- Stroma
- Two papillary muscles
- Pigmented epithelium (melanocytes)
What innervates sphincter papillae?
parasympathetic innervation from short ciliary nerve (CNIII)
What innervates dilator papillae muscle?
sympathetic innervation from superior cervical ganglion
What muscle can we find in the ciliary body?
The ciliary muscle
What are the 3 parts of the ciliary muscle?
- Circular fibers of Muller
- Meridional fibers of Brucke
- Radial fibers
What are the 2 roles of the ciliary body?
- Produce aqueus humor for the posterior chamber
- Control shape of lens with ciliary muscle
What is the inner part of the ciliary body covered by?
It is covered by the ciliary part of the retina
What is the choroid layer of the eye?
It is the vascular layer that lies between the retina and the sclera
What are the 4 layers of the choroid layer of the eye?
- Suprachoroid layer (pigmented, large vessels)
- Vascular layer (medium vessels)
- Choriocapillary layer (fenestrated capillaries)
- Bruch’s membrane (separating with retina)
What are the 10 layers of the retina?
- Pigmented epithelium
- Photoreceptors : rods and cones
- Outer limiting membrane
- Outer nuclear layer
- Outer plexiform layer
- Inner nuclear layer
- Inner plexiform layer
- Ganglion cell layer
- Optic nerve fibers
- Inner limiting layer
What forms the outer limiting membrane of the retina?
The peripheral processes of Muller glial cells
What forms the outer nuclear layer of the retina?
The nuclei of the rods and cones
What is the plexiform layer of the retina?
Synapse layer
What is the inner nuclear layer of the retina made of? (4)
- bipolar cells
- amacrine cells (GABAergic)
- horizontal cells (GABAergic)
- Muller cells (glial / supporting)
What is the normal intraocular pressure? What maintains it?
15mmHg, maintained by aqueous humor
What attaches the lens to the ciliary body?
The zonular fibers
What fills the saccule? (ear)
endolymph
What are the 3 layers of the wall of the saccule?
- Outer layer : fibrous - flat perilymphatic cells
- Middle layer : vascular CT
- Inner layer : simple squamous / cuboidal epithelium
What is the otolith membrane?
a thick gelatinous layer that contains the tips of stereocilia of the hair cells
What are otoliths / otoconia? What is their role?
calcium carbonate crystals. when accelerating in a straight line, they cause activation of the hair cells
What is the gelatinous substance of the otolith membrane composed of?
GAG and fibrous proteins
What are the characteristics of type 1 hair cells?
bottle shaped, its base does not reach the basal lamina of epithelium
What are the characteristics of type 2 hair cells?
cylindrical, have a higher nuclei than type 1
What do both hair cell types have apically?
1 kenocilia and a bunch of steriocilia
What do the supporting cells of the macula do?
They form a stable plate called the reticular lamina
What is the modiolus? What does it transmit?
The spongy bone in the center of the bony cochlea, it transmits cochlear nerve fibers
What does the basilar membrane separate?
scala media from scala tympani
What are the 2 parts of the basilar membrane?
zona arcuata (medial part) - supports organ of corti zona pectinata (lateral part) - thicker
What covers the basilar membrane on the side of the scala tympani?
squamous perilymphatic cells
What does the vestibular membrane of Reissner separate?
The scala media form the scala vestibuli
What is the vestibular membrane of Reissner made of?
2 layers of squamous epithelial cells
What lines the outer lateral wall of the cochlear duct? what is special about it?
stria vascularis - it’s the only epithelium in the body to have an intraepithelial capillary plexus
What are the cells of stria vascularis?
Marginal cells (many mitochondria), intermediate cells and basal cells (+ capillaries)
What do the apex and base of organ of corti detect?
Apex : low frequency sound
Base : high frequency sound
What are the 2 sensory cells of the organ of corti?
Inner hair cells and outer hair cells
What cells border the inner canal / tunnel of corti?
Supporting cells called inner and outer pilar cells
What is the space of Nuel? (ear)
space between the outer pillar cells and the outer phalangeal cell, contain perilymph
What are Peyer’s patches?
aggregated lymphatic follicles that penetrate into the mucosa to present antigens to lymphocytes
What is mesothelium?
Simple squamous endothelium of the visceral peritoneum
What type of gland is submandibular?
Serous mostly but also mucous
What are the granules in mucous and serous glands?
- Mucin / mucigen granules : mucous
- Zymogen granules : serous
Lining of intercalated duct
low cuboidal epithelium
Lining of striated duct
large tall eosinophil cuboidal cells
Lining of interlobar duct
pseudostratified columnar epithelium
Lining of main excretory duct
stratified columnar epithelium
Which 3 cells have merocrine type secretion?
goblet cell, serous cell, mucous cell
Which gland has apocrine type secretion?
apical sweat glands
Which gland has holocrine type secretion?
sebaceous gland (only one!)
What does Movat’s pentachrome staining do?
stains mucin producing acini with turquoise blue color + can be in serous cells weakly due to carbohydrates in serous secretions
Where does the apocrine sweat gland open into the hair follicle?
right above the entry of sebaceous gland
Which gland can we find in the eyelid?
Modified apocrine sweat gland of Moll
IN which skin layer can we find sebaceous glands?
In the dermis
What is the sebum composed of?
oily / lipid secretory product + debris of apoptotic cells
What type of gland structure does the sebaceous gland have?
branched acinar
What is the covering epithelium of the umbilical cord?
Amniotic epithelium : simple squamous / cuboidal
What is the effect of bradykinin?
It constricts vessels when the temperature gets cold
What type of arteries can we find in the umibilical cord?
muscular arteries
Where does mucoid tissues persist in after birth? (3)
- Dental pulp
- vitrous body
- nucleus pulposus
What is the umbilical cord CT?
it is Wharton’s jelly, tissue rich in GAGs (mostly hyaluronic acid)
What are mesenchymal cells?
Primitive cells that will be future fibroblasts
What does the trichrome stain do? (3)
- Collagen : blue
- Nuclei : red
- Cytoplasm : red
What is special about the epithelium of the vagina?
it is a bit vacuolated due to presence of glycogen in the cells which is removed during staining
What can we observe in the lamina propria of the vagina?
Vascular cavernosus spaces (erectile tissue) with the parasympathetic ganglia that innervate them
Which striated muscle can we see on the vaginal slide?
bulbospongiosus
What is the tendon made of?
bundles of coarse collagen fibers ordered parallelly and tendocytes (fibrocytes)
What is the ECM of the hyaline cartilage made of?
ground substance - hyaluronic acid
Why are chondrocytes vacuolar?
Because of the dissolved lipids and glycogen
What do chondrocytes secrete? (3)
collagen, pteoglycan, GAG
What are chondrocytes housed in?
in lacunae
What are the 2 types of matrix in hyaline cartilage and what is the difference between the 2?
Territorial and interterritorial matrix. Interterritorial is less basophilic due to lower proteoglycans content
What are the 2 layers of the perichondrium of hyaline cartilage?
- Inner cellular (chondrogenic)
- Outer fibrous (type 1 collagen fibers)
What is the main difference between elastic and hyaline cartilage?
The matrix of elastic cartilage does NOT calcify during age
What is the main difference between fibrous and hyaline cartilage?
Less ground substance in the matrix : thick collagen fibers (type 1 and some 2) with fibroblasts, less chondrons
What are the 3 types of lamellae in the bone?
- Concentric : around haversian canal
- Interstitial : between osteons
- Circumferential : around entire bone
What is an osteon?
haversian canal + concentric lamellae
What do the interstitial lamellae of bone reflect?
reflect bone remodelling
What connects haversian canals?
volkmann’s canals (transverse)
What is the function of the trabeculae of bone
space for storage of fat cells and formation of blood
Which cells are in the endosteum / in the periosteum ?
Osteoprogenitor cells / osteoblasts
What type of special staining can be used on bone?
Schmorl / picrithionin
What does the nasolacrimal duct drain into?
Into the inferior nasal meatus
What is special about osteoclasts? (3)
large, multinucleated, acidophilic
How are most long bones formed?
By endochondral ossification = replacement of cartilage model by bone
Why are erythrocytes stained eosinophilic?
Due to hemoglobin
Percentage of neutrophils, eosinophils, basophils, lymphocytes and monocytes in WBC
- neutrophils : 60-70%
- Eosinophils : 2-4%
- basophils : 0.5-1%
- lymphocytes : 20-30%
- monocytes : 3-8%
How is the nucleus of neutrophils, eosinophils and basophils?
- Neutrophils : highly lobulated
- Basophils and eosinophils : bilobed
What is the approximate size of neutrophils, eosinophils and basophils?
Neutrophils and eosinophils : 12-15 micrometers
Basophils : 8-10 micrometers
What is special about monocytes? (2)
- Kidney shaped nucleus
- Azurophilic granules in cytoplasm (lysosomes)
What is Eberth’s line and what is it made of?
- Connection between 2 cardiac muscle cells
- Adhering jct + desmosomes + GAP junction
What do the epiphysis consist of (endochondral ossification)?
They consist of hyaline cartilage
What are the 5 zones in endochondral ossification?
- Resting zone / zone of reserve cartilage
- Zone of proliferation
- Zone of degeneration / hypertrophy
- Zone of mesenchymal invasion and ossification
- Osteogenetic zone
What happens in the zone of proliferation of endochondral ossification?
chondrocytes divide (mitotic activity) and form rows parallel with the axis of the growing bone
What happens in the zone of degeneration of endochondral ossification?
chondrocytes become enlarged due to glycogen accumulation. The intercellular matric becomes calcified (spicules)
What happens in the zone of mesenchymal invasion and ossification of endochondral ossification? (2)
- Chondrocytes die and chondroclasts resorb them
- Lacunae of calcified matrix are invaded by osteoblasts and capillaries
What happens in the osteogenic zone of the endochondral ossification?
- Osteoblasts deposit bone (osteoid) upon the spicules (calcified cartilage)
What is a primary osteocyte?
Osteoblast + osteoid in the lacunae
What is vasa vasorum for?
Supplying the thick aortic wall
What can we find between tunica intima and tunica media of elastic arteries?
internal elastic membrane
What are 2 important features of muscular arteries?
- Less elastic component and more SM in the tunica media
- Well defined internal and external elastic lamina*ù
Which layer is missing in capillaries?
Tunica media is absent
What is an important fact of the thymus?
It has NO lymphatic follicles
What is the framework of the thymus?
epitheloid reticular cells connected by desmosomes
What is in the cortex of the thymus?
densely packed small thymocytes (t cell precursors) and the epithelial reticular cells (lighter)
What is in the medulla of the thymus? (3)
Fewer and larger thymocytes, mature T lymphocytes, hassal’s corpuscles
What happens to the thymocytes in the cortex of thymus?
they divide and either die or survive and recognize MHC of the body
What are Hassal’s corpusles made of?
degenerated epitheloi reticular cells, with keratinization in the center
What do Hassal’s corpuscles secrete?
Cytokine called thymic stromal lymphopoietin
What are the layers of the blood-thymus barrier?
- Endothelium
- Basal lamina of endothelium
- Pericyte
- Perivascular CT space
- Basal lamina of epitheloid reticular cell
How do T-lymphoytes leave the thymus?
Through post capillary venules at the corticomedullary border
What is the role of eosinophils in the thymus?
Present antigens and select T lymphocytes
Which is the only tonsil that has a “full” capsule?
Palatine tonsil - it separates tonsil from rest of the tissue
How are the crypts of the palatine, lingual and pharyngeal tonsils?
palatine : many, deep, branching
lingual and pharyngeal : few and shallow
What can we find in the parafollicular area of the palatine tonsils?
HEV
Where do we find B and T lymphocytes?
B in the follicle, T in the interlymphatic area
What is the marker on B and T lymphocytes?
- B : CD20
- T : CD3
Which type of gland can we find in the palatine tonsils?
Mucous glands
What is the germinal center of lymphatic follicles?
It is mature dividing B lymphocytes, less dense so lighter
What type of gland can we find near the lingual tonsil? What is their role?
Mucous glands, they open into the shallow crypts to wash them
What type of epithelium does the pharyngeal tonsil have?
Pseudostratified ciliated columnar epithelium (respiratory epithelium) with goblet cells
Which tonsil is separated into lobules?
the pharyngeal tonsils, separated by a hemicapsule
What type of gland can we find near the pharyngeal tonsil?
Seromucous glands
What is an adenoid?
enlargement of the pharyngeal tonsils that can cause blockage of the airways
In which region of follicles do B lymphocytes meet antigens and activate?
In the outer region, around ther germinal center
What is the main lymphocyte type in the paracortex of the lymph node?
T lymphocyte
What are medullary cords of the lymph node?
Projections of the cortical lymph follicles
What do medullary cords (lymph node) contain? (3)
lymphocytes, macrophages, plasma cells
What do is the order of drainage after the lymph vessels empty?
into marginal sinus, then trabecular sinus, then medullary sinus
What forms / lines the medullary sinuses of the lymph node?
reticuloendothelial cells (incomplete lining)
What is the spleen and lymph node’s CT meshwork made of?
Reticular cells and reticulin fibers
What are 3 functions of the spleen?
Disposal of old erythrocytes, hematopoiesis in the fetus, interaction of blood antigens and lymphocytes
What is the order of blood flow from the splenic artery in the spleen? (5)
- trabecular artery
- central arteriole
- penicilliform arteriole
- Ellipsoid arteriole
- Splenic sinus
What are the 3 areas of the white pulp?
- PALS
- Malpighian follicles
- Marginal zone
What is the periarteriolar lymph sheath? (3)
- No germinal center
- T lymphocyte dependant
- Central aerteriole in central position
What is a malpighian follicle?
- B lymphocyte dependant
- With germinal center and corona zone
- Central arteriole is eccentric
What is the marginal zone of the white pulp? (3)
- zone between red and white pulp
- B lymphocyte dependant
- Contains marginal sinus
What is the composition of the wall of the ellipsoid arterioles of the spleen? (2)
Endothelial cells and macrophages
What is the composition of the wall of the splenic sinus?
Reticuloendothelial cells also known as STAVE CELLS.
What are splenic cords of Bilroth?
The spaces between the sinusoids in the spleen