Immunology Flashcards
Celiac nodes
Liver Stomach Spleen Pancreas Upper duodenum
Superior mesenteric
Lower duodenum
Jejenum
Ileum
Colon to splenic flexure
Inferior mesenteric
Colon from splenic flexure to upper rectum
Internal iliac
Lower rectum to above pectinate line of anal canal Bladder Vagina middle third Cervix Prostate
Para aortic
Tested
Ovaries
Kidneys
Uterus
Superficial inguinal
Anal canal below pectinate line
Skin below umbilicus except popliteal
Scrotum
Vulva
Popliteal
Dorsolateral foot
Post calf
R lymphatic duct drains
R side of body above diaphragm
Thoracic duct drains everything else into junction of l subclavian and internal jugular veins
Encapsulated organisms
Please SHINE my SKiS
Pseudomonas Strep pneumonia H Influenza Neisseria meningitis E. coli Salmonella Klebsiella Group B Strep
Post splenectomy on blood smear
Howell Jolly bodies
Target cells
Thrombocytosis
Lymphocytosis
HLA A3
Haemochromatosis
HLA B8
Addison disease
MG
HLA B27
PAIR
HLA DQ2/8
Celiac disease
HLA DR2
MS
SLE
hay fever
Goodpastures
HLA DR3
DM1 SLE Graves Hashimotos Addison
HLA DR4
RA
DM1
Addison disease
HLA DR5
Pernicious anaemia B12 def
Hashimotos
T cell activation
Signal 1
MHC 2 APC recognised by TCR on CD4 cells. Antigen presented on MHC 1 to CD8 cells
Signal 2 Costim B7 (Cd80/86) and CD28
B cell activation
Antigen on MHC 2 recognised by Th cell.
CD40 receptor on B cell binds with CD40L on Th cell
Naive B cells express
IgM IgD
IgG
Delayed response
MC in serum
Crosses placenta
IgA
GIT Peyer patches
Most produced AB
Secretions and breast milk
IgM
Immediate
Monomer on B cell
Pentamer with J chain
IgE
Type 1 HS
Histamine
Eosinophils
Cytokines secreted from macrophages
IL 1 IL 6 IL 8 IL 12 TNFa
Cytokines secreted from all T cells
IL 2
IL 3
Cytokines secreted from Th1 cells
IFNy
Cytokines secreted from Th2 cells
IL4
IL5
IL10
Hot T bone stEAK
IL 1 fever = hot IL2 stimulates T cells IL3 stimulates bone marrow IL4 stimulates IgE production IL5 stimulates IgA production IL6 stimulates aKute phase protein production
IL 8
Clean up on aisle 8
Neutrophils recruited to clear infections
IL 12
T cells —> Th1 cells
Activate NK cells
TNFa
Septic shock
Activates endothelium
Causes WBC recruitment vascular leak
Cachexia
IFNy
Macrophages —> IL 12 —> NK and T cells —> IFNy —>macrophages to kill phagocytosis pathogens
IL 10 and TGF-B
atTenuate/ regulate immune system
MHC 1 on all nucleated cells but not
Mature RBCs
TCR
CD3
CD28
CXCR4 / CCR5
T cells
CD4
CD40L
Helper T cells
CD8
CXCR4
CCR5
Cytotoxic T cells
CD4
CD25
Regulatory T cells
Ig
CD19/ 20/ 21 (EBV) / 40
MHC 2
B7
B cells
CD14 CD40 CCR5 MHC II B7 (CD80/86) Fc and C3b receptors
Macrophages
CD16 binds F.C. of IgG
CD56
NK cells
CD34
Hematopoietic stem cells
Superantigens = S pyogenes/ aureus
Endotoxins/LPS =?
GNB
Antigenic variation
Bacteria Salmonella Borrelia recurrentis
Influenza HIV HCV
Trypanosomes
Passive immunisation
Tetanus toxin Botulinum toxin HBV Varicella Rabies
Give antibodies to unvaccinated after exposure
Live attenuated vaccine
BCG Influenza Measles Mumps Polio Rubella Varicella Yellow fever
Inactivated or killed vaccine
Rabies
Influenza injections
Polio Salk
Hepatitis A
HS types
ACID
Anaphylactic and Atopic
Cytotoxic AB mediated
Immune complex
Delayed cell mediated