Lecture 15 - Lymphatic System Flashcards

1
Q

Function of lymphatic system

A
  • > helps immune system defend body against infectious agents
  • > transports and houses lymphocytes and other immune cells
  • > returns excess fluid to blood to maintain fluid balance-lymph, fluid transported within lymph vessel
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2
Q

Characteristics of lymph and lymphatic capillaries

A
  • > 15% of fluid entering interstitial spaces not reabsorbed into blood capillaries
  • > moves passively into lymphatic capillaries due to pressure gradient
  • > termed lymph once inside lymph vessels
  • > capillaries have no defined start or end
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3
Q

Components of lymph and lymphatic capillaries

A
  • > water, dissolved solutes, and small amount of protein
  • > sometimes cell debris, pathogens, or metastasized caner cells
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4
Q

lymphatic capillaries

A
  1. they have overlapping endothelial cells
    - > one way flaps to allow fluid entrance without entrance
  2. they are Anchoring filaments -

> they help hold endothelial cells to nearby structures

  1. Lacteals (lymphatic vessels of GI tract that absorb fats nutrients, etc.)
    - > lymphatic capillaries within within the GI tract
    - > they allow for absorption of liquid-soluble substances from GI tract
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5
Q

Describe how lymph is made

A

starts off as liquid from blood plasma

  • > becomes interstitial fluid - >

becomes lymph when it enters a lymphatic capillary

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6
Q

how does lymph move within lymphatic capillaries

A
  • > as additional fluid is filtered into interstitial space from blood capillary, hydrostatic pressure increases which “pushes” interstitial fluid into lymphatic capillary lumen
  • > the higher the pressure, the more fluid enters a lymphatic capillary
  • > the pressure of lymph within capillary forces endothelial cells (flaps) of vessel to close, trapping lymph within lymphatic vessel
  • > bigger (pulsing) vessels that are adjacent to lymphatic capillaries help move lymph
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7
Q

What/where are lymphatic vessels

A
  • > larger structures formed from lymphatic capillaries
  • > superficial vessels positioned adjacent to superficial and veins; Deep vessels next to deep arteries and veins
  • > have all three vessel tunics (intima, media, externa)
  • > have valves within their lumen (required to prevent lymph from pooling in vessel and backflow in pressure systems)
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8
Q

Consequences of lymphatic system lacking a pump

A

has to rely on several mechanism to move lymph

  • > contractions of nearby skeletal muscles in limbs
  • > contractions of respiratory muscles
  • > rhythmic contractions of smooth muscle in larger lymph vessel walls

* some connect directly to lymph nodes

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9
Q

Lymphatic VS. Blood Capillaries

A

Blood Capillaries

  • > carries blood
  • > high pressure
  • > walls: continuous, fenestrated, sinusdoid
  • > open ended
  • > lack valves
  • > smaller diameter Lymphatic Capillaries

Lymphatic Capillaries

  • > carries lymph
  • > low pressure
  • > walls: overlapping flaps
  • > blind-ended sacs
  • > have valves
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10
Q

Lymphatic trunks and what do they do

A
  • > any large lymph vessel that forms from the convergence of many lymph vessels from left and right sides of the body

Jugular trunks - > drains lymph from head and neck

Subclavian trunks - > drains lymph from upper limbs, breasts and superficial thoracic wall

Bronchomediastinal trunks- > drains deep thoracic structures

Intestinal trunks - > drain most abdominal structures

Lumbar trunks - > drain lower limbs, abdominopelvic wall and pelvic organs

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11
Q

Lymphatic Ducts

A
  • > largest lymphatic vessels
  • > drained into lymphatic trunks
  • > two lymphatic ducts (right lymphatic duct and thoracic duct)
  • > convey lymph back into venous circulation of the blood
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12
Q

where does the right lymphatic duct receive lymph from

A
  • > right upper limb
  • > right side of thorax
  • > right side of head and neck
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13
Q

Where does the thoracic duct receive lymph from

A
  • > from diaphragm to junction of slft subclavian and left jugular veins
  • > drains lymph from remaining body that isn’t drained into right lymphatic duct
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14
Q

Cisterna chyli

A

saclike structure at the base of the thorasic duct

  • > right/ left intestinal and lumbar trunks drain into this structure
  • > contains chyle
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15
Q

chyle

A

name for lipid-rich lymph

from vessels draining GI tract

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16
Q

What are the primary lymphatic structures that assist the immune system

A
  • > Red bone marrow
  • > Thymus
17
Q

What are the secondary structures that assist the immune system

A
  • > lymph nodes
  • > spleen: white pulp
  • > tonsils
  • > lymph nodules/MALT
18
Q

Red bone marrow

A
  • > responsible for hematopoiesis (produces erythrocytes, platelets, granulocytes and a granulocytes)
  • > lymphocyte production; type of leukocyte (2 major types; T and B lympocytes)
  • > T lymp migrates to thymus to mature
19
Q

Thymus

A
  • > bilobed organ in superior mediastinum

*trabeculae (fibrous extention) separates the two lobes into lobule

  • > each loble has an outter cortex (immature T-Lymphocytes) and an inner medulla (mature T-Lymphocytes)
  • > functions in T-lymphocyte maturation
20
Q

involution

A

the process in which our thymus shrinks with age, mostly replaced by adipose tissue

21
Q

functions and characteristics of Lymph Nodes

A
  • > filter lymph and remove unwanted substances
  • > typically occurs in clusters (i.e. axillary lymph receives lymph from breast, axilla and upper limb)
  • > located along pathways of lymph vessels
22
Q

Structure of lymph nodes

A

Afferent lymphatic vessels

  • > bring lymph into lobe

Efferent lymphatic vessel

  • > drains node, originates at the hilum

Capsule

  • > sends internal extensions into in, trabeculae
  • > subdivide node into compartments
23
Q

Outter lymphatic node

A

cortex

  • > has reticuar fibres
  • > support germinal center (houses B-lymphocytes and some microphages)
  • > has an outer region, mantel zone (contains T-Lymphocytes, macrophages, dendritic cells)
  • > has corticus sinus
24
Q

Inner lymphatic node

A

Medulla

  • > medullary sinus (tiny open channels lined with macrophages)
  • > connective tissue fibres, medulary cord (suppors strans of B and T lymphocytes and microphages)
25
Q

Lymph flow through lymph nodes

A
  • > enters node through afferent lymphatic vessels
  • > makes its vay through lymph node sinus
  • > lymph continuously monitored for presence of foreign material
  • > macrophages (remove forein debris from lymph)
  • > lymph exiting lymph node through efferent vessel
  • > may enter nearby lymph node in cluster
26
Q

What happens when lymphocyte contacts a forein substance

A
    • >* immune response is generated
  • > lymphocytes undergo cell division (especially i germinal centres)
  • > some remaining in lymph node
  • > others transported in lymph and blood
  • > reaches area of infection
27
Q

What does it mean when your lymph node is swollen

A
  • > you’re creating so many antebodies that it stretches your lymphnode
  • > sign that your body is fighting something
28
Q

characteristics of spleen

A
  • > largest lymphatic organs
  • > concave anteromedial border (contains hilum, where blood vessels and nerves enter)
  • > subdivide spleen into red and white pulp
  • > drained by splein vein
  • > supplied by splenic artery
  • > surrounded by connective tissue capsule
29
Q

Red vs White Pulp

A

White Pulp

  • > clusters of T and B lymphocytess and macrophages
  • > contains a central artery

Red Pulp

  • > contains erythrocytes, platelets, macrophages and B-lymphocytes
  • > cells housed in reticular connective tissue, forming splenic cords
  • > platelets resevoir re-enters blood as needed
  • > has splenic sinusoids

* permeable capillaries, so blood cells easily exit; drain to small venules leading to splenic vein

30
Q

Splenic Blood flow

A
  • > blood first enters splenic arterny, then splenic arterioles, then into the central artery (white pulp)
  • > continues out through sinusoids of red pulp
  • > red pulp macrophages phaocytize bacteria, foreign objects, old and defective erythrocytes and platelets
  • > blood re-entres red pulp sinusoids
  • > then travels through venules and out splein vein
31
Q

Tonsils

A
  • > not completely surrounded by capsule (hemicapsulated)
  • > helps protect against foreign substances inhave or ingested
  • > have invaginated tonsillar cryptes to increase surface area to trap material
  • > contains lymphatic nodes
32
Q

Different types of tonsils

A

Pharyngeal tonsil (1)

Palatine tonsils (2)

Lingual tonsils (several)

33
Q

lymphatic nodules

A
  • > small clusters of lymphatic cells with some extracellular matrix
  • > help defend against infection
  • > different from lymph node because it’s smaller and is not completely surrounded by conective tissue capsule
  • > in some areas, they group together to form larger stuctures i.e. MALT
34
Q

MALT

A
  • > mucosa- associated-lymphatic-tissue
  • > helps defend agains foreign substances
  • > prominant in small intestins
  • > located in GI (GALT), resperatory (BALT), genital, and urinary tracts

* found in lamina propria of the mucosa