Lymphatic and Respiratory system Flashcards

1
Q

Lymphatic system functions

A

Return lymph to the system venous system, to maintain blood volume and fluid levels and leak proteins back to the blood.
- Carry absorbed fat from the intestine to the blood
- Lymph nodes act as filters to check for foreign or pathological materials, thus fighting infection by foreign bodies via lymphocytes

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2
Q

Lymphatic capillaries

A
  • Vessels that receive lymph
  • Components of blood plasma filter through blood capillaries= interstitial fluid
  • Lymphatic capillaries are highly permeable (more permeable than blood capillaries)
  • Excess interstitial fluid flows into lymphatic capilaries
    The flow of lymph is one way:
    Lymphatic capillaries -> lymphatic vessels -> lymphatic trunks -> lymph ducts
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2
Q

Lymphoid organs

A
  • Red bone marrow (produces lymphocytes)

Thymus (maturation of t-lymphocytes)
- A bi-lobed organ located in the anterior mediastinum
- In infants, it is quite large and extends into the superior mediastinum
- Cells of the thymus regress after puberty and it is eventually replaced by adipose connective tissue
- In adults, it atrophies and becomes almost non-functional

Spleen (monitors blood)
- A bi-lobed organ located in the anterior mediastinum
- Largest lymphatic organ located in the upper left quadrant of the abdomen
- Contains lymphocytes
- White pulp= initiates immune responses when antigens detected in blood
- Red duplex= reservoir for erythrocytes and platelets: disposes worn-out blood cells

Lymph nodes (monitors lymph, destroy pathogens)
- The lymph filters
- Organs at which the lymphatic and immune system intersect
- Location where antigens initiate an immune response (active lymphocytes)

Tonsils (destroy pathogens)
- patches of lymphatic tissue found at the entrance of the pharynx protection against ingested and inhaled pathogens
- 4 groups- palatine, lingual, pharyngeal, tubal

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2
Q

How do Lymphatic and CV system work together?

A
  • Continual recycling of fluid from blood-to tissue fluid - to lymph and back to the blood
  • Blood capillaries lose fluid to tissue spaces, picked up by lymphatic system, returned to blood stream
  • Lymph flows from lymphatic capillaries through collective vessels, lymphatic trunks, collective ducts and is filtered through multiple lymph nodes before re-entering the bloodstream at the subclavian veins
  • The lymphatic system flows at lower pressure and speed than the venous blood
  • The valves of the lymphatic vessels, like those of the veins, prevent the fluid from flowing back.
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3
Q

Functions of the Respiratory system

A

Supply body with O2 and dispose of CO2
4 processes make up respiration:
- Pulmonary ventilation (breathing)
- External respiration
- Respiratory gas transport
Other important functions:
- Acid balance
- Filters and protects respiratory surfaces from pathogens and dehydration
- Vocalization
- Olfaction

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4
Q

Division of the Respiratory System

A

Functional divisions
- Conducting zone passageways that carry air to the site of gas exchange (filter, humidity, warm air)
- The respiratory zone is the site of gas exchange in the lungs
Anatomical division:
- Upper respiratory tract transports air through common structures: nose cavity, pharynx, larynx
- Lower respiratory tract transports and carries out gas exchange: trachea, bronchial tree, lungs (alveoli)

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5
Q

Surfactant and Nose

A
  • Detergent-like substance that reduces the surface tension within the alveoli
  • Without surfactant, the inner walls of the alveoli would stick together during exhalation
    Nose
  • Only externally visible organ of the respiratory system
    Functions
  • Airway for respiration
  • Moistens and warms entering air filters
  • Resonance chamber for speech
  • Home to the olfactory receptors
    Dived into external nose (bones and hyaline cartilage and internal nasal cavity.
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6
Q

Nasal cavity

A
  • Air enters through external nares
  • Nasal septum divides into right and left halves
  • Posteriorly, continuous with the nasopharynx
  • Roof formed by ethmoid and sphenoid bones
  • Floor formed by palate
  • Surrounded by paranasal sinuses-filter air
    Lined with 2 types of mucosa membrane
  • Olfactory mucosa- receptor for smell
  • Respiratory mucosa- epithelium with goblet cells, functions to trap inhaled debris and moisten
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7
Q

Lateral wall of nasal cavity

A

Conchae
- Bony plates found on the lateral wall of the nasal cavity that increases the surface area of the mucous membrane (superior and middle ethmoid, inferior)
- Inhalation: filter, heat and moisten air (cools conchae)
- Exhalation: cool conchae takes out moisture and extract heat back from air
- Groove inferior to each concha is a meatus

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8
Q

Pharynx

A
  • Common passageway for both food and air
  • Funnel-shaped passageway that connects to the nasal cavity and mouth superiorly to the larynx and oesophagus inferiorly
  • Walls lined with mucosa and skeletal muscle
    Divided into 3 sections
  • Nasopharynx: only air, uvula closes the entrance to prevent food from entering the nasal cavity, pseudostratified ciliated columnar epithelium
  • Oropharynx and laryngopharynx: food and air, stratified squamous epithelium
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9
Q

Larynx

A

Connects the laryngopharynx to the trachea
- Superior ligaments: Vestibular folds: false vocal cords
- Inferior ligaments: Vocal folds, true vocal cords
- laryngeal vestibule: Above vocal cords; laryngeal ventricle- between vestibular and vocal cords (rima glottis- opening between vocal folds)
3 main functions
- Produces localizations
- Provides an open airway
- Routing air and food into proper channels (swallowing= closed, breathing= open)

Larynx cartilages
- 9 cartilages, connected by membranes and ligaments make up the larynx
1. Thyroid cartilage (Adams apple)
2. Cricoid cartilage (completes ring)
3. Arytenoid cartilage (pyramid-shaped- anchors vocal cords)
4. Corniculate cartilage
5. Cuneiform cartilage
6. Epiglottis (Elastic- keeps food out of respiratory tubes)

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10
Q

Trachea

A
  • Functions: Filter, warm, humidity air
  • From larynx into mediastinum, divides into 2 primary bronchi at T4 - T7
  • 16-20c shaped rings of hyaline cartilage joined by connective tissue
  • Trachealis muscle - contraction decreases trachea diameter
  • Carina- cough reflex
  • Annular ligaments connects cartilage rings
  • Pseudo-stratified ciliated columnar epithelium
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11
Q

The Bronchial tree

A
  • At T4-T7, the trachea branches into left and right bronchi cartilage and smooth muscle
  • Primary bronchi enter the hilum of each lung with pulmonary and lymphatic vessels and nerves
    Secondary/ lobar bronchi- 3 right, 2 left (each supply one lobe)
    Tertiary/segmental bronchi
  • Changes that occur as conducting tubes become smaller:
  • Cartilage is replaced with smooth muscle and elastic connective tissue
  • Epithelium transitions to simple columnar and then to simple cuboidal (for gas exchange)
  • No mucous of cilia in small bronchioles
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12
Q

The Respiratory zone

A

Respiratory bronchioles lead to alveolar ducts then to alveolar sacs (terminal clusters of alveoli)
- Approx 400 million alveoli allow for 140 square meters of surface area for gas exchange
- Each alveolus has 2 types of cells:
- Single layer of type 1 alveolar cells, basal lamina, and network of capillaries
- Type 2 alveolar cells produce surfactant

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13
Q

The lungs and pleurae

A

Paired lungs and pleural sacs located in the thoracic cavity
- Both lungs are conical, with concave base resting on diaphragm and blunt apex near the clavicle
- Lungs divided into loves by fissures
- Hilum on medial surface - indentation where vessels enter/exit lung

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14
Q

Lung anatomy

A

Lobes and fissures
- Left (2) - superior and inferior by oblique fissure
- Right (3) - superior, middle and inferior by oblique and horizontal fissures
Surfaces
- Mediastinal (medial, hilum)
- Diaphragmatic (base)
- Costal (made of anterior, lateral and posterior surfaces)
Borders:
- Anterior
- Posterior (smooth)
- Inferior

15
Q

Diaphragm Anatomy

A
  • Oesophageal hiatus is surrounded by muscle so during contraction of the diaphragm it is closed
  • Vena cava foramen and aortic hiatus surrounded by tendons so blood can flow during contractions
    Pneumothorax
    When air breaks the seal of pleural fluid- lung collapses
16
Q

Blood supply

A

Pulmonary circulation= Conducts blood from the heart to and from the gas exchange surfaces of the lungs
- Pulmonary arteries- take O2-poor blood to the lungs
- Pulmonary capillary networks- site of gas exchange alveoli
- Pulmonary veins- take O2-rich blood back to the heart
Bronchial circulation: supply the bronchi and bronchioles of the lung
Bronchial arteries branch from the anterior wall of the descending thoracic aorta and supply structures in the bronchial tree
- Larger bronchial veins collect venous blood and drain into azygos and hemizygous systems of veins

16
Q

The pleurae

A

The serous membrane that covers the outer Lung surface and the thoracic wall, has 2 layers:
- Outer layer is the parietal pleura: covers internal surface of thoracic wall, superior surface of the diaphragm, lateral surfaces of mediastinum (sensitive to pain)
- Inner layer is the visceral pleura: covers the external lung surface (insensitive to pain)
Between these serous membranes is the pleural cavity. Membranes produce an oily, serous pleural fluid- lubricant, ensures opposing pleural membrane surface slide by each other with minimal friction during breathing

17
Q

Muscles involved in ventilation

A

Normal inspiration (eupnea)
1. Diaphragmatic breathing (deep breathing)
- Diaphragm contracts and expands the thoracic cavity
2. Costal breathing (shallow breathing)
- External intercostals (elevate the ribs and enlarge the thoracic cavity)
Deep on forced inspiration (hyperpnea)
- Sternocleidomastoid, scalenes, pec minor quadrutus lumborum
Normal expiration can be passive- the diaphragm and/ or muscles relax
Deep or forced expiration
- Internal and external obliques, transverse abdominals (force diaphragm superiorly, depress rib cage)
- Internal intercostals and latissimus dorsi (depress rib cage)