Lymphatic system Flashcards

1
Q

what general parts make up the lymphatic system:

A

lymph, lymphatic vessels, lymphoid organs/ tissues

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2
Q

components of lymphatic vessels:

A

capillaries, lymphatic vessels, ducts, trunks

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3
Q

components of lymphoid organs/ tissues:

A

primary:

  • red bone marrow
  • thymus

secondary:

  • spleen
  • lymph nodes
  • lymphatic nodules
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4
Q

general functions of lymphatic system:

A
  • drains excess interstitial fluid
  • transports dietary lipids/ lipid soluble vitamins

(carries out immune responses)

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5
Q

general flow of lymph:

A

interstitial fluid (lymph) –> lymphatic capillaries –> lymphatic vessels –> lymphatic trunks –> lymphatic ducts –> veins

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6
Q

general features: lymph vessels

A
  • thin walled
  • have valves
  • similar in structure to veins
  • lymph nodes (along lymph vessels)
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7
Q

location: lymph trunks

A

lumbar, intestinal, bronchomediastinal, subclavian, jugular

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8
Q

two lymphatic ducts:

A
  • left lymphatic duct (thoracic duct)

- right lymphatic duct

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9
Q

what areas are drained: L lymphatic duct

A
  • L side of head/ neck/ chest
  • L upper limb
  • whole body inferior to ribs
  • drains: junction of L internal jugular and L subclavian veins
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10
Q

what areas are drained: R lymphatic duct

A
  • upper R side of body (inc. head, neck, chest)
  • R upper limb
  • drains: junction of R internal jugular and R subclavian veins
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11
Q

what pumps help lymph flow:

A
  • skeletal muscle pump

- respiratory pump

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12
Q

lymphedema: eg

A

swelling of tissue due to insufficient functioning of lymph system
- retention of fluid

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13
Q

features/ function: red bone marrow

A
  • main site of haematopoiesis
  • pluripotent cells give rise: erthrocytes/ leukocytes
  • B Lymphocytes mature in bone marrow
  • T Lymphocytes migrate to thymus -> immunocompetent
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14
Q

features/ function: thymus

A
  • bilobed organ: superior mediastinum btw sternum/ aorta, surrounded by thin capsule
  • fully functional at birth, matures at puberty, involutes
  • site of T Lymphocyte maturation
  • rich blood supply
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15
Q

features/ function: thymic lobule cortex

A
  • peripheral, dark zone
  • site of proliferation/ maturation of T Lymphocytes
  • dendritic cells, specialised epithelial cells (thymic hormones)
  • most T cells die via apoptosis
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16
Q

thymic lobule: main parts

A

cortex and medulla

17
Q

features/ function: thymic lobule medulla

A
  • central, light zone
  • mature T cells
  • dendritic, epithelial, cells, macrophages
  • Hassall’s corpuscles: epithelial cells become filled with keratin, degenerate, calcify
  • more with maturity
18
Q

features/ function: spleen

A
  • left hypochondriac region (btw 9-11) ct. capsule
  • invaginates into spleen forming trabeculae
  • superior/ visceral surface
    s: convex- diaphragmatic
    v: visceral- gastric, renal, colic impressions

Hilum: splenic artery and vein, lymphatics, sympathetic nn.

19
Q

parts: parenchyma of the spleen

A

white pulp

red pulp

20
Q

parenchyma of the spleen: white pulp

A
  • lymph tissue around branches of splenic artery, central artery
  • immune function (B T cells) destruction of pathogens
21
Q

parenchyma of the spleen: red pulp

A

venous sinuses/ cords of splenic tissue -> splenic (Billroth’s) cords
- removal of old blood cells and platelets, storage of platelets, site haematopoiesis (foetal life)

22
Q

function: spleen

A
  • mounts primary immune response,
  • filtering blood,
  • destruction of blood cells
  • storage of platelets
  • production of erythrocytes (foetal)

not essential for life

23
Q

Splenomegaly: eg

A

enlargement of spleen

24
Q

features/ function: lymph nodes

A

small encapsulated organs located along pathway of lymphatic vessels
- small bean shaped, filters
- widely distributed throughout the body but concentrated in:
axilla, inguinial, mesenteries

25
lymph node: network of sinuses/ flow
irregular channels through lymph node, contain reticular fibres, lymphocytes, macrophages afferent lymphatic vessels --> subcapsular sinus --> trabecular sinuses --> medullary sinuses --> efferent lymph vessel (hilum)
26
features/ function: lymphatic nodules
small, egg shaped mass of lymphatic tissue without capsule - found in lamina propria of mucous membranes of digestive, urinary, reproductive, respiratory systems - mucosa-associated lymphoid tissue (MALT)
27
aggregations of lymphatic nodules:
tonsils, Peyer's patches
28
features/ function: tonsils
incompletely encapsulated lymphoid tissue at junction of oral cavity , oropharynx and nasal c. and nasopharynx - palatine - pharyngeal - lingual
29
immunity: general definition
body has system of cells which can distinguish self from non-self (foreign substance) immune responses provide defence of body against invasion from - outside: bacteria, virus etc. - inside: abnormal cells
30
cells of immune system and distributed how:
lymphocytes, plasma cells, mast cells, neutrophils, eosinophils, phagocytic cells - blood - lymph - epithelial tissue - connective tissue
31
features/ function: antigen
molecule capable of inducing immune response/ production of antibodies can be: - protein - polysaccharide - bacteria - protozoa - virus infected cell - tumor cell
32
2 types of responses to antigens:
humoral: - immunoglobulins (antibodies Ab) secreted by plasma cells are involved in response cellular: - lymphocytes are involved
33
features: antibody
glycoprotein, in immunoglobulin protein family (Ig)
34
classes of antibodies:
IgG, IgA, IgE, IgD, IgM
35
function/ action of antibodies:
neutralisation, opsonisation, complement system activation, cytotoxicity
36
two types of immunity: general
innate: present from birth | adaptive (acquired/ specific)
37
innate immunity:
fast, non specific, no memory - skin - mucous membranes - phagocytic cells (macrophage, neutrophils, monocytes, natural killer cells)
38
adaptive immunity:
more efficient, high specific, has memory, activation of B/ T lymphocytes to destroy invading organisms