Lymphoid system* Flashcards

1
Q

origins of lymphoid cells

A

haemoatopoietic stem cells -> precursor lymphoid cells -> bone marrow and thymus -> secondary lymphoid organs

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2
Q

primary lymphoid tissue

A

bone marrow

thymus

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3
Q

secondary lymphoid tissues

A
LNs
spleen
tonsils (waldeyers ring)
epithelial-lymphoid tissues
bone marrow
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4
Q

why is lymph returned to the circulation

A

important function in fluid homeostasis

prevent excessive accumulation of fluid in tissues - oedema

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5
Q

why is it filtered before returning to the circulation

A

cell traffic

interactions with immune competent cells - protective function

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6
Q

lymph nodes are what
size
where
function

A

small oval bodies
up to 2.5cm
along course of lymphatic vessels
transport fluid back to circulation

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7
Q

LN filtering

A

lymph is filtered within the node parenchyma before return to the blood stream

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8
Q

cells in LNs

A

B cells
T cells
macrophages, antigen presenting cells, dendritic cells
endothelial cells

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9
Q

when stimulated what happens from b cells

A

go from primary follicles to secondary follicles

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10
Q

LN enlargement

A

lymphadenopathy
localised or generalised
peripheral or central

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11
Q

causes of ln enlargement

A
reactive 
neoplastic 
local inflam 
sysetmic infection
malig
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12
Q

superficial infection - red lines from an inflamed lesion

A

lymphangitis

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13
Q

regional lymphadenopathy can be what

A

underlying malignancy?

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14
Q

generalised lymphadenopathy

A

systemic inflam process or widespread malig - lymphoma/leuk

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15
Q

predom B cell response
predom phagocytic response
predom T cell response

A

AI conditions, infections

draining a tumour site

viral infections, drugs (phenytoin)

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16
Q

spleen size

A

150-200g

12x7x3cm

17
Q

supply
drainage
rupture

A

splenic artery
splenic vein

rupture surgical emergency

18
Q

structure of the spleen

A

encapsulated
parenchyma has red and white pulp
red pulp has sinusoids and cords

19
Q

white pulp of spleen

A

peri arteriolar lymphoid sheath - CD and lymphoid cells

antigen reaches white pulp via blood

APCs in white pulp present AG to immune reactive cells
when stimulated by AG T and B cell responses occur

20
Q

features of splenomegaly

A

dragging sensation in LUQ
discomfort with eating
pain if infarction

21
Q

hypersplenism

A

splenomegaly
fall in red/white/platelets
correction of cytopenias by splenectomy

22
Q

splenomegaly causes

A
infection
congesition 
haem dx
inflam
storage dx - Gauchers, Neimann-Pick dx

amyloid, tumours, cysts

23
Q

hyersplenisn

A

splenectomy?

24
Q

hyposplenism

A

most commonly from splenectomy
coeliac, sickle cell dx, sarcoid, iatrogenic

howell jolly bodies, other red cell abnormalities

25
Q

what is howell jolly body

A

residual DNA - should be removed by normal spleen