Test Three Info Flashcards

0
Q

Erthrocyte

A

Red blood cell. Lives 120 days. 7.8 micrometer diameter only organelle is cell membrane and mostly contains hemoglobin proteins eisinophilic

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1
Q

Types of white blood cells

A

Granulocytes- have specific granules in their cytoplasm

Agranulocytes- lack specific granules in their cytoplasm

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2
Q

Reticulocyte

A

Immature RBC in the blood that still has some organelles like polyribosome which makes it basophilic and Form network in cytoplasm.

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3
Q

Types of plasma cells

A

Albumin (most common) maintains
isotonic nature of blood
Globulins (immunoglobulins mostly antibodies)
Fibrinogen- soluble form of clotting, forms fibrin needs to.

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4
Q

Connective tissue made of

A

Fibers, ground substance, and cells

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5
Q

Blood functions

A

Transport nutrients and oxygen, waste products, and hormones and other regulatory substances

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6
Q

What is plasma

A

Ground substance (serum) and fibers (fibrinogen)

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7
Q

Types of granulocytes

A

Neutrophils (neutral)
Eosinophils (pink)
Basophils (purple)

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8
Q

Types of agranulocytes

A

Lymphocytes

Monocytes

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9
Q

Names for neutrophils and characteristics

A

Polymorphonuclear neutrophils, PMN
Segmented neutrophils, segs
Multi loved nucleus (3-5 lobes connected by chromatin)
Larger diameter than RBC (1.5x)
Not pink or purple. Have azurophilic granules . Phagocytic

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10
Q

Barr body

A

Club shaped appendage off of nucleus in neutrophils of females.

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11
Q

Infection will lead to increase of what cell

A

Neutrophils! Pus is an accumulation of dead PMN and their phagocytosis bacterial debris

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12
Q

Band or stab cells

A

Immature neutrophils released in an infection which have not yet obtained a lobular nucleus so looks like a curved band

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13
Q

Eosinophils characteristics

A

Pink but not super pink. Specific granules, 1.5x RBC. Bilobed nucleus
Azurophilic granules in cytoplasm

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14
Q

Azurophilic granules

A

Lysosomes in granulocytes

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15
Q

What would increase eosinophil numbers

A

An active allergy, parasitic infection (especially helminths)

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16
Q

Eosinophils function

A

Modulate certain immunologic functions

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17
Q

Basophil characteristics

A

Numerous large basophilic granules. 1.5x RBC, difficult to see nucleus, azurophilic granules with special stains

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18
Q

Basophils function

A

Similar to mast cells (though not related) they are inflammatory triggers

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19
Q

Lymphocyte characteristics

A

Round nucleus almost entirely fills the cell and is purple. No granules visible. Smallest WBC’s about the same size as a RBC. Types include b lymphocytes for humoral response and T cells for cellular immunity. Also natural killer cells.

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20
Q

Monocytes characteristics

A

2x RBC. No visible granules. C shaped nucleus. Has azurophilic granules with special stains. Can transform into macrophages but as monocytes they are not phagocytic

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21
Q

Histocyte

A

Connective tissue macrophage. Monocytes can be transformed into these

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22
Q

Thrombocytes characteristics

A

Not true cells. Less than 1/2 a RBC. No nucleus, they are membrane bound cytoplasmic fragments of bone marrow cells known as megakaryocytes. involved with hemostasis and clotting

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23
Q

Megakaryocytes

A

Shed fragments which become platelets (thrombocytes)

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24
Q

Cardiovascular system function

A

Carry blood and lymph to and from tissues of the body

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25
Q

Large (elastic or conducting) arteries location

A

Near the heart

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26
Q

Medium ( muscular or distributing) arteries

A

Named arteries of the body

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27
Q

Arterioles

A

Smallest type of artery. Connect directly to capillaries

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28
Q

Capillaries

A

Smallest blood vessel. Can’t be seen by the naked eye. Form networks. Thin walls to diffuse large amounts of fluid.

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29
Q

Blood filtrate

A

Fluid that leaves the blood and goes into the interstitial space and helps form the interstitial fluid. Carries O2 and nutrients to tissues. Most returns to the cardiovascular system as part of blood again.

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30
Q

Venules

A

Smallest veins. they receive blood directly from capillaries. They have thin walls ( not as thin as capillaries) so interstitial fluid can be reabsorbed.

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31
Q

Microcirculatory (microvascular) bed

A

Functional unit of blood vascular system that consists of arterioles capillary network and venules. Where fluid exchange occurs

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32
Q

Portal

A

Blood vessel connected between two capillary beds

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33
Q

Three portal systems

A

Hepatic portal system
Hypothalamic-hypophyseal portal system
Kidney- nephron

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34
Q

layers of the wall of arteries and veins

A

Tunica intima
Tunica media
Tunica Adventitia

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35
Q

tunica intima

A

the innermost layer. it contains three components

  1. Endothelium- simple squamous lining the lumen
  2. basal lamina of the endothelium
  3. subendothelium- loose connective tissue barrier
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36
Q

What special thing is present in the subendothelium of arteries

A

an internal elastic membrane/ lamina sheet like later with a characteristic wavy appearance

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37
Q

tunica media

A

middle layer. various amounts of circumferentially arranged smooth muscle cells between smooth muscle cells and elastic and/or reticular fibers and proteoglycans

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38
Q

what layer is the thickens in arteries

A

tunica media

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39
Q

tunica adventitia

A

outermost layer. usually made up of loose connective tissue.

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40
Q

Vasa vasorum

A

Blood vessels that supply the wall of the blood vessel within the tunica adventitia

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41
Q

Nervi vasorum

A

Mostly autonomic nerves that supply the smooth muscle in the wall of the blood vessel. Usually in tunica adventitia

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42
Q

What layer of the wall is thickest in veins?

A

Tunics adventitia

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43
Q

Specialization of tunica adventitia in arteries

A

Innermost structure of the tunica adventitia is the external elastic membrane/ lamina. Wavy appearance

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44
Q

What allows vessels to vasoconstrict oft dilate?

A

Smooth muscle

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45
Q

Names for elastic arteries

A

Conducting or large arteries for example the aorta, pulmonary arteries, branchiocephalic, common carotid, subclavian renals and common ilia a

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46
Q

elastic arteries function

A

Rapidly conduct blood
Dampen out the systolic pressure wave as the heart pumps
Maintain diastolic pressure and continual flow of blood

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47
Q

Subendothelium in elastic arteries contains what?

A

Loose connective tissue
Smooth muscle cells
It is in the tunica intima

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48
Q

What is in the tunica media of large arteries?

A
Concentrically arranged lamellae of elastic fibers.
Scant amounts of smooth muscle, collagen fibers, ground substance, and proteoglycans.
NO fibroblasts (smooth muscle cells make the connective tissue components
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49
Q

What makes up the tunica adventitia in large arteries?

A

Loose connective tissue! Small amounts of collagen and elastic fibers. Many fibroblasts!

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50
Q

Distributing artery

A

Aka muscular or medium arteries chaste rustic preponderance of smooth muscle

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51
Q

Internal elastic membrane

A

Very prominent and wavy in muscular arteries. It is in the subendothelium of the tunica intima

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52
Q

Tunica media in medium arteries

A

Three or more smooth muscle layers and some connective tissue

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53
Q

Medium artery tunica adventitia

A

Loose connective tissue and may have an external elastic membrane present

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54
Q

Smallest arteries

A

Arterioles

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55
Q

What vessels are termed resistant vessels?

A

Arterioles because they have relatively thick walls for their lumen diameter

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56
Q

Tunica intima in arterioles

A

Endothelium and basal lamina are normal, subendothelium is almost absent

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57
Q

Number of layers of smooth muscle in an arteriol?

A

1 to 2

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58
Q

Arterioles function

A

Flow regulators for the capillary bed. Contains a precapillary sphincter

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59
Q

Capillaries

A

Main site of exchange of gases nutrients waste products

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60
Q

Specialties of walls of capillaries

A

Only a endothelial cell layer. No smooth muscle so can not alter caliber

61
Q

Edema

A

An accumulation of abnormal amounts of interstitial fluid

62
Q

Organs with lots of capillaries

A

Liver, brain, muscle,

63
Q

Organs with few capillaries

A

Dense connective tissue areas

64
Q

Types of capillaries

A
  1. Continuous
  2. Fenestrated with or without diaphragms
  3. Discontinuous
65
Q

Type of capillary in the iris stronger

A

Continuous

66
Q

Type of capillary in the retina

A

Continuous

67
Q

Continuous capillary characteristics

A

Most control of fluid exchange
The endothelial layer is continuous with zones occludens between cells. Fluid must pass through the wall of the endothelial cells

68
Q

Pericytes or Rouget’s cells

A

A type of cell that can be found in continuous capillaries between endothelial and basal cells. Help regulate movement and are involved in the blood brain barrier

69
Q

Type of capillary in the stroma of the ciliary body processes?

A

Fenestrated with diaphragms

70
Q

Type of capillary in the choriocapillaris

A

Fenestrated with diaphragms

71
Q

Fenestrated capillary characteristics

A

Easier fluid exchange. Found in areas of more molecular exchange. Have Fenestra like pores in their walls but also have continuous endothelial layer with zonula occludens

72
Q

discontinuous capillaries

A

also called sinusoids they are the leakiest type of capilllary and are therefore the least regulated. it has a relatively wide lumen (more than one RBC can fit in at one time) which slows the blood flow down even more. fluid can move through physical gaps between adjacent endothelial cells.

73
Q

sinusoid

A

discontinuous capillaries

74
Q

what is the only place in the body where RBC’s can normally be seen outside of blood vessels

A

in the spleen through discontinuous capillaries

75
Q

where are discontinuous capillaries found

A

liver, spleen, bone marrow, lymph nodes

76
Q

sinusoids in the eye

A

NONE

77
Q

special cells associated with sinusoids in the liver

A
  1. kupffer cells (macrophages in the liver)

2. Stallate (Ito’s) cells which store vitamin A

78
Q

arteriovenous anastomose/ shunts

A

direct route for blood to go from the arterioles into the venules where it may bypass the capillary bed

79
Q

when does blood bypass the capillaries using the arteriovenous anastomose?

A

when the smooth muscle wall of the shunt is relaxed and blood may bypass the capillary bed and go through the shunt

80
Q

metarterioles/ precapillaries

A

initial segment of a preferential throroughfare through a regular capillary bed

81
Q

capacitance vessels

A

veins, called this because at any given time most of the blood is in the veins

82
Q

characteristics of the veins

A

NOT elastic, very distensible, not very distinct tunics, thinner wall and larger lumen than artery, often distored in shape on slides, have valves that allow blood to move in one direction

83
Q

what allows blood to move in one direction in the veins

A

valves

84
Q

types of veins

A

venules
medium veins
large veins

85
Q

what receives blood directly from the capillaries

A

postcapillary venules. they are a major site of action of vasoactive inflammatory agents which increase leakage of fluid and increase white blood cell emigration during the inflammatory response

86
Q

vasoactive inflammatory agents

A

histamines, increase leakage of fluid and increase white blood cell emigration during the inflammatory response

87
Q

what is in the tunica media and the medium veins

A

smooth muscle cells interspersed among loose connective tissue but are not prominant

88
Q

what are vasoactive inflammatory agents

A

basophils and mast cells

89
Q

describe the tunica adventitia in large veins

A

the thickest and best developed layer. its main feature is bundles of longitudinally arranged smooth muscle cells. it is embedded in loose connective tissue with some collage and elastic fibers.

90
Q

dural venous sinuses

A

broad spaces between dural layers around the brain that are lined with endothelium and contain venus blood

91
Q

what is unique about the veins in the retina

A

they have no smooth muscle in their walls and have no tunica media or very minimal

92
Q

what is the lymphatic system

A

a collection of thin-walled vessels that gather excess fluid from interstitial compartment that was not reabsorbed by the blood vessel and return it to the venus blood.

93
Q

lymph

A

interstitial fluid in a lymph vessel

94
Q

lymph capillaries

A

blind ended vessels that are similar to blood capillaries but larger in diameter

95
Q

differences between lymph vessel walls and to veins

A

thinner walls for the size of the lumen
tunics are very poorly defined
lumen is clear because there is never rbc’s

96
Q

what does the lumen of lymph vessels never contain

A

red blood cells

97
Q

layers of the heart

A

endocardium: thinnest layer closes to the lumen
myocardium: middle layer where the muscle is
epidcardium: outer layer (surface of the heart)

98
Q

what makes up the endocardium

A

endothelium with a basement membrane. peripherally there is a subendothelium which is loose connective tissue layer that attaches the endocardium to the myocardium

99
Q

what layer of the heart contains the conduction system of the heart

A

subendocardium

100
Q

what is the myocardium made up of

A

cardiac muscle cells and a network of dense irregular connective tissue known as the fibrous skeleton

101
Q

parts of the epicardium

A

outermost surface is the mesothelium or the visceral pericardium made of simple squamous cells, then below it is a subepicardium made of loose connective tissue.

102
Q

what are the heart valves made of

A

a core of dense irregular connective tissue anchored by the fibrous skeleton of the heart. it is covered on both sides by endothelium

103
Q

lymphatic tissue

A

specialized connective tissue that consists mostly of lymphocytes. it is located within other connective tissue but not surrounded by a connective tissue capsule

104
Q

types of lymphatic tissue

A
  1. diffuse lymphatic tissue: lymphocytes do NOT appear to have a specific organization
  2. lymphatic or lymph nodules/ follicles- lymphocytes are organized in spherical groups.
105
Q

lymphatic organs

A

organs which predominately have lymphocytes and have a connective tissue capsule around them.

106
Q

what organs are lymphatic organs

A

lymph nodes
spleen
thymus
tonsils

107
Q

are lymphatic tissues basophilic or eosinophilic?

A

basophilic

108
Q

types of lymphocytes

A

b lymphocytes- involved in humoral immunity (involving antibodies)
t lymphocytes- mature in the thymus and are involved in cellular immunity
natural killer cells- involved in innate immunity, non specific and does not require previous exposure of the pathogen

109
Q

where do lymphocyte progenitor cells originate

A

in the bone marrow

110
Q

where do lymphocytes mature

A

thymus or lymphatic organ where they can re-enter the blood if needed.

111
Q

antigen presenting cells

A

found in lymphatic tissues, help induce immune responses from lymphocytes

112
Q

examples of antigen presenting cells

A

macrophages (kupffer cells of the liver)
langerhans cells in the skin
dendritic cells in the lymph nodes and the sleep

113
Q

what are lymph capillaries

A

blind ended vessels found in and amongst the cells of most tissues in the body that take up excess interstitial fluid

114
Q

terminal lymph vessels

A

right lymphatic duct and thoracic duct

115
Q

what does the right lymphatic duct drain

A

right 1/2 of the head and neck
right upper extremity
right half of the chest

116
Q

what does the thoracic duct drain

A
left half of head and neck
left upper extremity
left half of the chest
all of the abdomen and pelvis
both lower extremities
117
Q

cisterna chyli

A

a dilation just below the diaphragm where the thoracic duct begins

118
Q

what does a lymph node do

A

filter lymph.

119
Q

where are lymph nodes located

A

where the head attaches to the trunk
where the limbs attach to the trunk
along great blood vessels of the chest, abdomen, and pelvis

120
Q

what is diffuse lymphatic tissue

A

an accumulation of lymphocytes that are not enclosed by a capsule.

121
Q

where is diffuse lymphatic tissue found

A

in the dermis of the skin, fornicies of the conjuctiva and in connective tissue of the alimentary canal, genitourinary tract, and respiratory tract

122
Q

MALT

A

mucous associated lymphatic tissue, diffuse lymphatic tissue

123
Q

GALT

A

gut associated lymphatic tissue, diffuse lymphatic tissue in the alimentary canal

124
Q

BALT

A

bronchus-associated lymphatic tissue, diffuse lymphatic tissue of the respiratory system

125
Q

CALT

A

conjuctiva associated lymphatic tissue diffuse lymphatic tissue in the eye

126
Q

lymph nodule

A

diffuse lymphatic tissue closely packed into spherical groups. they do NO have a capsule

127
Q

types of lymph nodules

A

primary or secondary

128
Q

characteristics of primary lymph nodules

A

homogenous, purple, relatively inactive

129
Q

characteristics of secondary lymph nodules

A

lighter central region known as the germinal center (lymphocytes are less densely packed because they are active), dark staining outer region called the mantle zone or corona. functionally more active in immunity.

130
Q

what type of lymphatic tissue is associated with the tonsils

A

GALT

131
Q

why do some people not consider the tonsils a lymphatic organ

A

diffuse lymphatic tissue is not surrounded by a capsule

132
Q

sets of tonsils

A

palatine (what most people know of as tonsils
lingual
pharyngeal- or adenoids

133
Q

waldeyer’s ring

A

the tonsils, got this name since they form a circle of lymphatic tissue around the pharynx

134
Q

where can lymph nodules be found in the body

A
  1. MALT: tonsils, peyers patches (ileum), and vermiform appendix
  2. lymph nodes
  3. spleen
135
Q

lymph node characteristics

A

small bean shaped, encapsulated lymphatic organs. they are located in small groups along the lymphatic vessel so they can come into contact with the cells with immunological function to filter blood.

136
Q

parts of the lymph node

A
  1. hilium/ hilus which is the concave side to which plumbing enters and leaves
  2. stroma
  3. parenchym
137
Q

what is unique about the lymph node

A

it has both afferent and efferent lymph vessels

138
Q

what cells are in the stroma of the lymph node

A
reticular cells (similar to fibroblasts) which make the network of reticular fibers and type III collagen
dendritic cells that act as antigen presenting cells
139
Q

part of the stroma in a lymph node

A

the capsule or dense irregular connective tissue layer, the trabeculae (also dense irregular connective tissue) carry blood vessels to the interior of the lymph node, reticular connective tissue

140
Q

parts of the parenchyma of the lymph node

A

cortex- outer region which is further seperated into outer cortex and an inner portion called the paracortex or inner cortex
medulla- more central region

141
Q

characteristics of the outer cortex of the lymph node

A

primary and secondary lymph nodes

(mostly b lymphocytes in the outer cortex) b cells are actively transforming into plasma cells

142
Q

characteristics of the inner cortex or paracortex of the lymph node

A

more medial part of the cortex. it contains densely packed lymphocytes that are not organized into lymph nodules. majority T-lymphocytes

143
Q

characteristics of the medulla of the lymph node

A

consists of cords of lymphocytes separated by lymph channels or medullary sinuses. the cells of the medulla are not as densely packed as either part of the cortex and is therefore lighter staining. majority B lymphocytes

144
Q

lymph channels/ lymph sinuses

A

modified lymph vessels that carry lymph through the lymph node.

145
Q

(sub)capsular sinus

A

relatively cell free region immediately deep to the capsule. receives lymph directly from the afferent lymph vessels

146
Q

trabecular (cortical) sinuses

A

relatively cell free region located along the trabeculae which is directly contiuous with the capsular sinus.

147
Q

medullary sinuses

A

network of lymph channels located in the medulla that seperates the medullary cords from each other. they are continuous with the trabecular sinuses and will drain into the efferent lymph vessels in the hilum

148
Q

What is in lymph channels

A

it is lined with endothelium and macrophages are located along their walls with processes that extend into the channels themselves. reticular fibers also span the lymph sinuses.

149
Q

what slows down flow of lymph in the lymph sinuses?

A

macrophages and reticular fibers. this slowing down maximizes the time the lymph is in contact with lymphocytes and other immunologic cells in the parenchyma.