The Lymphoid System Flashcards

1
Q

B cell maturation occurs where?

A

Bone marrow

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2
Q

T cell maturation occurs where?

A

Thymus

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3
Q

Primary lymphoid tissues?

A

Bone marrow

Thymus

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4
Q

Secondary lymphoid tissues?

A
Lymph nodes
Spleen
Tonsils 
Epithelio-lymphoid tissues
Bone marrow
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5
Q

Where are lymph nodes located?

A

Along the course of lymphatic vessels

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6
Q

Efferent vessels leave the hilum of the lymph node and drain to where?

A

Cisterna chyli/ thoracic duct

Left/right jugular, subclavian or bronchomediastinal trunks

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7
Q

Where is the end of the route in lymph drainage?

A

Into venous system at junction of right/ left subclavian and jugular veins

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8
Q

Where is lymph filtered before returning to the blood stream?

A

Node parenchyma

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9
Q

What are the functions of the lymphatic system?

A

Return lymph to the circulation - fluid homeostasis and preventing accumulation -> oedema
Filter lymph

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10
Q

What is the cell population in lymph nodes?

A
Lymphocytes - B cells, T cells, NK cells
Macrophages 
APCs
Dendritic cells
Endothelial cells
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11
Q

What is lymphadenopathy?

A

Enlarged lymph nodes

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12
Q

What causes lymphadenopathy?

A

Local inflammation - infection, vaccine, trauma
Systemic inflammation - infection, autoimmune, connective tissue disease
Malignancy - haematological, mets
Sarcoidosis

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13
Q

What are red lines called that extend from an inflamed region?

A

Lymphangitis

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14
Q

What is generalised lymphadenopathy suggestive of?

A

Systemic inflammatory process

Widespread malignancy

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15
Q

What artery supplies the spleen?

A

Splenic artery

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16
Q

What drains the spleen?

A

Splenic veins

17
Q

What does the parenchyma of the spleen include?

A

Red pulp and white pulp

18
Q

What does the red pulp in the spleen contain?

A

Sinusoids and cords

19
Q

What does the White pulp contains?

A

Periartiolar lymphoid sheaths (PALS) - contains a lot of CD4+ cells (t helper cells)

20
Q

What happens in the White pulp?

A

Antigen reaches White pulp by the blood
APCs in White pulp present antigen to immune reactive cells
When stimulated by antigen, T and B cell responses may occur

21
Q

Features of splenic enlargement?

A

Dragging sensation in LUQ
Discomfort when eating
Pain if infarction
Hypersplenism

22
Q

Triad of hypersplenism?

A

Splenomegaly
Fall on one or more cellular components of blood
Correction of cytopenias by splenomegaly

23
Q

Causes of splenomegaly

A
Infection - EBV, malaria , TV , typhoid 
Congestion - portal
Haematological diseases 
Inflammatory conditions - SLE, RA 
Storage disease 
Miscellaneous
24
Q

Most common cause of hyposplenism?

A

Splenectomy

25
Q

Causes of hyposplenism?

A
Splenectomy
Coeliac 
Sickle cell
Sarcoidosis 
Iatrogenic
26
Q

A distinct feature of hyposplenism?

A

Howell-jolly bodies