The Spleen Flashcards

1
Q

Where is the spleen?

A

The spleen is an organ located on the left side of the abdominal cavity under the diaphragm

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2
Q

The spleen is the largest ________ organ in the body, is the size of a _______, and weighs ________.

A

Lymphatic
Fist
160g

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3
Q

Unlike lymph node, the spleen does not have any _____ lymphatic vessels.

A

afferent (sensory)

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4
Q

What is the splenic capsule made from?

A

Fibrous CT
Elastic fiber
Smooth muscle

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5
Q

What extends from the splenic capsule into the organ?

A

Trabeculae

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6
Q

What is the indention of the spleen called?

A

Hilus

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7
Q

What is in the hilus?

A

Where the splenic vessels enter and exit

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8
Q

Is the spleen a vital organ for adults?

A

No. But it helps other organs

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9
Q

What are three functions of the spleen?

A

Destroys worn-out RBCs- Red pulp
Monitors blood for foreign antibodies- White pulp
Acts as a blood reservoir

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10
Q

What does the spleen do for the fetus?

A

Is an important site for RBC production (and very anemic adults)

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11
Q

What forms the spaces where splenic pulp is found?

A

Trabeculae

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12
Q

What are the two kinds of splenic pulp? In what percentages?

A

Red- 75%

White- 25%

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13
Q

What is red pulp associated with?

A

Venous return

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14
Q

How is red pulp “gorged”?

A

Consists of RBCs which are packed particularly close together in sinuses

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15
Q

What does red pulp do to old RBCs?

A

Recycle iron and globulins

Turns heme into bilirubin

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16
Q

What is white pulp associated with?

A

Arterial supply

17
Q

What leukocytes are found in white pulp?

How are they arranged?

A

Consists of lymphocytes and macrophages, aggregated like sleeves along small branches of the splenic artery

18
Q

What does white pulp look like histologically?

A

In tissue sections, the white pulp appears as an ovoid mass of lymphocytes with an arteriole passing through it in a “sea” of red pulp

19
Q

How and why can the spleen change in size?

A

The spleen is able to make rapid changes in volume due to elastic fibers and smooth muscle in the capsule. Contraction of the spleen increases the number of RBCs in circulation.
During hard exercise, splenic volume can be reduced 40-50%