Lymphatic Tissues Organs Flashcards

1
Q

What is the origin of the spleen?

A

Mesoderm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the largest lymphoid organ?

A

Spleen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the location of the spleen?

A

Posterior abdominal wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the function of the spleen?

A

Filtration of blood

  • old erythrocyte
  • platelets
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe structure of spleen

A

One of the sites where immune response to antigens occur

Spleen is covered by dense tissue capsule

Lower animals characterized by the presence of myofibroblasts

Connective tissue septae arise from the capsule to penetrate the parenchyma called> trabeculaae

Covered by simple squamous epithelium (mesothelium, curved arrow). The splenic capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does the parenchyma of the spleen consist of?

A

White pulp

Red pulp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is in the red pulp of the parenchyma of the spleen?

A
  • Cords of cells (cords of bill Roth)

- Sinusoids (capillaries)(also called venous sinuses)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does the white pulp of the spleen parenchyma consist of?

A
  • Thick accumulation of lymphocytes
  • Lymphatic nodules-germinal centers that decrease with age
  • Also called Malpighian corpuscles/ splenic nodules
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Whaat is the function of trabeculae in the spleen?

A

Facilitate the passage of blood vessels into the parenchyma from the capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the significance of white pulp in spleen?

A
  • Splenic artery divides into branches, which run along the capsule- as capsular artery
  • These branch off and run through trabeculae -as trabeculae-as trabecular arteries

From the trabecular arteries, branches arise and run through the interior of parenchyma-as central arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the significance of PALS?

A

During their course, lymphocytes immediately surround the central arteries- refferred to as PALS (peri arterial lymphatic sheath)

Inner layer of T cells followed by a layer rich in B lymphocytes

A cross section at this level reveals a central artery surrounded by lymphocytes

Central arteries give rise to several smaller penicillar arterioles which ultimately end in venous sinuses (also called splenic sinuses)

The terminal capillaries continue into venules—> pulp veins—> a theory referred to as closed

These capillaries may open into the cords, draining the blood cells and eventually the pulp veins are formed - reffered to as open circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the clinical significance if the marginal zone of the germinal center?

A

There are B and T lymphocytes around the periphery of this collection

This zone filled with lymphocytes, along with lymphocytes, along with APCs (antigen presenting cells and macrophages)- reffered to as Marginal zone

In this area, the lymphocytes first come in contact with antigens

Marginal zones of the nodule- Trap antigen from the circulation and present the antigen to the lymphocytes in the spleen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the functional significance of the red pulp of the spleen?

A

Dense network of reticular fibers-numerous erythrocytes, lymphocytes, plasma cells, macrophages and other granulocytes

Between the splenic cords are the venous sinuses

Functional significance - filtration of antigens & senile and abnormal erythrocyte and platelets from the blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are splenic sinusoids made up of?

A

They’re lined by elongated endothelial cells (Reffered to as Littoral cells), arranged like the planks of a barrel, with an intracellular distance of 2-4 microns

They are supported by an incomplete basal lamina composed of reticular fibers.

Macrophages function in the removal of damaged or effect erythrocytes from circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What do healthy erythrocytes do in red pulp?

A

Healthy erythrocytes, squeeze between the endothelial cells to enter the cords

Older rigid erythrocytes are trapped in the space to be broken down and degraded by macrophages which are found right outside these sinusoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are tonsils?

A

Tonsils are gut associated lymphoid tissue (GALT)

Located at the back of the oral cavity, in the tongue and pharynx

Process antigens that enter the body through oral cavity and nasal passage

17
Q

Where is the pharyngeal tonsil located?

A

Located in posterior pharyngeal wall

18
Q

Describe the structure of palatine tonsils

A

Towards the oral cavity, lined by stratified squamous non keratinized epithelium

The epithelium invagination to form deep tonsil are crypts

Crypts contain desquamated epithelial cells, line and dead lymphocytes and bacteria

Mainly secondary nodules are found in this region

Posteriorly separated from superior constricts by a thick capsule. (Prevents spread of infection)

19
Q

Describe the pharyngeal tonsil

A

Located in the posterior pharyngeal wall- nasopharynx

Lymphoid collection lined by epithelia

Towards nasal passage, respiratory epithelium

Towards oral passage, patches of stratified squamous non keratinized epithelium

When enlarged due to inflammation- reffered to asAdenoids

20
Q

Describe lingual tonsils

A
  • Posterior aspect of tongue
  • Many in number
  • Associaated with shallow crypts
  • Vase of each crypt- lymphoid aggregates
  • Associated with mucus glands
21
Q

What is the clinical correlate of the tonsils?

A

Tonsillitis

22
Q

Describe the pathology of DiGeorge Syndrome

A

Syndrome caused by the deletion of a small piece of of chromosome 2x, near the middle, at location q11.2

Absent thymus gland is the main clinical finding

Defect in the development of the 3rd & 4th branchial pouches & arches

-Presents in childhood or adulthood

non Familial rare disorder with prevalence estimated at 1:4000

Condition described in 1968 by the pediatric endocrinologist Angelo DiGeorge

23
Q

Whaat are the symptoms of DiGeorge syndrome?

A

CATCH 22
Cardiac anomalies

Abnormal faces

Thymic aphasia

Cleft palate

Hypocalcemia

24
Q

What is splenomegaly ?

A

Splenic injury

25
Q

What is lymphadenopathy?

A

Lymph node enlargement Follicular hyperplasia

Increase in number & size of cortical lymphoid follicles

Humoral response

Paracortisal hyperplasia
Expansion of para cortical zone
-viral infection

Sinus hyperplasia
Medullary sinuses are extremely prominent- draining necrotic tumor

26
Q

Describe metastasis of cancer to lymph node

A

Lymph draining from an organ or area with malignancy

Cancer cells invade into lymphatic channels draining the primary tumor and so gain access to the regional lymph nodes through the afferent lymphatic channels

These malignant cells enter the subscapular sinus (SS) of the lymph node and may settle at this site where they could proliferate to form a secondary tumor mass