L18 : Cells and tissues of the lymphatic system Flashcards

(33 cards)

1
Q

What is the function of lymphatic system?

A
  • Fluid balance
  • Transport of fats and fat-soluble vitamins
  • protection against pathogens
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2
Q

What does the lymphatic system consist of?

A
  • Lymph
  • Lymphatic vessels
  • Lymphoid tissues and organs
  • cells within tissues
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3
Q

What is a lymph?

A
  • A thin fluid that resembles plasma
  • pH 7.4
  • lower amounts of proteins
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4
Q

What is a chyle?

A
  • lymph that arises in GI tract
  • white, cloudy substance
  • contains fats and dissolved lipids (chylomicrons and fat soluble vitamins)
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5
Q

How much lymph is produced and recycled each day?

A

3-4 litres

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6
Q

What aids the flow of lymph?

A
  • valves
  • smooth muscle in wall
  • contraction of muscle for deep lymphs assing through them
  • skeletal muscle movement
  • pulsation of adjavent arteris
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7
Q

What is the characteristics of lymph vessel?

A
  • lie adjacent to cardiovascular vessel
  • porous and the tips
  • arranged into superficial and deep
    • flow from superficial to deep
  • valves, smooth muscle and anchoring filament (retiulin fibre)
  • no cells in lumen
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8
Q

What is a lymphatic duct?

A
  • Large lymphatic vessel that empties lymph into one of the subclavian veins
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9
Q

What are the two lymphatic ducts and what are their functions?

A
  • Right Lymphatic Duct : drains lymph from upper right quadrant into right subclavian vein
  • Thoracic duct : drains lymph from rest of the body into left subclavian vein
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10
Q

What are the clinically important lymph nodes?

A
  • cervical
  • inguinal
  • axillae
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11
Q

What is the characteristics of Lymph nodes?

A
  • kidney shaped
  • multiple afferent lymphatic vessels enter convex surface
  • 1 efferent lymphatic vessel leaves concave hilum
  • has feeding artery and draining vein at hilum
  • multiple follicles
  • Reticulin

​*hilum - portion of lymph node where efferent vessel exits

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12
Q

What is the function of Lymph node?

A
  • Filters lymph as it percolates on its way to the vascular system
  • traps and process antigen
  • macrophage presents antigen to t cells
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13
Q

How does the majority of lymphocytes enter the lymph nodes?

A
  • Majority enter via feeding artery and leave in the efferet lymphatics, some in lymph
  • Majority leave via efferevt lymphatics
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14
Q

How do dendretic cells enter the Lymph nodes?

A

they enter with pathogens within lymphs

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15
Q

How many lymph nodes are there in th ehuman body?

A

about 700

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16
Q

What is the function of B cell and T cell in Lymph node?

A
  • B cell :
    • proliferate to form plasma cells and B memory cells
    • Secrete antibodies
  • T cells :
    • directly attack cells with antigenic material
17
Q

What is lymphadenopathy?

A

Enlarged lymph nodes

18
Q

What causes lymphadenopathy?

A
  • germinal centres fill with lymphocytes during infection
  • Cancers metastasise to lymph nodes via afferent lymphatics
  • lymphoma
19
Q

Where can lymphodenopathy occur ?

A

all the nodal regions and can affect all lymphatic organs

20
Q

What are the lymphatic organs?

A
  • Thymus
  • spleen
  • tonsils
  • appendix
  • payer’s patches
21
Q

What is the characteristics and function of thymus?

A

Characteristics

  • located at superior mediastinum
  • stops growing after puberty and replaced with adipose tissue
  • only efferent lymphatic vessels

Function

  • provide an inductive environment for development of T cells from haemopoietic progenitor cells
22
Q

What is the characteristics and function of spleen?

A

Characteristics:

  • largest lymphatic organ
  • rich in blood supply
  • inferior to diaphragm, psoterior to stomach
  • seperated into white pulp and red pulp
  • only efferent lymphatic vessel s

Function

  • Immune function
    • antigen presentation by APCs
    • activates and poliferates B and T cells
  • Haemopoietic functions
    • remove and destroys old damage erythrocytes and platelets
    • stores erythrocytes and lymphocytes
23
Q

What is splenectomy and what is the risk associated with it?

A
  • surgery to remove entire spleen
  • increase risk of infection by encapsulated bacteria and malaria
24
Q

Which organs can take over the role of spleen?

A

Liver and bone marrow

25
What is the characteristics and function of tonsils?
Characteristics * located at oropharyx and nasopharyx * together forms Waldeyer's ring Functions * prevent pathogen ingress through aural, nasal and oral routes *
26
What causes swelling of tonsils?
* Surface epithelia have many m cells * present antigens to underlying immune cells * swelling due to B and T cells proliferation
27
What is the characteristics and function of vermiform appendix
Characteristics : * inferior to and attached to caecum * nodules reside inferior to surface invaginations * many M fold cells Function : * prevents pathogen ingress from ileum
28
What is the characteristics and function of payer's patches
Characteristics * inferior to and attached to side of ileum * nodules reside inferior to surface domes * many M-fold cells in epithelial surface Function * prevents pathogen ingress through digestion
29
What is a sentinel lymph node?
set of node to which cancer cells are most like to spread from a primary tumour
30
Tissue sample from which node is required for biposy of breast cancer?
pectoral node
31
What is a mastectomy?
surgical removal of breast with malignant epithelial cells
32
What are the ways to remove cancer through sentinel lymph nodes?
* Flurography via pectoral node * mastectomy using probe
33
What are the types of lymphoedema?