Lymphoid system and spleen Flashcards

(37 cards)

1
Q

where do B cells mature

A

bone marrow

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2
Q

where do T cells mature

A

thymus

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3
Q

what are primary lymphoid tissues

A

bone marrow and thymus

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4
Q

what are peripheral symphoid tissues

A

lymph nodes
spleen
tonsils (waldeyer’s ring)
epithelia-lymphoid tissues bone marrow

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5
Q

where do afferent channels of lymph node drain lymph to

A

through the collagenous capsule to peripheral sinus

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6
Q

where do efferent channels drain lymph to

A

thoracic duct

left or left jugular, subclavian or bronchomediastinal trunks

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7
Q

where does lymph enter venous system

A

left or right subclavian and jugular veins

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8
Q

what cells are contained in lymph nodes

A
B cells 
T cells 
NK cells 
mononuclear phagocytes (pre-macrophage)
dendritic cells 
endothelial cells
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9
Q

what does CD20 make

A

B cells

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10
Q

what does CD3 make

A

T cells

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11
Q

causes of local lymphadenopathy

A

infection
vaccination
trauma

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12
Q

causes of systemic lymphadenopathy

A

infection

Autoimmune

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13
Q

what lymphoid cell is predominantly stimulated in auto-immune conditions

A

B cell

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14
Q

what lymphoid cell is predominantly stimulated in draining a tumour site

A

phagocytes

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15
Q

what cell is predominantly stimulated in viral infections and in response to phenytoin

A

T cell

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16
Q

which artery supplies the spleen

A

splenic artery

17
Q

what is the splenic artery a branch of

18
Q

what vein drains the spleen

19
Q

what supports the sinusoids of the spleen

A

hoops of reticulin

20
Q

what cells do cords in red tissue contain

A

macrophages
some fibroblasts
some cells in transit

21
Q

role of the spleen

A

act as a filter for the blood

22
Q

clinical features of splenic enlargement

A

dragging sensation in LUQ
discomfort on breathing
pain if infarction
hyperslenism

23
Q

what is present in lymphatic vessels to ensure direction of flow

24
Q

where do B cells lie in lymph node

A

follicles and germinal centre

25
where do plasma cells lie in lymph nodes
medulla
26
what happens in B cell response in a lymph node
enlarged follicles
27
what can cause general lymphadenopathy
inflammatory process | widespread malignancy
28
where does splenic vein drain to
superior mesenteric vein and splenic vein join to form portal vein
29
what are the different tissue types of the spleen
red pulp white pulp surrounded by a capsule
30
what does red pulp do
filter blood
31
action of white pulp
main immunological area - facilitates immune responses to blood borne antigens
32
what cells are contained in white pulp
T cells
33
arterial supply of spleen
splenic artery - trabecular artery - central artery inside spleen - radial arterioles to perilymphoid sinuses - pencillar arteries - sheathed capillaries
34
venous drainage of spleen
venous sinuses - trabecular vein - splenic vein
35
what comprises periarteriolar lymphoid sheath
CD4+ T helper cells
36
reasons for splenomegaly
``` infection (EBV, HIV, malaria, typhoid) congestion haematological diseases (lymphoma, leukaemia, haemolytic anaemia, MPD) autoimmune diseases storage diseases ```
37
what is seen after splenectomy
Howell-jolly bodies | target cells