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Lymphatic System and Immunity

1.

What is lymph?

Fluid inside lymphatic vessels.

2.

Where does lymph come from?

It enters lymphatic vessels from interstitial fluid. Interstitial fluid is a filtrate of blood plasma.

3.

Two lymphatic ducts

Right Lymphatic Duct

Thoracic Duct

4.

Five types of Trunks

Lumbar Trunks

Intestinal Trunk

Bronchomediastinal Trunk

Subclavian Trunk

Jugular Trunk

5.

Where does the lumbar trunk gather lymphatic fluid from?

Pelvis and Legs

6.

Where does the intestinal trunk gather lymphatic fluid from?

Abdomen

7.

Where does the Bronchomediastinal trunk gather lymphatic fluid from?

Right and Left Thorax

8.

Where does the subclavian trunk gather lymphatic fluid from?

Right and Left shoulder and arm

9.

Where does the jugular trunk gather lymphatic fluid from?

Right and Left head and neck

10.

What's trunks deliver to the right lymphatic duct?

Right Jugular Trunk

Right Subclavian Trunk

Right Bronchomediastinal Trunk

11.

What's trunks deliver to the Thoracic Duct?

Left Jugular Trunk

Left Subclavian Trunk

Left Bronchomediastinal Trunk

Right and Left Lumbar Trunk

Intestinal Trunk

12.

Macrophages

Engulf and destroy

13.

Pathogens

Disease causing micro organisms

14.

Where is the spleen located?

Upper left abdominal cavity

15.

What do lymphatic trunks do?

Drain lymph from the body

16.

What do T cells and B cells protect against?

Antigens of foreign pathogens.

Bacteria and their toxins; viruses

mismatched RBCs or cancer cells

17.

T Cells

Manage the immune response.

Attack and destroy foreign cells

18.

B Cells

Produce plasma cells, which secrete antibodies

19.

T cells (T lymphocytes) differentiate...

Thymus Gland

20.

B cells (B lymphocytes) differentiate...

Red Bone Marrow

21.

Macrophages

phagocytize foreign substances and help activate T cells

22.

Dendritic cells

Capture antigens and deliver them to lymph nodes

23.

Reticular cells

Produce reticular fibers that support lymphoid organs

24.

White pulp

One of two distinct areas in the spleen around central arteries. Mostly lymphocytes on reticular fibers and involved in immune functions.

25.

Red pulp

One of two distinct areas in the spleen. In venous sinuses and splenic cords. Rich in RBCs macrophages for disposal of worn-out RBCs and blood-borne.

26.

Palatine Tonsils

Posterior end of the oral cavity

27.

Lingual Tonsils

Grouped at the base of the tongue

28.

Pharyngeal Tonsil

Posterior wall of the nasopharynx

29.

Tonsillar Crypts

Overlying epithelium in the tonsils that traps and destroys bacteria and particulate matter.

Produces and stores lymphocytes

30.

Peyer’s Patches

Clusters of lymphoid follicles in the wall of the distal portion of the small intestine

31.

Peyer’s Patches and the Appendix

Destroy bacteria, preventing them from breaching the intestinal wall. Generate “memory” lymphocytes

32.

Lymphatic Follicles

Type of lymphoid tissue, solid, spherical bodies of tightly packed reticular elements and cells

Germinal center composed of dendritic and B cells

May form part of larger lymphoid organs

33.

Diffuse Lymphatic Tissue

Type of lymphoid tissue comprises of scattered reticular tissue elements in every body organ

Larger collections in the lamina propria of mucous membranes and lymphoid organs

34.

Lymph is propelled by the same forces that assist venous return

Skeletal muscle pumps

Respiratory pumps

Valves to prevent backflow

Vasoconstriction and vasodilation of smooth muscle in walls of lymphatic vessels

35.

Lymphocytes main warriors of the immune system

Two Main Varieties

T cells (T lymphocytes)

B cells (B lymphocytes)

36.

Empties lymph into venous circulation at the junction of the internal jugular and subclavian veins on its own side of the body

Ducts

37.

Right lymphatic Duct

Drains the right upper arm and the right side of the head and thorax

38.

Thoracic Duct

Arises from the cisterna chyli and drains the rest of the body

39.

How do Lymphatic collecting vessels differ from veins?

Have thinner walls, with more internal valves

Anastomose more frequently

Collecting vessels in the skin travel with superficial veins

Deep vessels travel with arteries

40.

Lacteals

Specialized lymph capillaries present in intestinal mucosa. That absorb digested fat and deliver fatty lymph (chyle) to the blood

41.

How do pathogens travel throughout the body

lymphatics

42.

Lymph Nodes

Principal lymphoid organs of body

43.

Germinal center

Part of Composed of dendritic and B cells. May form part of larger lymphoid organs

44.

Embedded in connective tissue, in clusters along lymphatic vessels. Near the body surface in inguinal, axillary, and cervical regions of the body

Lymph Nodes

45.

Spleen

Functions:

Site of lymphocyte proliferation and immune surveillance and response

Cleanses the blood of aged cells and platelets and macrophages remove debris

Stores breakdown products of RBCs (e.g., iron) for later reuse

Stores blood platelets and monocytes

Site of fetal erythrocyte production (normally ceases after birth)

46.

Largest lymphoid organ. Served by splenic artery and vein, which enter and exit at the hilum

Spleen

47.

Entry of lymph in to the lymphatic capillaries is promoted by?

one-way mini valves

48.

Circulation of lymph in the lymph nodes

  1. Enters convex side via afferent lymphatic vessels
  2. Travels through large subscapular sinus and smaller sinuses to medullary sinuses
  3. Exits the node at the hilum via efferent vessels
49.

What allows Lymphocytes and macrophages time to carry out functions?

Fewer efferent vessels, causing flow of lymph to stagnate

50.

Where does the left and right lumbar trunk drain before the thoracic duct?

Cisterna Chyli

51.

What trunk drains into the Cisterna Chyli first?

Intestinal Trunk

52.

When B lymphocytes are dividing rapidly, what lymphoid tissue enlarges?

Germinal Center

53.

Trabeculae are extensions of

The capsule

54.

Lymph sinuses

Large lymph capillaries in a lymph node spanned by crisscrossing reticular fibers

55.

Areas of lymphocytes suspended by reticular fibers in the spleen are known as

White pulp