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Afferent
towards structure
Efferent
away from structure
Lymphoedema
accumulation of interstitial fluid due to interference with lymphatic drainage
Cortex
outer region of a structure
Medulla
inner region of a structure
Hilum
involuted portion (exit/entry point)
Trabeculae
dense connective tissue capsule
Acute tolsillitis
inflammation and infection of tonsils
Apoptosis
regulated cell death (causes shriveling rather than lysis)
T-cells
lymphocytes that mature in the thymus
B-cells
lymphocytes that mature in the bone marrow
Antigen
substance that can elicit a response from a B or T cell
Pleura
serous membrane lining the lung surface and the thoracic wall
Pleural fluid
acts as a lubricant and helps hold the two membranes close together (adhesion)
Inspiration
breathing in (diaphragm, external intercostals)
Expiration
breathing out —> muscles that depress ribs and sternum (abdominal muscles and internal intercostals)
Spirometer
device that directly records changes in lung volume during respiration
Tidal volume (TV)
volume of air inspired and expired during quiet breathing
Inspiratory reserve volume (IRV)
maximum volume above tidal volume that we can inspire into our lungs
Residual volume (RV)
volume of air remaining in the lungs after a full expiration
Spirogram
graph visualizing the changes in lung volume over time
Spirometry
measurement of airflow and corresponding changes in lung volume
Boyle’s Law
pressure exerted by a constant # of gas molecules is inversely proportional to the volume of the contianer
Airflow
the amount of air moving in and out of the lungs with each breath
Pressure gradient
difference between atmospheric pressure and intrapulmonary pressure
Resistance
factors that increase the difficulty of moving air
Apnea
absence of breathing
Atmospheric pressure
pressure of air in the environment
Alveolar volume
collective volume of alveoli
Intrapleural pressure
pressure in the pleural cavity
Transport maximum (Tm)
maximum rate of substance that can be reabsorbed (or secreted) across tubule epithelium per a certain amount of time
Paracellular transport
between cells
Transcellular transport
through water transporter proteins —> aquaporins
Lymphatic system order
lymphatic capillaries —> lymphatic vessels —> lymphatic trunk —> lymphatic ducts —> blood
Lymphatic capillaries
lacteal: specialized lymphatic capillaries in GI tract —> absorbs lipids & lipid soluble substances from GI tract
Lymphatic vessels
have all 3 vessel tunics: intimastinum (innermost), mediastinum (middle), externastinum (outermost)
adjacent to arteries and veins
Lymphatic trunks
jugular trunk, subclavian trunk, bronchomediastinal trunk, intestinal trunk, lumbar trunk
Lymphatic ducts
largest type of lymphatic vessel
returns lymph to venous blood circulation
there are 2: right lymphatic duct (drains upper right quadrant of body), and thoracic duct (receives lipid-rich lymph from GI tract & drains lymph from left side of body and both legs)
Lymph
water, solutes, and pathogens are here
Primary lymphoid structures
produce lymphocytes
a) red bone marrow
b) thymus (especially in kids)
Secondary lymphoid structures
house lymphocytes & immune cells
a) lymphoid organs (made of dense tissue)
b) lymph nodes (filter antigens from lymph —> initiate immune response; small, oval and encapsulated; occur in clusters)
c) tonsils (3 pairs; pharyngeal, palatine, lingual)
immune surveillance
structure: tonsillar crypts, lymphoid nodules (forms mucosa-associated lymphoid tissue (MALT), located in gastrointestinal, respiratory, genital, and urinary tracts)
Macrophages
remove foreign debris from lymph through proliferation
Immune system functions
defend against pathogens
remove old/damaged cells
identify & destroy cancer cells
Innate immunity
Present at birth
Nonspecific & responds immediately
skin (epidermis and dermis), mucosal membranes (produce mucus and release antimicrobial substances), nonspecific cellular and molecular internal defenses (immune cells, antimicrobial proteins, inflammation, fever)
neutrophils, macrophages, eosinophils, basophils, NK cells
chemicals like interferon & complement
Adaptive immunity
Acquired over lifetime
Specific & takes several days to take affect
T-lymphocytes & B-lymphocytes
targeted response
Phagocytic cells —> neutrophils & macrophages
engulf unwanted substances by phagocytosis
intake vesicle fuses with the lysosome, forming phagolysosome
digestive enzymes break down unwanted substances
the remaining residue is released by exocytosis
Proinflammatory chemical-secreting substances —> basophils
promote inflammation
circulate in blood
releases granules that contain various chemicals
increases fluid movement from blood to injured tissue
serve as chemotaxis chemicals —> attract immune cells
histamines
heparin
eicosanoids
Histamine
increases vasodilation and capillary permeability
Heparin
acts as an anticoagulant
Eicosanoids
are released from the plasma membrane to increase inflammation
Apoptosis-initiating cells —> NK cells
destroy unwanted, unhealthy cells
form in bone marrow, circulate in blood, and accumulate in secondary lymphoid structures
perform immune surveillance
destroy virus infected cells
Eosiniphils
attack multicellular parasites