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Lymphatic system
Set of organs and tissues that assist in maintaining the body's fluid balance and absorbing fats from the GI tract; houses many types of immune cells, providing places for immune surveillance and protection from infectious agents
Components of the lymphatic system
Lymph, lymph nodes, lymph vessels, the spleen, the thymus, the adenoids, the tonsils, and MALT (mucosa-associated lymphoid tissue)
Fluid exchange at cardiovascular capillaries
Fluid leaves the capillaries via hydrostatic pressure and returns at the venous end via osmotic pressure
Interstitial fluid left behind per day
About 3 liters a day is left in the tissue as interstitial fluid rather than returning to the blood vessels
Consequence of unabsorbed interstitial fluid
Would cause edema (swelling) of the tissue and eventually collapse of the cardiovascular system from loss of appropriate blood volume
Lymphatic vessels (lymphatics)
Absorb the excess interstitial fluid and return it to the cardiovascular system; include 3 types: lymphatic capillaries, lymphatic collecting vessels, and lymphatic trunks (plus ducts)
Interstitial fluid composition
Plasma and proteins; enters lymphatic capillaries associated with the cardiovascular capillary bed
Lymph
Interstitial fluid once it enters a lymphatic vessel
Why lymph flows one way
Lymphatic capillaries are closed at one end, making lymphatics a one-way route (unlike the cardiovascular circuit); lymph flows from lymphatic capillaries to the subclavian veins, joining venous circulation to return to the heart
Lymphatic capillaries
Smallest lymphatic vessels; overlapping endothelial cells (like shingles on a roof) form one-way valves (fluid enters but does not leave); exceptionally permeable compared with vascular capillaries
What lymphatic capillaries can take in
Cellular debris, pathogens, and even whole cells; metastatic cancer cells can spread to new body parts by entering lymphatic capillaries
Anchoring of lymphatic capillaries
Collagen filaments anchor them to prevent collapse
Lacteals
Modified lymph capillaries in the intestine that absorb fats
Lymphatic collecting vessels
Larger vessels that collect lymph from multiple lymphatic capillaries; extend throughout most of the body; thin walls; form many anastomoses; typically travel along superficial veins and deep arteries
Valves in lymph vessels
One-way flow valves similar in structure to the large veins; prevent backward flow of lymph, which travels under very low pressure
Lymph return to circulation (force)
Solely dependent on the squeezing action of skeletal muscles, which squeezes fluid one way through the lymphatic vessels
Lymphatic trunks
Large collecting vessels that merge as they drain major areas of the body, similar to veins converging; named for the areas they drain
Names of lymphatic trunks
Paired lumbar, bronchomediastinal, subclavian, and jugular trunks, and a single intestinal trunk
Cisterna chyli
Enlarged sac in the abdomen that receives lymph from the lumbar and intestinal trunks and then becomes the thoracic duct; receives lymph drainage from digestive organs
Lymphatic ducts
All lymphatic vessels merge before entering venous circulation at either the thoracic duct (left lymphatic duct) or the right lymphatic duct, both located in the shoulder region
Thoracic duct (left lymphatic duct)
Larger duct; drains both lower extremities, the abdomen, the left arm, and the left side of the head and neck; empties into the left subclavian vein
Right lymphatic duct
Smaller duct; drains the right arm, the right side of the head and neck, and the right thoracic area; empties into the right subclavian vein
Regional lymph node groups
Cervical nodes, axillary nodes, and inguinal nodes