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the body harbors at least _____ times as many bacterial cells as human cells
10
define immune system:
not an organ system, but a cell population that inhibits all organs and defends the body from agents of disease
characteristics of the lymphatic system (4):
network of organs and vein-like vessels that recover fluid
insect it for disease agents
active immune response
return fluid to the bloodstream
describe fluid recovery of the lymphatic system:
fluid continually filters from the blood capillaries into the tissue spaces
blood capillaries reabsorb ____% in fluid recovery
85%
____% of the water and about half of the plasma proteins enter the lymphatic system and then are returned to the blood
15%
describe immunity (3):
excess filtered fluid picks up forge in cells and chemicals from the tissues
passes through lymph nodes where immune cells stand guard against foreign matter
activates a protective immune response
describe lymph (3):
clear, colorless fluid, similar to plasma, but much less protein
originates as extracellular fluid drawn into lymphatic capillaries
chemical composition varies in different places (intestines, after lymph nodes)
what are the lymphatic vessels?
transport the lymph
what is the lymphatic tissue?
composed of aggregates of lymphocytes and macrophages that populate (imbedded in) many organs in the body
describe lymphatic organs (2):
defense cells are especially dense in these organs
separated from surrounding organs by connective tissue capsules
what are 2 examples of lymphatic organs?
tonsils and spleen
describe the characteristics of lymphatic capillaries (5):
penetrate nearly every tissue of the body
capillary wall in endothelial cells overlapping each other like roof shingles
closed at one end
cells tethered to surrounding tissue by protein filaments
endothelium creates valve-like flaps that open when interstitial fluid pressure is high, and close when it is low
valve-like flaps ___ when interstitial fluid pressure is high, and _____ when it is low
open, close
where are lymphatic capillaries absent?
cartilage
cornea
bone
bone marrow
gaps between cells are large enough to allow _____ and _____ to enter lymphatic capillary
bacteria and cells
larger lymphatic vessels are composed of… (3)
tunica interna
tunica media
tunica externa
what are included in tunica interna?
endothelium and valves
what are included in tunica media?
elastic fibers and smooth muscle
what is tunica externa?
thin outer layer
T or F: lymphatic vessels converge into larger and larger vessels by collecting vessels course through many lymph nodes
True
what 6 lymphatic trunks drain major portions of the body?
jugular, subclavian
bronchomediastinal
intercostal
intestinal (unpaired)
lumbar trunks
what are the 2 collecting ducts in the body?
right lymphatic duct
thoracic duct
describe the right lymphatic duct:
receive lymph from the right arm, right side of head, and throat; empties into the right subclavian vein
describe the thoracic duct (3)
larger and longer
begins as a prominent sac in abdomen called the cistern chyli
receives lymph from below diaphragm, left arm, left side of the head, neck, and throat; empties into left subclavian vein
describe some basic characteristics of lymph flow (3):
lymph flows under forces similar to those that govern venous heart return (except no pumping like the heart)
lymph flows at low pressure and slower speed then venous blood
moved along by rhythmic contractions of lymphatic vessels
stretching of vessels stimulate contraction
describe the specifics of lump flow (6):
flow aided by skeletal muscle pump
arterial pulsation rhythmically squeezes lymphatic vessels
thoracic pump aids flow from abdominal to thoracic cavity
rapidly flowing blood in subclavian veins, draws lymph into it
exercise significantly increase lymphatic return
what are natural killer (NK) cells?
larges lymphocytes that attack and destroy bacteria, transplanted tissue, host cells infected with viruses or that have turned cancerous
where do T lymphocytes mature?
in the thymus
what is the function of T lymphocytes?
fight off viral infections
what does the b stand for in “B lymphocytes (B cells)”?
bursa (bone)
where do B lymphocytes mature?
Bursa (bone)
what is the function of B lymphocytes?
fight bacteria infections
activation of B lymphocytes causes:
activation causes proliferation and diffraction into plasma cells that produce antibodies
what are macrophages?
large, avidly phagocytic cells of connective tissue
macrophages develop from _______
monocytes
functions of macrophages (2):
phagocytize tissue debris, dead neutrophils, bacteria, and other foreign matter
process and transport foreign matter and display antogentoc fragments to certain T cells alerting immune system to the presence of the enemy (antigen presenting cells-APCs)
describe dendritic cells
True
what are the functions of dendrite cells?
alert immune system to pathogens that have breached the body surface (mobile APC)
where are dendrite cells found? (3)
epidermis
mucous membrane
lymphatic organs
define reticular cells:
branched stationary cells that contribute to the storm of a lymphatic organ
what is stroma?
framework of an organ
define lymphatic (lymphoid) tissue:
aggregations of lymphocytes in the connective tissues of mucous membranes and various organs
diffuse lymphatic tissue is the _______ form
simplest
are lymphocytes clustered or scattered in diffuse lymphatic tissue?
scattered
where is diffuse lymphatic tissue found?
body passages open to the exterior
respiratory tract
digestive tract
urinary tract
reproductive tract
mucosa-associated lymphatic tissue (MALT)
what are lymphatic nodules ALWAYS found? (3)
lymph nodes
tonsils
appendix
where are aggregated (clusters) of lymphoid nodules found?
ileum (distal portion of the small intestine)
T or F: lymphatic organs are NOT anatomically well-defined
false, lymphatic organs have connective tissue capsules that separated lymphatic tissue form neighboring tissues
define immunocompetent:
able to recognize and respond to antigens (“mature”)
where do T cells become immunocompetent?
thymus
where do B cells become immunocompetent?
red bone marrow
T or F: ALL lymphocytes are made in the red bone marrow
true
what are the 3 secondary lymphatic organs?
lymph nodes
tonsils
spleen
secondary lymphatic organs are populated with _________ _________
immunocompetent cells
______ _______ ______ is involves in hemopoiesis and immunity
red bone marrow
describe characteristics or red bone marrow (3):
soft, loosely organized, highly vascular material
separated from osseous tissue by endosperm of bone
as blood cells mature, they push their way through the reticular and endothelial cells to enter the sinus and flow away in the bloodstream
the thymus is a member of what systems? (3)
endocrine system
lymphatic system
immune system
where is the thymus located?
directly superior to the heart
define the thymus:
bilobed organ located in superior mediastinum between the sternum and the aortic arch that secretes hormones and develops T cells
what does the thymus secrete?
hormones that regulate their activity
describe the degeneration of the thymus:
thymus decreases in size as we get older
lose the ability to produce new T-lympocytes for new antigens you have never been exposed to before
why did many elderly die from covid-19?
due to thymus degeneration
what divides the thymus unto several lobes?
fibrous capsule that gives off trabeculae (septa)
each thymus lobe contains:
T-lymphocytes
define thymus barrier:
epithelial cells seal off cortex from medulla forming blood
the thymus barrier produces signaling molecules called (5):
thymosin
thymopoietin
thymulin
interleukins
interferon
T or F: lymph nodes are lease numerous lymphatic organ
False, they are the most numerous lymphatic organ
there are about ______ lymph nodes in a typical young adult
450
what are the 2 functions of the lymph nodes?
cleanse the lymph
act as a site of T and B cell activation
describe the structure of lymph nodes (2):
elongated, bean-shaped structure with hilum
enclosed with fibrous capsule with trabeculae that divides interior into compartments (stroma of reticular fibers and reticular)
lymph node interior is divided into ____ and ______
cortex and medulla
several _______ lymphatic vessels lead INTO the node along its convex surface
afferent
lymph leaves the node through one to three _______ lymphatic vessels that LEAVE the hilum
efferent
afferent and efferent vessels allow _______ ________
rapid movement
are there more afferent or efferent lymphatic vessels? why?
afferent, because it allows the pressure to buildup and therefore filtering the fluid
define metastasis:
cancerous cells break free from original , travel to other sites in the body, and establish new tumors
describe how metastatic cancer spreads through lymph nodes (3):
metastasizing cells can easily enter the lymphatic vessels
tend to lodge in the first lymph node they encounter
they then, multiply there and eventually destroy the lymph node (swollen, firm, and usually painless)
tend to spread to the next node downstream
what are the 3 treatments of breast cancer?
lumpectomy
mastectomy
removal of axillary nodes
define what a mastectomy is:
removal of all breast tissue to prevent breast cancer
T or F: mastectomy has the same recurrence rate as other treatment
True
define tonsils:
patches of lymphatic tissue located at the entrance of the pharynx
what are the functions of tonsils?
to guard against ingested or inhaled pathogens
describe the structure of tonsils:
covered with epithelium and mucus have deep pits: tonsillar crypts lined with lymphatic nodules
what are the 3 main sets of tonsils?
palatine tonsils
lingual tonsils
pharyngeal tonsils (adenoids)
what are paladin tonsils located?
pairat posterior margin of oral cavity
where are lingual tonsils located?
pair at the root of the tongue
where is the pharyngeal tonsil (adenoid) located?
single tonsil on wall of nasopharynx
what tonsil is most superior?
pharyngeal tonsil (adenoid)
what tonsil is most often infected (tonsillitis, etc.)
palatine tonsils
define spleen:
the body’s largest lymphatic organ
where is the spleen located?
left of the bladder
what are two types of tissue in the spleen?
red pulp
white pulp
what is red pulp?
sinuses filled with erythrocytes
what is white pulp?
lymphocytes and macrophages surrounding small branches of splenic artery
T or F: spleen highly vascular and vulnerable to trauma and infection
True
a ruptured spleen requires a _______
splenectomy
splenectomy’s lead to… (2)
susception of future infections
premature death
T or F: if you no longer have a spleen, your iron from hemoglobin CANNOT by recycled
True, the patient will need many blood transfusions and dialysis
what are the functions of the spleen (5)?
healthy red blood cells (RBCs) come and go
for old, fragile RBCs, spleen is “erythrocyte graveyard”
blood cell production in fetus (and very anemic adults)
white pulp monitors blood for foreign antigens and keeps an army of monocytes fro release when needed
stabilizes blood volume through plasma transfers to lymphatic system