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Lymphatic system functions
1. Transport and house lymphocytes and other immune cells
2. Return excess fluid in body tissue to blood to maintain blood volume
Components of the lymphatic system
-Lymph
-Lymphoid vessels
-Lymphoid organs
-Lymphoid tissues
Lymph
The fluid transported within lymph vessels
Components of lymph
-Water
-Dissolved solutes
-Small amounts of proteins
-Immune cells
-Cell debris
-Microorganisms
-Cancer cells
Primary lymphoid structures (organs)
Involved in formation and maturation of lymphocytes; thymus and red bone marrow
Secondary lymphoid structures (organs)
Do not form lymphocytes, but house them and other immune cells that are the sites of immune response initiation; lymph nodes, spleen, tonsils, lymphatic nodules, and MALT
Lymphoid tissues
A reticular CT matrix dominated by lymphocytes inside of lymphoid organs and nodules
Lymphoid nodules/follicles
Unencapsulated patches of lymphoid tissue that contain clusters of immune cells found throughout the body and contain germinal centers
Germinal centers
Location in lymphoid tissues where B-cells mature
Thymus
Gland located in the anterior chest that matures and produces T-cells; larger in children, then disappears and turns into adipose tissue post-puberty
Red bone marrow
Located in the spongy bone of some bone (e.g., flat bones of skull and head of femur); holds hematocytes to differentiate into formed elements (blood cells) and matures B-cells
Hematopoiesis
Formation of formed elements, which includes T-cells and B-cells
Thymocytes
Immature T-cells that migrate to the thymus to complete maturation
Tonsils
Secondary lymphoid structures in the pharynx that provide surveillance of inhaled and ingested substances; made of multiple lymphoid nodules
Tonsillar crypts
Invaginations in tonsils that trap foreign materials
Pharyngeal tonsil
Tonsil located in the posterior nasopharynx (superior to visible pharynx)
Adenoids
Pharyngeal tonsil when enlarged
Palantine tonsils
Paired tonsils located in posterolateral oral cavity
Lingual tonsil
Tonsil located on the posterior tongue
Lymph nodes
Small, oval, encapsulated structures that filter lymph and removes unwanted substances; located along pathways of lymph vessels
Cervical lymph nodes
Located in the neck and receives lymph from the head and neck
Axillary lymph nodes
Located in the armpit and receives lymph from the breasts, axilla, and arms
Inguinal lymph nodes
Located in the groin and receive lymph from the pelvis and legs
Afferent lymphatic vessels
Multiple entry vessels that bring lymph into the lymph node
Efferent lymphatic vessels
Singular exit vessels that bring lymph out of the lymph node
Pressure inside lymph node
Multiple afferent vessels creates more pressure when combined into one efferent vessel to push through the remainder of the lymph pathway
Hilum of lymph node
The back end of the lymph node where efferent vessels enter/leave
Capsule of lymph node
Outer layer of the lymph node that is made out of dense CT
Trabeculae of lymph node
Extensions of the capsule that subdivides the lymph node into internal compartments (cortex and medulla)
Cortex
Outer layer of the lymph node
Medulla
Inner layer of the lymph node
Immune cells in lymph nodes
Macrophages remove foreign debris from lymph and lymphocytes initiate immune response and proliferate in germinal centers
Spleen
The largest lymphoid organ that has one convex side and one concave side; located in the upper left abdominal quadrant, lateral to the left kidney, and posterolateral to the stomach
Hilum of spleen
Indention in the posterior concave side where the splenic artery and splenic vein enter/leave
Capsule of spleen
Surrounding of the spleen made up of CT
Trabeculae of spleen
Extensions of the capsule that internally divide the spleen into red and white pulp
White pulp
Clusters of T-, B-cells, and macrophages around a central artery
Red pulp
Storage site for platelets and monocytes, and destroys erythrocytes
MALT (mucosa-associated lymphoid tissues)
Aggregations of lymphoid tissue in the lamina propria of mucous membranes that helps to defend against foreign substances; found in the GI/GU, respiratory, and genital tracts
Peyer's patches
Large aggregations of lymphoid nodules within the wall of the ileum of the small intestine
Flow of lymph
Goes through larger sized vessels:
1. Capillaries
2. Collecting vessels
3. Trunks
4. Ducts
Hydrostatic pressure
The pressure that is exhibited on fluid that is not moving, which pushes it into the lymphatic capillary; caused by gravity
Movement of lymph
-Muscular contractions from skeletal muscle
-Respiratory pump (diaphragm)
-Pulsating movement of blood in nearby arteries
-Contraction of smooth muscle in nearby BV
Lymphatic capillaries
Small, closed-ended vessels that absorb interstitial fluid (fluid between BV and lymphatic vessels) and larger than circulatory capillaries; found around most capillaries and brain meninges (glymphatic system); contain flaps between cells to prevent backflow
Anchoring filaments
Hold lymphatic capillaries (endothelial cells) to nearby structures to prevent vessel collapse
Lymphatic collecting vessels
Vessels that are fed by lymphatic capillaries and located adjacent to arteries and veins; have all 3 tunics and valves to prevent backflow of lymph
Lymphatic trunks
Vessels that are fed by lymphatic vessels, preceded by lymph nodes in some cases
Jugular trunks
Drains from head and neck
Subclavian trunks
Drains breasts, superficial thoracic wall, and arms
Bronchomediastinal trunks
Drains deep thoracic structures (i.e., heart, lungs, etc.)
Intestinal trunks
Drains most abdominal structures (i.e., small intestines, colon, etc.)
Lumbar trunks
Drains abdominopelvic wall, pelvic organs, and legs
Lymphatic ducts
The largest lymphatic vessels that are fed by lymphatic trunks; return lymph to venous circulation
Right lymphatic duct
Located near the right right side of the head, neck, thorax, and right arm; delivers lymph to the right subclavian and right internal jugular veins
Thoracic duct
The largest lymphatic vessel that runs from the diaphragm to the junction of the left subclavian and left internal veins; drains the left side of the head, neck, thorax, left arm, all of the abdomen, pelvis, and both legs
Cisterna chyli
Saclike structure of the base of the thoracic duct that is a reservoir for lymph from the lower body and abdomen before the thoracic duct