UVM HSF 1 Lymph and Lymphatic vessels

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xcwilson  on October 13, 2011

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UVM HSF 1 Lymph and Lymphatic vessels

Right lymphatic duct
everything above nipple line on R side and strait up
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Terms

Definitions

Right lymphatic duct everything above nipple line on R side and strait up
Thoracic duct drains all else
What are the functions of they lympatic system CV- retures excess fluid and protein to blood
Immune- lymph to nodes
Digestive- fat from small intestine to blood
Where are lymph capillaries everywhere except CNS
Lymph in comparison with blood capillary Larger diameter, no pericytes, thin porous basal membrane, no erythrocytes

Histologically, RBCs in blood vessels
Lymph capillaries structure greater access than blood capillaries, access for metastasis, and pathogens
Valves in lymph allow one way flow, and many WBC's
Lacteals lymphatic capillaries in intestinal villi

provide drainage and transport of lipids to blood strean all drain to the thoracic duct
Major lymphatic vessels Thoracic duct, fed by Chyle cistern and Descending thoracic lympatic trunk
Right lymphatic duct, goes to R subclavian
peristalsis sequential contractions of lymphatic vessels by smooth muscles moves lymph
Lymphangitis infection of they lymph vessels extends up lymph vessel from an abscess
Antigen Substance that elicits an immune response

Binds to antibodies
Antibody: immunoglobulin Binds to antigens
Present in blood lymph secretion, and on B-cells
Inactivates antigen directly or tags Ag for inactivation

In lymph
Plasma cells are a component of lymph, antibody factories, large golgi app.
Resting T or B cell hist mostly nucleus in cell
Effector B cell hist more RER for creating immunoglobulin
Major histocompatability complex MHC also called HLA

Surface proteins that help immune system distinguis self from nonself
Two classes MHC MHC 1 and 2
MHC1 present on essentially all nucleated cells
MHC2 Found on antigen presenting cells
Antigen presenting cells APCs engage in antigen processing

Present antigens as peptide MHC II complexes to T cells
APCs macrophages, dendritic cells, Bcells

Mobile cells

Not only site for antigen processing other cells can use MHC I
Antigen processing Phagocytize antigen
digest antigen in lysosome
present small bit in MHC molecules on surface of cell
MHC I has peptide binding sites very variable
MHC Peptide binding site presents antigen
Dendritic cells present antigens, facilitates interaction by increasing SA with processes so many cells can interact w/ T cells
Langerhans cell pale cell in epithelium, need to be at sites of likely infection
Lymphocytes T cells
B cells
NK cells

Large nucleus dark purple with light purple ring
T cells Born in bone marrow, mature in Thymus TTT
Antigen receptor : t cell receptor TCR
B cells Born in bone marrow, mature in Bone marrow BBB
Antigen receptor: surface immunoglobulin
NK cells Natural Killer cells
Lymph Nodes Bean shaped encapsulated
Most 1mm-1cm
Not uniformly distributed
Filter lymph
Facilitate immune responses
Lymph nodes Afferent feeds into node from capsule side
Efferent leaves lymphatic via hilum

is fed by artery and has vein drainage in hilum

Interaction of blood and lymphocytes
Parts of a lymph node Capsule outside
Cortex
Trabeculae flap going toward medulla
Sinus strait flap of CTfollowing capsule
Paracortex
Medulla
Medullary cords
Follicle on edges near capsule
Hilum feeds into medullary cords
Follicle lighter in center darker in periphery

B cells,
Para cortex area without follicles, lots of lyphocyte less cytoplasm

Mostly T cells
Medullary cords lighter in color, less lymphocytes
Secondary follicle Mostly B cells
Lymphadenopathy swollen glands can be seen in cat scratch disease
Lymphatic drainage of Upper Extremity Lots of lymphatics in the hands.

Infraclavicular: deltopectoral node near cephalic vein

Lateral : humeral axillary nodes near axillary vein and basilic vein

Epitrochlear : cubital nodes near median cubital vein, cephalic vein, and basilic vein
Axillary lymph nodes lateral
Central: deep within axillae
Subscapular: posterior
Pectoral: anterior
Supraclavicular
Apical

all drain toward R lymphatic duct
superficial inguinal lymph nodes Horizontal group
Vertical group
Lymphatic drainage of Lower Extremity Popliteal nodes near popliteal vein on posterior of leg

Superficial inguinal nodes
Deep inguinal lymph nodes External iliac nodes near femoral vein superior to inguinal ligament

Deep inguinal lymph nodes, deep to and on either side of inguinal ligament

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