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Systems Exam II (L)
Lymphatic System
24
Medical
Graduate
03/10/2009

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Cards

Term
Where are Langerhans cells found?
Definition
In the skin
Term
Where are the progenitor cells for B, T, and NK cells found?
Definition
Found in the bone marrow
Term
Where do T-lymphocytes mature?
Definition
In the thymus
Term
What are epithelial reticular cells?
Definition
These are the cells that are responsible for creating a supporting framework for the maturing T lymphocytes. They are joined together by desmosomes.
Term
Where are immature T lymphocytes found in the thymus?
Definition
They are found densely packed in the cortex
Term
Where are mature T-lymphocytes found?
Definition
They are found in the medulla
Term
What is the purpose of the blood thymus barrier?
Definition
Critical for the process of learning to distingush from self and non-self.
Term
How do mature T lymphocytes exit the thymus?
Definition
Mature T lymphocytes leave the thymus via the post capillary venules. These venules are found in the junction between the cortex and the medulla.
Term
What is nodular lymphoid tissue? What is the difference between primary and secondary?
Definition
It is B lymphocyte rich regions of cells that are clustered as spheroid nodules. Primary nodules are clusters of unstimulated lymphocytes. Secondary nodules develop from Primary nodules after stimulation.
Term
What is a Germinal Center?
Definition
That is the lighter staining portion of a secondary nodule.
Term
What is Diffuse Lymphoid Tissue?
Definition
T lymphocyte rich area with poorly defined boundries that is widely distributed in connective tissues.
Term
What is Mucosa Associated Lymphoid Tissue (MALT)?
Definition
Unencapsulated lymphoid tissue found in the mucosa and submucosa in the GI, respiratory, and genitourinary tracts. Used to protect common sites of microbial invasion where lumens are open to external environment. Gut Associated Lymph Tissue (GALT) is an example.
Term
Where are Peyer's Patches found?
Definition
Peyer's Patches are found in the mucosa/submucosa in the ileum.
Term
Where are palantine tonsils found and what type of epithelium are they comprised of?
Definition
Found in the oral pharynx and are comprised of stratified simple squamous epithelium forming crypts.
Term
Where are the pharyngeal tonsils found and what type of epithelium are they made up of?
Definition
Found in the opening of the respiratory tract and are comprised of ciliated pseudostratifed columnar epithelium forming pleats.
Term
Where are the lingual tonsils found and what type of epithelium are they comprised of?
Definition
Found at the base of the tongue and are comprised of stratified squamous epithelium forming crypts.
Term
What are the functions of the lymph nodes?
Definition

1. Filter Lymph

2. Non-specific filtration of microorganisms and particulate matter.

3. Antigen recognition/trapping and immune cell interactions.

4. Activation and proliferation of T and B cells.

Term
Where do afferent lymphatics enter into lymph nodes?
Definition
They enter the node through the capsule and travel into the subscapular sinus.
Term
What is characteristic of the cortex of lymph nodes?
Definition

1. Contains diffuse lymphatic tissue rich in T lymphocytes.

2. Contains nodular lymphatic tissue

Term

1. What are medullary cords in lymph nodes?

2. What are medullary sinuses?

Definition

1. They are branched extensions of dense lymphatic tissue that arise in inner cortex containing B lymphocytes.

2. Dilated spaces continuous with intermediate sinus that separate cords.

Term
What is the order of Lymph Flow?
Definition

1. Afferent lymphatics

2. Subscapular sinuses

3. Intermediate sinuses

4. Medullary sinuses

5. Efferent lymphatics

Term
What are the functions of the spleen?
Definition

1. Filters blood

2. Immune response

3. Removal of damaged red blood cells

4. Sequesters monocytes

5. Hematopoiesis

6. Storage of blood

7. Recycling of iron

Term
What are the two types of splenic pulp and what are their characteristics?
Definition

White Pulp - Organized around PALS, maximize interaction between blood antigens and cells of the immune system

 

Red Pulp -  Maximizes interactions between blood and macrophages

Term
Can you describe the splenic blood flow?
Definition

1. Splenic Artery

2. Trabecular Artery

3. Central Artery - Branches of the trabecular artery that become ensheathed by T lymphocytes.

4. Penicillar Arteriole - leaving the white pulp, the PALS is lost

5. Sheathed Capillaries

6. Sinusoids

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