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Questions and Answers

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What is lymph?

fluid that flows through lymphatic system

how is lymph transported?

lymphatic vessels capillaries vessels trunks ducts

characteristic of lymph

filtration at the arterial end of the blood capillary bed moving fluid into the interstitial space. 15% of fluid remains.

interstitial fluid moves into lymphatic capillaries where it is called ?

lymph

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components of lymph

water dissolved solutes- ions, proteins cell debris, pathogens, cancer cells

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lymph vessels include?

ducts, trunks, vessels, capillaries

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describe lymphoid structures primary and secondary.

primary: cells are made in red bone marrow or t-cells mature in the (thymus) secondary: house immune cells

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what are lymphatic capillaries?

small, closed-ended vessels that absorb interstitial fluid. Interspersed around most blood capillaries. Absent in red bone marrow/avascular tissue.

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flaps between cells allow fluid in. ____ _____ hold endothelial cells to nearby structures

anchoring filaments

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what are lacteals

lymphatic capillaries in GI tract

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lacteals absorb ___ ____ substances from GI tract

lipid-soluble

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____ ____ of intersitial fluid pushes into capillary anchoring filaments linking endothelial cells to surrounding structures _____ ____. Pressure of the lymph inside vessel forces "flaps" closed

hydrostatic pressure; preventing collapse

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lymph moves through vessels of larger and larger size. Capillaries > vessels_> trunks___> ducts___>. ultimately, fluid is returned to ___ ____

blood circulation

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what is metastasis?

wandering cancer cells that establish secondary tumors.

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Metastasis develops in other locations of the body. Kidney cancer may metastasize into the?

liver

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Cancerous cells break free from primary tumor. This may be transported through the ___ or ___ ___

lymph or blood stream

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describe lymphatic vessels

they are fed by lymphatic capillaries. located adjacent to arteries and veins have all three vessel tunics have valves to prevent pooling and backflow of lymph

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how is lymph moved?

lymphatic system lacks a pump. It is moved using

  1. contraction of skeletal muscles
  2. respiratory pump 3)pulsatile movement of blood in nearby arteries
  3. contraction of smooth muscle in walls of vessel
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Lymphatic trunks are fed by ?

lymphatic vessels

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jugular veins drain into?

head and neck

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subclavian trunks drain into?

upper limbs breasts superficial thoracic wall

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broncho-medialstinal trunks drain

deep thoracic structures

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a single interstitial trunk drains:

most abdominal structures

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lumbar trunks drain:

lower limbs abdominopelvic wall pelvic organs

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describe lymphatic ducts

they are fed by lymphatic trunks largest lymphatic vessels bring lymph to venous blood circulation

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what are the two types of lymphatic ducts?

right duct: located near the right clavicle, right subclavian vein and right internal jugular vein thoracic duct: diaphragm to left subclavian vein and let internal jugular vein.

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which duct is the largest lymphatic vessel?

thoracic duct

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the thoracic duct runs from the ____ to junction of the left _____ and left ____ ___

diaphragm; left subclavian; left subclavian jugular vein

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Saclike _____ as its base receives lipid-rich ___ from GI tract.

cysterna chyli; chyme

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lymphatic ducts drain lymph from where?

left side of the head and neck, left upper limb, all of abdomen, pelvis, and both lower limbs

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what is lymphedema?

tissue swelling caused by an accumulation of interstitial fluid that is usually drained by the lymphatic system. Most commonly affects the arms or legs. Also occur in the chest wall, abdomen, neck, and genitals.

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signs/symptoms of lymphedema

swelling in arm, leg, fingers, toes feeling heaviness or tightness recurring infections hardening or thickening of skin

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causes of lymphedema

cancer radiation surgery parasites inherited conditions

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risk factors of lymphedema

older age obesity rheumatoid arthritis

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Primary lymphoid structures are involved in ___ and ____ of lymphocytes

formation and maturation

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where is red bone marrow located?

between the trabeculae of spongy bone. In flat bones of the skull, ribs, sternum, vertebrae, ossa coxae, heads of the humerus and femur.

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site of _____, where formed elements are made

hematopoises

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what do formed elements include?

rbc's platelets wbc's

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where do T-lymphocytes migrate to to complete maturation?

thymus

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where do formed elements go?

all formed elements except for T-lymphocytes leave the red bone marrow to enter blood circulation. T-lymphocytes mature and differentiate in the thymus prior to circulating in the blood.

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_____ T-lymphocytes enter the _____ through ____ ____ at the corticomedullary junction.

immature;thymus;blood vessels

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where is the thymus located?

mediastinum (superior)

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the thymus consists of __ lobes, each surrounded by connective tissue capsule.

2

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trabeculae of capsules subdivide lobes into

lobules

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secondary lymphoid structures are?

tissues and organs, like lymph nodes, spleen, and mucosa-associated lymphoid tissue (MALT), where lymphocytes (a type of immune cell) gather and interact with antigens, leading to the development of an adaptive immune response

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what do lymph nodes do?

filter lymph

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what do lymph nodes look like?

small, round/oval, encapsulated

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where can you find lymph nodes?

pathway of lymph vessels

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how many lymph nodes do we have?

around 600-800

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____ ___ bring lymph to node

numerous afferent vessels

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an ___ ____ drains a lymph node

efferent vessel

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_____ of capsule subdivide node into compartments

trabeculae

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the lymph node cortex contains ____ ______

lymphoid nodules

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___ ____ are tiny open channels lined by macrophages

cortical sinuses

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the medulla contains _____ _____. which are connective tissues that support B lymphocytes, T lymphocytes, and macrophages.

medullary cords

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___ ___ are tiny open channels lined with macrophages

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lymph enters through several _____ ____ which creates pressure to push it through node to the single exit vessel.

afferent vessels

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what do macrophages do for lymph?

remove foreign debris from lymph

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lymphocytes proliferate especially in germinal centers. This can cause ___ that can be palpated in neck and axilla

swelling

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symptoms of lymphoma

fever night sweats fatigue painless swelling of lymph nodes in abdomen, neck, armpits, or grion losing weight without trying

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causes of lymphoma

begins with changes in DNA of a lymphocyte they grow out of control, cause too many diseased lymphocytes in lymph nodes.

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explain hodgkins lymphoma

Hodgkin’s Lymphoma (HL)

Has a specific type of cancerous cell called Reed-Sternberg cells (large, abnormal B cells).

More predictable spread, usually moving from one lymph node group to another in an orderly way.

More commonly diagnosed in young adults (ages 15-40) and older adults (over 55).

Often has a high cure rate, especially with early treatment.

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explain non-hodgkin's lymphoma

Non-Hodgkin’s Lymphoma (NHL)

Includes many different types of lymphomas (more than 60 subtypes).

Does not have Reed-Sternberg cells.

Can arise from B cells or T cells, affecting different parts of the lymphatic system.

More unpredictable spread and can be either slow-growing (indolent) or aggressive.

More common than Hodgkin’s lymphoma and usually occurs in older adults.

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where is the spleen located?

located in the left upper abdominal quadrant. lateral to left kidney and posterolateral to stomach.

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posterolateral aspect is ______ and rounded

convex

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surrounded by connective tissue capsule. Trabecule from capsule extend into spleen dividing ____ ___

red and white pulp

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spleen functions

filter blood (not lymph) phagocytize foreign material + old RBC/platelets (red pulp). Red/white pulp blood reservoir + storage site for RBC's platelets (red pulp)

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path of flow for the spleen

splenic artery, central artery, sinusoids, venules, splenic vein

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In the first 5 months of fetal life, spleen makes blood cells called ?

extramedullary hematopoiesis

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what is a splenectomy?

surgical removal of the spleen: may be performed due to ruptured spleen from abdominal injury, infection, cyst, tumor lymphoma or other cancer blood disorders

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why is getting a splenectomy make someone prone to life-threatening infection, why?

blood-borne infections more likely

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What are the 3 types of tonsils?

-pharyngeal tonsils: nasopharynx, called adenoids when enlarged -palatine tonsils: in posterolateral oral cavity -lingual tonsils:along posterior one-third of tongue

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acute tonsillitis

inflammation and infection of the tonsils

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which tonsil is most commonly affected, reddened, englarged?

palatine

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describe lymphoid nodules

Structure: Composed mainly of B cells, sometimes with a germinal center (where B cells proliferate in response to antigens).

Location: Found in mucous membranes, including the digestive, respiratory, urinary, and reproductive tracts.

Function: Help detect and respond to pathogens that enter through mucosal surfaces.

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what is MALT

(Mucosa-Associated Lymphoid Tissue) MALT is a collection of lymphoid nodules found in mucosal linings that protect against infections at points where pathogens commonly enter the body. It is not encapsulated and is an important part of the immune system.

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