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83 Cards in this Set
- Front
- Back
Tonsil general features
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ring of lymphoid tissue in pharynx
Incompletely Encapsulated Efferent Lymphatic vessels present, NO Afferent |
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Tonsil Fxn
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removal of Ags
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Pharyngeal Tonsils
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Single tonsil in roof of pharynx
Ciliated pseudostratified epithelium NO Crypts |
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Adenoid
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Inflamed Pharyngeal Tonsil
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Palatine Tonsil
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2 at junction of oral cavity and pharynx
Stratified Squamous wet Epi crypts, which contain debris |
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Lingual Tonsils
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base of tongue
smaller and more numerous SINGLE crypt |
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Encapsulated Lymph Organs
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Lymph Nodes, Thymus and Spleen
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Lymph Node Morphology
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bean shaped organ located along Lymphatic vessel pathway
Lymph must cross node before entering circulation |
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Lymph Node Fxn
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filter lymph and fight infection
maintain B and T Cells and contain memory cells |
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Lymph node vessels:
Afferent |
located on convex surface
carries lymph toward |
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Lymph node vessels:
Efferent |
carries lymph away from node
located at Hilum |
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what do reticular cells secrete?
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type 3 collagen
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Dendritic Cells
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APCs found only in Bone Marrow
use both MHC 1 and 2 to present foreign antigens |
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3 regions of the Lymph Node
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Cortex
Paracortex (deep cortex) Medulla |
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Lymph Nodes:
Cortex |
outer portion containing nodules
B cells found here covered by CT Capsule |
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Lymph Nodes:
Paracortex |
T cells present here
contains High Endothelial Veins |
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Thymus Dependent Region
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paracortex of Lymph Node
will not develop well w/o Thymus |
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High Endothelial Veins
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site of entry/exit lymphocytes from circulation
lined w/ cuboidal-columnar endothelial cells |
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Lymph Nodes:
Medulla |
contain lymphatic cords and Medullary Sinuses
all converge near hilum and drain into Efferent |
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Lymph Node Sinuses
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Subscapular
Trabecular Medullary |
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Lymph Node Sinus:
Subscapular |
b/t CT capsule and cortical lymphocytes
contains Afferent Lymph |
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Lymph Node Sinus:
Trabecular |
contain lymph
drains into medullary sinus |
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Lymph Node Sinus:
Medullary Sinus |
contain Lymph AND blood
converge at Hilum drain into Efferent Lymphatic Vessels |
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Characteristics of Lymphatic Sinuses
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macrophages present for lymph monitoring
NOT OPEN SPACES contains reticular fibers |
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Phagocytosis and immune response in Lymph Node
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MO are phagocysitized
activation and differentiation of B cells memory cells proliferate and spread in response to specific Ag |
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Thymus Morphology
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Bilobed, encapsulated
ONLY LOBULATED Lymphoid Organ functional at birth grows until puberty NO AFFERENT vessels |
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Thymus germ cell derivation?
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3rd pharyngeal pouch
Endoderm and Mesoderm |
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Thymus Trabeculae
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continuous w/ capsule, Efferent Lymphatic
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Thymus Cortex
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outer Parenchyma, Basophilic
Developing T cells found here Education and transfer of T cells |
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Thymus Medulla
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inner region of Parenchyma
Eosinophilic Large Lymphocytes THYMIC CORPUSCLES T cell education complete here |
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Epitherlioreticular Cells
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characteristics of reticular and epithelial cells
3 in cortex 3 in medulla |
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are there reticulocytes in Thymus?
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NO
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Epitherlioreticular Cells:
Type 1 |
boundary of cortex and CT Capsule
Occluding Jxns b/t cells DO NOT express MHC 1 or 2 |
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Epitherlioreticular Cells:
Type 2 |
involved in T Cell education
Expresses both MHC 1 and 2 |
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Epitherlioreticular Cells:
Type 3 |
Involved in T Cell education
boundary b/t cortex and medulla create barrier b/t cortex and medulla expresses MHC 1 and 2 |
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Macrophages in the Cortex of Thymus?
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remove T cells that fail thymic education
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Crosstalk in Thymus
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T Cells control architecture of Thymic Epithelioreticular cells
both influence each other |
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Epitherlioreticular Cells:
Type 4 |
b/t cortex and medulla in medulla
Occluding Jxns Function as Barrier |
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Epitherlioreticular Cells:
Type 5 |
medulla
Desmosomes b/t cells compartmentalize and framework medulla |
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Epitherlioreticular Cells:
Type 6 |
Forms Thymic Corpuscles
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Thymic Corpuscles
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produce IL-4 and IL-7
fxn in T cell education produce thymosin and thymopoietin |
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T Cell Education
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expression and deletion of specific Antigens
Education in cortex and medulla is seperate |
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T Cell education in Cortex
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positive selection for cells expressing MHC and any Ag
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T Cell education in Cortex:
Double negative stage |
CD2 and CD7 expressed
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T Cell education in Cortex:
Middle Stage |
CD1
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T Cell education in Cortex:
Double Positive Stage (3rd) |
TCR, CD3 and CD4 and CD8 expressed
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T Cell education in Cortex:
Positive Selection Process |
If a cell expresses Self MHC and any Ag, it survives
if not, undergoes apoptosis |
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T Cell education in Medulla:
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Negative Selection for self Ag displayed by self MHC
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T Cell education in Medulla:
Single positive Stage |
surviving cells lose one CD marker-either CD4 CTL or CD8 CTL
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Hormones required for T Cell Maturation
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Thymosin
Thymopoietin Thymulin Somatotropin Thymic Humoral Factor Thyroxin Adrenocorticosterioids |
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Hormones required for T Cell Maturation:
Thymosin |
produced by epithelioreticular cells
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Hormones required for T Cell Maturation:
Thymopoietin |
produced by epithelioreticular cells
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Hormones required for T Cell Maturation:
Thymulin |
produced by epithelioreticular cells
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Hormones required for T Cell Maturation:
Somatotropin |
Produced by Pituitary
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Hormones required for T Cell Maturation:
Thymic Humoral Factor |
produced by epithelioreticular cells
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Hormones required for T Cell Maturation:
Thyroxin |
from thyroid
induces thymulin production from epithelioreticular cells |
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Hormones required for T Cell Maturation:
Adrenocorticosteriods |
from adrenal gland
depresses T cell formation in Thymus |
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Blood-Thymus Barrier importance
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protects immature T cells from Ag contact
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Components of Blood-Thymus Barrier:
Endothelium of Capillary Wall |
impermeable to macromolecules
major structural component |
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Components of Blood-Thymus Barrier:
Macrophages |
phagocytose Ag that escape from capillary
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Components of Blood-Thymus Barrier:
Type 1 Epithelioreticular Cells |
Occluding Jxns
isolate developing T Cells |
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Effects of absence of Thymus
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abnormal development of 3rd and 4th pharyngeal pouches
abnormal Cell-Mediated immunity Normal Humoral Immunity patients die of tetany or infection |
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Thymus Involution
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expands as aging
T Cell differentiation and proliferation decrease does not become totally nonfunctional |
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Spleen General Features
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lacks a cortex and medulla
reticular fibers present |
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Immune Fxns of Spleen
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Ag presentation by APCs
Activation and Proliferation of B an T Cells Production of Abs Removal of Macromolecular Ags from blood Production of Abs by plasma cells |
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Hemopoietic Function of Spleen (red pulp)
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formation RBC
Filter Blood Phagocytose damaged RBC retrieve Iron from RBC Hgb |
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Where is Heme broken down into Bilirubin?
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Red Pulp of Spleen
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Is the spleen essential for life?
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no, Bone marrow and liver can take over fxn
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Spleen Histology
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Covered by Visceral Peritoneum (simple squamous)
capsule of dense irregular CT Trabeculae CT extensions Hilum on concave surface |
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what is found in the hilum of the spleen?
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Splenic Artery and Vein
nerves and Lymphatic vessels |
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Red Pulp of Spleen
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red due to RBC
Splenic Sinuses and cords present, filled w/ blood |
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Red Pulp Sinuses:
lining endothelial cells |
few contact points b/t cells
allows easy passage of cell in and out of sinus |
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Red Pulp Sinuses:
Macrophages |
extend b/t endothelial cells into lumen
monitors passing blood for foreign Ags |
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Red Pulp Sinuses:
Basil Lamina |
NO continuous basal lamina present
strands present and wrap outside of sinus |
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Red Pulp Sinuses:
Reticular Cells |
processes extend to basal side of endothelium
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How do Macrophages ID abnormal RBC?
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RBC morphologic and biochemical change
coated w/ specific Abs causes phagocytosis |
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Breakdown of Hgb from RBC
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macrophages and lysozomes
Iron is transported to Bone Marrow Heme is changed to Bilirubin, sent to liver |
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Spleen White Pulp General Features
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mostly lymphocytes
Basophilic |
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What artery is found in white pulp of spleen?
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Central Artery
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What is the Lymphocytic aggregation around the central artery in white pulp of spleen?
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Periarterial Lymphatic Sheath (PALS)
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Splenic Circulation
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Splenic Artery--> white pulp trabeculae-->red pulp trabeculae-->pulp arteriole-->terminal capillaries-->empty in splenic cords
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how does blood in the spleen return to circulation?
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through the walls of the splenic sinuses (Open Circulation)
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what is the only route of blood to return to circulation from the Spleen?
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Open Circulation Only
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