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15 Cards in this Set

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The adult spleen is not essential to life, its loss makes the patient more vulnerable to
3ct
anemia
leukopenia
overwhelming infections.
organization of the spleen
1. Capsule
2. Pulp
Splenic Capsule Describe =
dense C.T.
trabeculae
subdivide the organ into communicating compartments.
indented hilus
splenic artery
vein, lymphatic
nerves
Capsule: dense C.T. tissue capsule which extends trabeculae to subdivide the organ into communicating compartments. The capsule is indented at the hilus, through which splenic artery, vein, lymphatic vessels and nerves pass.
Splenic Pulp Describe =

lacks a cortex and a medulla.
a. red pulp
b. white pulp
c. marginal zone
white pulp and merges into red pulp.
White pulp, marginal zone and red pulp each possess a distinctive stroma made up of reticular meshwork. These meshwork consist of branched reticular cells, which synthesize and lie upon reticular fibers.
Know the structure
Know the structure
.
White pulp
is a lymphatic tissue equivalent to the cortex of lymph nodes
3 parts
1. periarterial lymphatic sheath
2. lymphatic nodules 
T-lymphocytes are concentrated in the periarterial sheath and B-lymphocytes are concentrated in the nodules.
1. periarterial lymphatic sheath
2. lymphatic nodules
T-lymphocytes are concentrated in the periarterial sheath and B-lymphocytes are concentrated in the nodules.
Red pulp
The red pulp consists of

2
a reticular meshwork (filtration bed) supplied by
A. arteries
B. drained by an anastomosing system of special veins called venous sinuses which drain into pulp veins.
The reticular meshwork
a branching system of
cords
splenic cords
complementary to
branching venous sinuses
Red pulp contains =
splenic sinusoids lined by elongated endothelial cells.

Splenic cords
also known as
cords of Billroth,
separate splenic sinusoids

macrophages, and blood cells
In the cords

there are 4 fctns =
-circulating monocytes are trapped and rapidly differentiate into =

-platelets are stored

-- Erythropoiesis 

-destruction of old damaged erythrocytes occurs
-circulating monocytes
are trapped differentiate into =

-platelets are stored

-- Erythropoiesis

-destruction of
old damaged erythrocytes
macrophages
2 types of blood circulations
have been described in the red
pulp:
1 a closed circulation,
arterial vessels connect directly splenic sinusoids.

2 vessels opening directly into the red pulp spaces, entering through the interendothelial cell slits of the splenic sinusoids.
Functions of the Spleen
2ct
PHAGOCYTOSIS

IMMUNOLOGICAL DEFENSE
Functions of the Spleen
filter
phagocytose
mount immunological responses
blood-borne antigens. The spleen contains all the components (B and T lymphocytes,
APCs
phagocytic cells
white pulp of the spleen
production site of =
Lymphocytes
white pulp
The hemoglobin they contain is broken down into several parts. =
The protein, globin, is hydrolyzed to amino acids that are reused in protein synthesis.
Iron is released from heme and, joined to transferrin, is transported in the blood to the bone marrow, where it is reused in erythropoiesis.
Iron-free heme is metabolized to bilirubin, which is excreted in the bile by liver cells.
Asplenia
the Kupffer cells of the liver sinusoids complement the role of the white pulp in the detection and removal of bacteria circulating in blood.