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Chapter 16: The Lymphatic System and Lymphoid Tissue. Overview. Key Terms. adenoidlymphadenopathylymphoma chylelymphangitisspleen lymphlymphatic ductthymus lymphadenitislymph nodetonsil. The Lymphatic System. System of tissues and vessels Scattered throughout the body - PowerPoint PPT Presentation
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Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Chapter 16:The Lymphatic Systemand Lymphoid Tissue
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Overview
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Key Terms
adenoid lymphadenopathy lymphoma
chyle lymphangitis spleen
lymph lymphatic duct thymus
lymphadenitis lymph node tonsil
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
The Lymphatic System
• System of tissues and vessels
• Scattered throughout the body
• Services almost all regions
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Functions of the Lymphatic SystemLearning Outcome
1.List the functions of the lymphatic system.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Functions of the Lymphatic System
Three Main Functions
•Fluid balance (lymph)
•Protection from infection
•Absorption of fats
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Functions of the Lymphatic System
✓Checkpoint
16-1 What are the three functions of the lymphaticsystem?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphatic Circulation
Learning Outcomes
2.Explain how lymphatic capillaries differ from blood capillaries.
3.Name the two main lymphatic ducts and describe the area drained by each.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphatic Circulation
• One-way system
• Begins in tissues
• Ends in bloodstream
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Figure 16-1 The lymphatic system in relation to the cardiovascular system.
What type of blood vessel receives lymph collected from the body?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphatic Circulation
Lymphatic Capillaries
•Capillary walls (endothelium) are flattened epithelial cells.
•They are more permeable than blood capillaries.
•Overlapping cells form one-way valves.
•They arise blindly (closed at one end).
•Lacteals absorb digested fats.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Figure 16-2 Lymphatic drainage in the tissues.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphatic Circulation
Lymphatic Vessels
•Superficial and deep sets
•Right lymphatic duct
•Thoracic duct (left lymphatic duct)
– Cisterna chyli
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Figure 16-3 Vessels and nodes of the lymphatic system.
What are some nodes that receive lymph drainage from the breast?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphatic Circulation
Movement of Lymph
•Movement of lymph toward heart caused by:
– Valves in lymphatic vessels
– Contraction of lymphatic vessels
– Skeletal muscle contraction
– Breathing
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphatic Circulation
✓Checkpoints
16-2 What are the two differences between bloodcapillaries and lymphatic capillaries?
16-3 What are the two main lymphatic vessels?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphatic Circulation
?Pop Quiz
16.1 Which of the following is NOT characteristic of lymphatic vessels?
A) They have thin walls.
B) They are blind-ended.
C) They can contract to propel lymph.
D) They transport lymph to the tissues.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphatic Circulation
?Pop Quiz Answer
16.1 Which of the following is NOT characteristic of lymphatic vessels?
A) They have thin walls.
B) They are blind-ended.
C) They can contract to propel lymph.
D) They transport lymph to the tissues.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphoid Tissue
Learning Outcome
4.List the major structures of the lymphatic system and give the locations and functions of each.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphoid Tissue
• Distributed throughout the body
• Makes up specialized organs of lymphatic system
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Figure 16-5 Location of lymphoid tissue.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphoid Tissue
Lymph Nodes
•Cervical nodes
•Axillary nodes
•Tracheobronchial
•Mesenteric nodes
•Inguinal nodes
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Figure 16-3 Vessels and nodes of the lymphatic system.
What are some nodes that receive lymph drainage from the breast?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Figure 16-4 Lymph nodes.
What type of lymphatic vessel carries lymph into a node? What type of lymphatic vessel carries lymph out of a node?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphoid Tissue
The Spleen
•Cleanses blood
– Filtration
– Phagocytosis
•Destroys old red blood cells
•Produces red blood cells before birth
•Is a reservoir for blood
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphoid Tissue
The Thymus
•Plays a key role in early immune system development
•Produces thymosin
– Develops T-lymphocyte cells
– Promotes lymphocyte growth
– Promotes lymphoid tissue activity
•Shrinks after puberty
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphoid Tissue
The Tonsils
•Remove contaminants and trap pathogens
•Palatine tonsils
•Pharyngeal tonsil (adenoids)
•Lingual tonsils
•Surgery to treat if recurrent infection or enlarged tonsils make swallowing or breathing difficult
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Figure 16-6 Location of the tonsils.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphoid Tissue
Other Lymphoid Tissue
•Appendix
•Mucosal-associated lymphoid tissue (MALT)
•Gut-associated lymphoid tissue (GALT)
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphoid Tissue
✓Checkpoints
16-4 What is the function of the lymph nodes?
16-5 What is filtered by the spleen?
16-6 What kind of immune system cells develop in the thymus?
16-7 What is the general location of the tonsils?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphoid Tissue
?Pop Quiz
16.2 Lymph from the arm and breast passes through which of the following?
A) Inguinal nodes
B) Cervical nodes
C) Axillary nodes
D) Tracheobronchial nodes
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Lymphoid Tissue
?Pop Quiz Answer
16.2 Lymph from the arm and breast passes through which of the following?
A) Inguinal nodes
B) Cervical nodes
C) Axillary nodes
D) Tracheobronchial nodes
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Disorders of the Lymphatic System
Learning Outcome
5.Describe the major lymphatic system disorders.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Disorders of the Lymphatic System and Lymphoid Tissue
Disorders Related to Infection
● Lymphadenopathy
● Lymphadenitis
● Infectious mononucleosis
Lymphedema
● Elephantiasis
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Figure 16-7 Infectious mononucleosis.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Figure 16-8 Lymphangitis.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Disorders of the Lymphatic System and Lymphoid Tissue
• Splenomegaly
• Lymphoma
– Hodgkin lymphoma
– Non-Hodgkin lymphoma
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Figure 16-9 Reed-Sternberg cell.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Disorders of the Lymphatic System and Lymphoid Tissue
✓Checkpoints
16-8 What is lymphadenopathy?
16-9 What is lymphoma and what are the two examplesof malignant lymphoma?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Disorders of the Lymphatic System and Lymphoid Tissue
?Pop Quiz
16.3 What is Hodgkin lymphoma?
A) A benign tumor of the lymph nodes
B) A malignant tumor of the lymph nodes
C) A benign tumor of the spleen
D) A malignant tumor of the spleen
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Disorders of the Lymphatic System and Lymphoid Tissue
?Pop Quiz Answer
16.3 What is Hodgkin lymphoma?
A) A benign tumor of the lymph nodes
B) A malignant tumor of the lymph nodes
C) A benign tumor of the spleen
D) A malignant tumor of the spleen
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Case Study
Learning Outcome
6. Describe the spleen’s functions and the consequences of its removal.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Case Study
Functions of the Spleen
•Filters blood
•Removes worn-out old blood cells
•Acts as a large lymph node, detecting and fighting disease-causing organisms
Consequences of Splenectomy
•Liver will take over blood filtration and RBC removal
•Greater risk of infection
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Word Anatomy
Learning Outcome
7.Show how word parts are used to build words related to the lymphatic system.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease
Word Anatomy
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cohen: Memmler’s The Human Body in Health and Disease