Lymphatic System 1 Lymphatic System Functions Return fluid

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Lymphatic System 1

Lymphatic System 1

Lymphatic System • • Functions Return fluid to general circulation Production of WBCs Immunity

Lymphatic System • • Functions Return fluid to general circulation Production of WBCs Immunity 2

Lymphatic Vessels • Open circulatory system • Originate blindly in tissue interstices throughout the

Lymphatic Vessels • Open circulatory system • Originate blindly in tissue interstices throughout the body except CNS and those without blood supply • Thin walled - endothelium only • Permeable 3

Lymphatic Vessels 4

Lymphatic Vessels 4

Lymphatic Vessels • Parallel venous flow • Asymmetrical distribution • Two major junctions with

Lymphatic Vessels • Parallel venous flow • Asymmetrical distribution • Two major junctions with cardiovascular system – Thoracic duct into left subclavian vein – Right lymphatic duct into right subclavian vein 5

Ducts 6

Ducts 6

Lymphatic Vessels 7

Lymphatic Vessels 7

Lymphatic Physiology • Movement into lymphatic capillaries function of osmotic pressure • Valves and

Lymphatic Physiology • Movement into lymphatic capillaries function of osmotic pressure • Valves and muscular activity assist return flow 8

Lymphatic Organs • • • Lymph nodes Spleen Tonsils Thymus Diffuse tissue 9

Lymphatic Organs • • • Lymph nodes Spleen Tonsils Thymus Diffuse tissue 9

Lymph Nodes • • Distributed along vascular pathway Filter lymph Encapsulated by dense CT

Lymph Nodes • • Distributed along vascular pathway Filter lymph Encapsulated by dense CT stroma/framework of reticular fibers, trabeculae • Parenchyma of cortex and medulla • Lymphocytes/t cells 10

Lymph Nodes 11

Lymph Nodes 11

Lymph Nodes • • Macrophages B lymphocytes/b cells Multiple afferent lymphatics Usually a single

Lymph Nodes • • Macrophages B lymphocytes/b cells Multiple afferent lymphatics Usually a single efferent exiting at hilus/hilum • Size variable 1 -25 mm, change with infection • Secondary tumor sites via metastasis 12

Spleen • • • Functions Fetal blood development Store and release blood during stress

Spleen • • • Functions Fetal blood development Store and release blood during stress Recycle old blood cells B cell maturation into plasma cells 13

Spleen Structure • 12 cm oval body in left hypochondriac region • Splenic artery

Spleen Structure • 12 cm oval body in left hypochondriac region • Splenic artery and vein enter at hilus • Covered with peritoneum • Structure similar to lymph node • Parenchyma of two types 14

Spleen Structure • • • Red pulp Blood filled venous sinuses Splenic cords/Billroth’s cords

Spleen Structure • • • Red pulp Blood filled venous sinuses Splenic cords/Billroth’s cords White pulp Lymphocyte production 15

Tonsils • Aggregated lymph nodes • Concentrated in Waldeyer’s tonsilar ring – Lingual –

Tonsils • Aggregated lymph nodes • Concentrated in Waldeyer’s tonsilar ring – Lingual – Palatine – Pharyngeal/adenoid 16

Thymus • • • In superior mediastinum Two lobes Surrounded by CT capsule Cortex

Thymus • • • In superior mediastinum Two lobes Surrounded by CT capsule Cortex = reticular fibers + lymphocytes Medulla - epithelial cells produce thymosin stimulating maturation of T cells, form Hassall’s corpuscles • Maximum size 10 -12 yrs old ~ 40 grams, degenerates with age 17

Diffuse Lymphatic Tissue • Not encapsulated • Widely distributed throughout body • Found in

Diffuse Lymphatic Tissue • Not encapsulated • Widely distributed throughout body • Found in lamina propria of digestive tract, respiratory, urinary and reproductive systems 18

Pathology • Lymphangitis • Lymphadenopathy • Edema 19

Pathology • Lymphangitis • Lymphadenopathy • Edema 19