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Overview of the Lymphatic System

Chapter 20 discusses the lymphatic system, which is essential for immune function and consists of lymph, lymphatic vessels, lymphoid organs, and red bone marrow. It outlines the system's functions, including draining excess fluid, transporting nutrients and waste, and carrying out immune responses. The chapter also details the structure and distribution of lymphatic vessels, lymphoid organs like the thymus, lymph nodes, spleen, and tonsils, and their roles in maintaining health.

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0% found this document useful (0 votes)
8 views7 pages

Overview of the Lymphatic System

Chapter 20 discusses the lymphatic system, which is essential for immune function and consists of lymph, lymphatic vessels, lymphoid organs, and red bone marrow. It outlines the system's functions, including draining excess fluid, transporting nutrients and waste, and carrying out immune responses. The chapter also details the structure and distribution of lymphatic vessels, lymphoid organs like the thymus, lymph nodes, spleen, and tonsils, and their roles in maintaining health.

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chloewooley
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© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Chapter 20 – The Lymphatic System

It is literally true that you can succeed best and quickest by helping others to succeed.
--Napoleon Hill

I. Lymphatic System – critical to immune system function


a. Four parts (page 767):
i. Lymph – fluid similar to ____________ carried in the lymphatic vessels

ii. Lymphatic vessels – transport fluids to __________

iii. Lymphoid organs – store __________________ and lymphocytes

iv. Red bone marrow – _______ production


b. Functions (page 767)
i. Draining excess __________________ fluid – fluid found in between
tissues
1. “Leaks” out of blood capillaries
2. Fluid (“lymph”) is returned to bloodstream
a. Helps maintain blood volume

ii. Transports __________________, nutrients (lipid soluble vitamins A, D,


E, and K) , and waste products to the bloodstream

iii. Carrying out ___________________ functions


1. Production, maintenance, and distribution of ___________
2. Initiates responses to invasion

II. Lymphatic Vessels – fluid leaks out of blood capillaries and most is

reabsorbed by the ____________

a. The rest becomes part of the interstitial fluid (in the tissue spaces)

b. Can be as much as ____L per day


c. Lymphatic vessels collect the excess, plus anything else that’s hanging around
and take it back to the blood stream

d. Fluid is called “______________” once it enters the vessel

III. Distribution and Structure of Lymphatic Vessels

a. Lymphatic system is one-way – all flows ________________ the heart

b. Lymphatic ___________________ (page 769) are found between tissue cells and
usually run with blood capillaries

1
i. Are not found in ____________, teeth, bone marrow, cornea, and the
nervous system
ii. Closed at one end
iii. Extremely permeable
1. Cells of the wall aren’t joined, but ____________
2. Cells are connected to nearby structures, so when the interstitial
pressure increases, the flaps open up
a. “Flaps” only work one-way – stuff can get in, but can’t get
back out
b. Function is similar to the ___________ of the heart
iv. Capillaries can also take in debris, bacteria, viruses, and cancer cells
1. These things can then travel throughout the body

2. ______________ – special lymphatic capillaries that absorb fats


from the intestines

a. This lymph is called “_____________”


v. Lymphatic capillaries join together like veins and the vessels get larger
and larger
1. Capillaries – collecting vessels – _____________ – ducts

2. Lymphatic collecting vessels – have three tunics like veins, but


have thinner walls, more valves, and form more anastomoses
a. Vessels go through lymph ____________, where the lymph
is cleaned and examined by the immune system
3. Lymphatic trunks – formed when collecting vessels join

Five main trunks (page 767):

a. __________________ (2) – lower back and posterior


abdominal cavity

b. Bronchomediastinal (2) – thorax

c. ___________________ (2) – upper extremity


d. Jugular (2) – head and neck

e. Intestinal (1) – abdomen

4. Lymphatic _____________ – collect from the trunks

a. _______________ lymphatic duct – right arm, right side of


head and thorax

i. Receives lymph from the right subclavian,


bronchomediastinal, and jugular trunks

2
b. ____________________ duct – collects from the rest of the
body
i. Base of duct is an expanded chamber –

________________ ____________– which receives


lymph from the right and left lumbar trunks and the
intestinal trunk

ii. Travels with the ______________ and collects from


the left subclavian, bronchomediastinal, and jugular
trunks
5. Ducts empty into the venous system at the junction of the

internal __________________ vein and the subclavian vein

IV. Lymph Transport – lymphatic system doesn’t have a pump, so it needs other
mechanisms to move lymph through the system (page 769)

a. Action of skeletal muscles (_______________________ pump)

b. Pressure changes during breathing (____________________ pump)

c. _______________ system to prevent back flow

d. Pulsing of nearby ___________________

e. Smooth ________________ in the walls of the lymphatic trunks and ducts

V. Lymphoid organs – thymus, lymph nodes, spleen and the tonsils


a. Thymus (page 776)
i. Located in the _____________________ part of the lower neck
ii. Functions after birth and begins to deteriorate after puberty

iii. Responsible for the maturation of ____ cells


1. “Teaches” the T cells how to recognize the body’s cells

iv. Thymus produces a group of __________________ called thymosin –


promotes T cell development and maturation

b. Lymph nodes – about ________ nodes are found along the network of lymphatic
vessels
i. Two functions (pages 771-773):

1. ______________ the lymph – remove and destroy foreign


substances
2. Macrophages and lymphocytes destroy foreign substances (more
on this later)

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ii. Structure – look like kidney beans, less than 1 inch long (page 772)
1. Enclosed by a capsule, which has extensions called trabeculae
(sound familiar?) which divide the node into sections

2. ____________ – just underneath the capsule


a. Contains T and B cells

3. ______________ – contains T and B cells and plasma cells


a. Also has lymphatic capillaries and macrophages

iii. Circulation in the Lymph Nodes (page 772)

1. Lymph enters through __________________ lymphatic vessels


(afferent is always toward)
2. Then travels through subcapsular sinus to the trabecular sinus of
the cortex and on to the medulla

3. Exits at the ____________ (general term for area where vessels


and nerves enter and exit the organ – present in the lungs, spleen
and kidneys)

4. Leaves through the __________________ lymphatic vessels


(efferent is always going away from)

5. More afferent vessels than efferent vessels, so comes in faster than


it goes out
a. Why?

iv. Lymph nodes are concentrated in the ___________ groin, and neck

1. Why?

2. Also found in the _________________ and near the trachea to


protect the digestive and respiratory systems
v. Problems in the LN
1. If too many virus or ____________________ particles get trapped,
nodes can swell and become sore (swollen glands)

2. Can be a center for _______________ – if it removes cancer from


an area, it can travel through the lymphatic system to other parts of
the body

4
a. _____________________ is when cancer travels to
different parts of the body

c. Spleen (page 773)


i. Located on the left side, inferior to the ___________________ and curves
around the stomach

ii. Blood supply – _______________ artery and vein, which travel through
the hilus

iii. Place for lymphocyte gathering and surveillance

iv. Six functions:


1. Removes old ________________ and RBC’s

2. Contains ____________________ to clean the blood

3. Stores ______ parts to be recycled (iron) or sent to the liver

4. __________________ RBC’s in unborn babies

5. Stores __________________

6. Initiates immune response by ____ and T cells

v. __________ pulp – contains lymphocytes and works as part of immune


system

vi. _______ pulp – made up of erythrocytes and is concerned with getting rid
of old blood cells

vii. Spleen is prone to damage and can be removed


1. Difficult to repair because it’s soft and squishy

2. _______________ and bone marrow take over its functions


d. Tonsils
i. Form a ring around the entrance to the pharynx (throat)

ii. Have ____ tonsils (page 775)

1. ____________________ tonsils (remember the palatine bone?) –


pair that sit on either side of the back of the tongue. These are the
ones that get removed most often

2. Lingual tonsil – lies at the base of the _____________

5
3. Pharyngeal tonsil (________________) – sits in the posterior part
of the nasopharynx

4. _________________ tonsils – pair that sit at the openings of the


interior auditory canal
iii. Protect the body from things that are _______________ or inhaled

VI. Lymphoid Tissue


a. Stores lymphatic cells and gives them a place to gather
b. Gives cells a “stakeout” point to watch over the body
c. Lymphocytes travel between lymphoid tissue, and the circulatory system

d. _______________ lymphatic tissue – found in almost every organ, concentrated


in the lymphoid organs and mucous membranes
i. Why?

e. Lymphatic follicles – round, solid bodies


i. Found in lymphoid organs, but also in the intestines and the appendix

f. ________________ patches (page 775)


i. Occur most frequently in the wall of the ___________ intestine
ii. Peyer's patches consist of very large spherical nodules of dense lymphoid
tissue
iii. Function is to “_____________” the immune system against intestinal
bacteria
iv. Also prevent bacteria from the large intestine from migrating up into the
small intestine

Review Questions – page 779

Multiple choice/Matching - #1, 3, 5, 8, 12, 13, 15a, 16

Key Terms and Concepts


1. Be able to describe the three functions of the lymphatic system.
2. Know how much lymph can be collected in one day.
3. Know the direction of lymph flow in relation to the heart.
4. Be able to define lacteal.
5. Know the relative size of the lymphatic vessels (i.e. which are the largest; which are the
smallest?).
6. Know the five lymphatic trunks and two lymphatic ducts and the areas of the body they
serve.
7. Know where the ducts empty into the venous system.
8. Be able to list the 5 mechanisms that help lymph travel through the body.

6
9. Know the function of the thymus, including the name of the group of hormones it
produces.
10. Be familiar with the structure and functions of lymph nodes.
11. Know if there are more afferent or efferent vessels associated with a lymph node and
why.
12. Know why lymph nodes are concentrated in the axilla, groin, and neck.
13. Be able to define metastasis.
14. Know the six functions of the spleen.
15. Know the two kinds of pulp found in the spleen, including what makes up each part and
its function.
16. Be able to describe the location of each of the tonsils and the general function of tonsils.
17. Be able to describe the location and function of Peyer’s patches.

Common questions

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Lymphoid organs such as the thymus, lymph nodes, spleen, and tonsils are integral to the immune response. The thymus matures T cells, lymph nodes filter lymph and house lymphocytes, the spleen removes old blood cells and initiates immune reactions, and tonsils guard against inhaled or ingested pathogens . Structurally, these organs have dense lymphoid tissue that facilitates the storage and development of lymphocytes. For instance, lymph nodes have a fibrous capsule and internal divisions that provide an organized structure for filtering lymph and proliferation of immune cells .

Lymphatic capillaries are widespread, especially in areas prone to fluid accumulation, to ensure maximum lymph collection . They are highly permeable and can absorb interstitial fluid, including large particles like proteins and pathogens . However, regions like the central nervous system, bone marrow, corneas, and teeth lack these capillaries as they have alternative drainage and protective mechanisms or limited exposure to interstitial fluids . This selective distribution is crucial for efficient fluid management in the body.

The lymphatic system has three primary functions that are crucial for maintaining homeostasis. First, it drains excess interstitial fluid from tissues and returns it to the bloodstream, helping to maintain blood volume and fluid balance . Second, it absorbs and transports lipids, including vitamins A, D, E, and K, from the digestive tract to the bloodstream . Third, it plays a key role in immune function, producing and distributing lymphocytes and initiating immune responses upon pathogen invasion . These functions are vital for preventing fluid accumulation (edema), nutrient distribution, and immune protection.

Lymphatic vessels have unique structural features that enhance their function. They are highly permeable, allowing them to absorb excess interstitial fluid, including debris, bacteria, viruses, and cancer cells . Their walls are flapped, which opens under pressure and ensures one-way fluid movement towards the heart, similar to heart valves . Lymphatic vessels also include lacteals, special capillaries that absorb dietary fats in the intestines. The lymph containing these fats is called chyle, which is then transported to the bloodstream .

The thymus is critical for the maturation of T cells, which are essential for adaptive immunity. It 'teaches' T cells to distinguish between the body's own cells and foreign entities . This process, governed by thymosin hormones, ensures that the immune system can effectively target pathogens without attacking body tissues . The thymus is most active soon after birth and up until puberty. After puberty, the thymus begins to atrophy and decrease in size, resulting in a gradual decline in T cell production .

When lymph nodes become overwhelmed with foreign particles like viruses or cancer cells, they can swell and become sore, also known as swollen glands . This indicates an active immune response where macrophages and lymphocytes within the nodes attempt to destroy these particles . However, if they cannot remove all cancer cells, the cancer can spread through the lymphatic system, a process called metastasis . This can lead to cancer cells establishing new tumors in other parts of the body .

Peyer’s patches are clusters of lymphoid nodules located in the small intestine's wall, primarily the ileum. They function by surveilling intestinal bacteria and initiating immune responses to prevent bacterial translocation from the intestines into the bloodstream . They stimulate the immune system against harmful gut bacteria and pathogens, playing a critical role in maintaining gut homeostasis and preventing systemic infections. By preventing bacteria from migrating from the large intestine to the small intestine, they help maintain a balanced intestinal environment .

The spleen functions as a blood filter and immune organ. It removes old and damaged red blood cells, recycles iron by storing it for future erythropoiesis or sending it to the liver, and initiates immune responses by housing lymphocytes that proliferate upon antigen detection . Its structure, with red pulp for blood filtration and white pulp containing lymphocytes, supports these dual roles . Red pulp deals with erythrocyte turnover, while white pulp is involved in mounting immune responses.

The lymphatic system relies on several mechanisms to facilitate lymph flow: the skeletal muscle pump, where contractions push lymph through vessels; pressure changes during breathing, acting as a respiratory pump; and valves within lymphatic vessels that prevent backflow . Additionally, the pulsing of adjacent arteries aids lymph movement, and smooth muscle contractions in the walls of lymphatic trunks and ducts also contribute to moving lymph through the system .

Tonsils are strategically positioned to intercept pathogens entering the body through the mouth and nose, forming a protective ring around the pharynx . They contain lymphoid tissue equipped with lymphocytes that detect and respond to pathogens. The location ensures that inhaled or ingested foreign particles are quickly detected and addressed . Their surface is covered with areas that trap pathogens, allowing immune cells to mount a defense . This configuration is critical for early immune activation against respiratory and digestive pathogens.

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