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The lymphatic system is part of the immune system. It also maintains fluid balance and plays a role in absorbing fats and fat-soluble nutrients. The lymphatic or lymph system involves an extensive network of vessels that passes through almost all our tissues to allow for the movement of a fluid called lymph. Lymph circulates through the body in a similar way to blood. There are about 600 lymph nodes in the body. These nodes swell in response to infection, due to a build-up of lymph fluid, bacteria, or other organisms and immune system cells. A person with a throat infection, for example, may feel that their "glands" are swollen. Swollen glands can be felt especially under the jaw, in the armpits, or in the groin area. These are, in fact, not glands but lymph nodes.
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The lymphatic system is part of the immune system. It also maintains fluid balance and plays a role in absorbing fats and fat-soluble nutrients. The lymphatic or lymph system involves an extensive network of vessels that passes through almost all our tissues to allow for the movement of a fluid called lymph. Lymph circulates through the body in a similar way to blood. There are about 600 lymph nodes in the body. These nodes swell in response to infection, due to a build-up of lymph fluid, bacteria, or other organisms and immune system cells. A person with a throat infection, for example, may feel that their "glands" are swollen. Swollen glands can be felt especially under the jaw, in the armpits, or in the groin area. These are, in fact, not glands but lymph nodes.
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• Gross anatomy: – Components of the lymphatic system: lymphatic plexuses, lymphatics, lymphoid tissue – Plan of the lymphatic system: Superficial lymphatic vessels, deep lymphatic vessels, lymph nodes, lymph trunks, cysterna chyli, lymph ducts: right lymph duct and thoracic duct. – Lymphatic drainage of the lower limb • Superficial inguinal lymph nodes: arrangement and drainage area. • Deep inguinal lymph nodes: arrangement and drainage area. The popliteal lymph nodes – Lymphatic drainage of the upper limb • Superficial and deep lymphatics. Supratrochlear and infraclavicular lymph nodes. • Axillary lymph nodes: arrangement and drainage area. – Plan of the lymphatic drainage of the head and neck: deep cervical lymph nodes, inner and outer circle of lymph nodes. • Deep cervical lymph nodes: location of the upper and lower groups, jugulodigastric node, jugulo-omohyoid, supraclavicular lymph nodes. Drainage area and efferent vessels. • The outer circle of lymph nodes: submental, submandibular, buccal, mandibular, parotid, mastoid, occipital: location, drainage area and efferent vessels. • The inner circle of lymph nodes: pretracheal, paratracheal and retropharyndeal. • The tonsils and Waldeyer’s ring. – Lymphatic drainage of the thorax: • Lymph nodes of the chest wall: Parasternal, intercostal, and phrenic • Lymph nodes of the mediastinum: Nodes around the division of the trachea and the main bronchi, anterior and posterior mediastinal nodes. – Plan of lymphatic drainage of the abdomen: lumbar and intestinal lymph trunks. • Pre-aortic lymph nodes: mesenteric, celiac, superior and inferior mesenteric lymph nodes. • Para-aortic lymph nodes. • MALT & Peyer’s patches. – Lymphatic drainage in the pelvis: External and internal iliac lymph nodes, lymph nodes in fascial sheaths, sacral and common iliac lymph nodes. • Applied anatomy • Functional and clinical importance of the lymphatic system; Virchow’s lymph nodes; Retropharyngeal abscess; Clinical applications of enlarged thoracic lymph nodes: involvement of left recurrent laryngeal nerve and phrenic nerve. Pressure on the esophagus. Carinal lymph nodes and bronchoscopy; Communications of lymphatics between thorax and abdomen. • Radiographic anatomy: – Lymphangiogrms. • Surface anatomy of palpable lymph node groups: superficial inguinal, axillary, infraclavicular, outer circle of crevical lymph nodes, deep cervical lymph nodes.
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The lymphatic system is a sub-system of circulatory system and immune system. It is a type of drainage system of human body which collects all the tissue fluids (constantly leaking out of the bloodstream) and takes back to the major veins through a network of lymph vessels. The lymphatic system consists of - Lymph – colourless tissue fluid Lymphatic organs – Thymus, Bone Marrow, Lymph nodes, Spleen, Tonsils. Lymph vessels – through which lymph circulation takes place. It maintains balance between blood and tissues: Blood volume : 5 – 6L Interstitial fluid volume: 10 – 11L Lymph volume: 2 – 3L. It helps in Immunity. It fascilitate absorption of fats and hormones: Breakdown products of fat and fat-soluble vitamins are absorbed into the central lacteals (lymphatic vessels) of the villi. Normal blood circulation forces fluid out of the bloodstream and that leads in the increase in the interstitial fluid volume. Due to osmotic pressure this interstitial fluid will be collected by the fine lymphatic capillaries. Now this fluid is lymph and it has the same mineral distribution as that of blood plasma. The lymph is transported to lymph nodes and organs where the pathogen will be killed by lymphocytes and lymph will be filtered. The back flow of lymph is prevented by the valves present in lymph vessels. Lymph moves from lymphatic vessels to lymphatic trunks, collecting ducts, and ultimately into the Subclavian veins.
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lymphatic system:DEFINITION: The lymphatic system is a network of vessels and organs that regulates the amount of fluid in the human body and defends it against infections Lymph Lymph is a transudative fluid that is transparent and yellow. It is formed when fluid leaves the capillary bed in tissues due to hydrostatic pressure. LYMPHATIC VESSELS : THE TUBAL STRUCTURES CARRY THE LYMPH FLUID FROM THE TISSUE TO THE BLOOD STREAM. TYPES OF VESSELS : AFFERENT VS EFFERENT LYMPH VESSELS: Lymphatic capillaries Lymphatic capillaries are the smallest lymphatic vessels that collect the interstitial fluid from the tissues. There are also special types of lymphatic capillaries called lacteals. These capillaries absorb nutrients from the small intestine. COMPOSITION OF THE LYMPH FLUID: (around 95%) comprised of water. The remaining 5% is composed of proteins, lipids, carbohydrates VOLUME OF LYMPH : The average adult produces between 3-4 litres/ day. Lymphatic pathway/circulation: TYPES OF LYMPHATIC VESSELS SUPERFICIAL AND DEEP LYMPHATIC VESSELS. LYMPHATIC TRUNKS: The efferent vessels empty into the lymphatic trunks. There are four pairs of trunks: Lumbar, Bronchomediastinal, Subclavian and Jugular. LYMPHATIC DUCT: The lymphatic trunks then converge into the two lymphatic ducts; the right lymph duct and thoracic duct. Lymphatic vessels vs. blood vessels Lymphoid organs : The Lymphoid organs are the sites where the maturation and proliferation of lymphocytes occur and help carry out various immune functions. Types of Lymphoid Organs 1. Primary Lymphoid Organs: bone marrow and thymus 2. Secondary Lymphoid Organs: lymph nodes, spleen, tonsils, Peyer’s patches of the small intestine, and Mucosal associated lymphoid tissues (MALT). 3. Tertiary Lymphoid Organs: These organs also play a prominent role in the immune response to cancer. The Lymphoid Organs Functions The functions of lymphoid organs are as follows: 1. The main function of lymphoid organs is developing and providing immunity to the body. 2. The primary lymphoid organs, i.e., the bone marrow and thymus, are the sites where the proliferation and maturation of B-lymphocytes and T-lymphocytes take place. 3. Bone marrow is involved in the production of blood cells, i.e., RBCs (or erythrocytes), WBCs (or leucocytes), and Platelets (or thrombocytes). 4. The spleen helps in the removal of damaged red blood cells. In foetal conditions, this is also a haematopoietic organ. 5. Lymph nodes and spleen helps in filtering out and destroying the unwanted lymphocytes. They also help in maintaining the population of mature lymphocytes to enable the adaptive immune response to begin. 6. The tonsils prevent foreign materials and pathogens from entering the body. Lymphocytes: Lymphocytes are a type of WBC (leucocytes) that are the main components of our immune system. Clinical Relevance: lymphoma, Lymphatic filariasis, Lymphadenopathy, Lymphedema
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Chapter 1[1.4 1.6]]
Chapter 1[1.4 1.6]]
Lymphatic system.docx
Lymphatic system.docx
Mais de Victor Castilla
Becoming A Doctor in the U.S.
Becoming A Doctor in the U.S.
Victor Castilla
http://tinyurl.com/9y9s3u Timothy Munzing, M.D., Family Medicine Residency Director Kaiser Permanente Orange County
Making the Most of Your Residency Application: What to Do ... or Not
Making the Most of Your Residency Application: What to Do ... or Not
Victor Castilla
http://blog.uclaimgprogram.org Postgraduate Training Authorization Letter or California Letter Application Guideline for International Medical Graduates
PTAL Step by Step Application Guideline
PTAL Step by Step Application Guideline
Victor Castilla
Effective Residency Interviews
Effective Residency Interviews 2008
Effective Residency Interviews 2008
Victor Castilla
Presentation to improve your interview skills for Residency
Improving Your Interview Skills for Residency 2007
Improving Your Interview Skills for Residency 2007
Victor Castilla
Workshop for the Residency Interviews I t belongs to the University of Nevada School of Medicine http://www.medicine.nevada.edu/dept/asa/students/4thyear_Residency_Interviewing.htm
Preparingfor Residency Interviews Class of 2009
Preparingfor Residency Interviews Class of 2009
Victor Castilla
Presentation that show how important is to collaborate with other International Medical Graduates to get into a medical specialty in the USA
International Medical Graduate: Collaboration Key for Success
International Medical Graduate: Collaboration Key for Success
Victor Castilla
Tips for a good Residency Interview
Residency Interviewing
Residency Interviewing
Victor Castilla
Web 2.0 and Medicine http://web2097.blogspot.com Workshop of how to make the personal statement
Personal Statement Workshop 2008
Personal Statement Workshop 2008
Victor Castilla
Web 2.0 and Medicine http://web2097.blogspot.com interesting presentation a found on the web about some helpful tips to make a personal statement http://www.vanderbilt.edu/hpao/documents/Essay.ppt.
Tips To make a Personal Statement
Tips To make a Personal Statement
Victor Castilla
movie review
Schindler: The Documentary
Schindler: The Documentary
Victor Castilla
movie review
Why men don't iron
Why men don't iron
Victor Castilla
A presentation at the 2007 Emerging Trends in Scholarly Publishing seminar, National Press Club, Washington, D.C. Dean Giustini UBC Biomedical Branch Librarian Vancouver General Hospital April 12th, 2007
How web 2.0 is changing medicine
How web 2.0 is changing medicine
Victor Castilla
immunology
Immunoglobulins
Immunoglobulins
Victor Castilla
Components of the immune system
Characters of the Immune System
Characters of the Immune System
Victor Castilla
some basic concepts before to start to study immunology
Immunology Basic Terms
Immunology Basic Terms
Victor Castilla
information sources
Digital Literacy: Sources of Information
Digital Literacy: Sources of Information
Victor Castilla
Internet Misconceptions
Digital Literacy: Internet Misconceptions
Digital Literacy: Internet Misconceptions
Victor Castilla
a presentation about the skills we have to develop
Digital Literacy Skills
Digital Literacy Skills
Victor Castilla
Digital Literacy
Digital Literacy
Victor Castilla
Mais de Victor Castilla
(20)
Becoming A Doctor in the U.S.
Becoming A Doctor in the U.S.
Making the Most of Your Residency Application: What to Do ... or Not
Making the Most of Your Residency Application: What to Do ... or Not
PTAL Step by Step Application Guideline
PTAL Step by Step Application Guideline
Effective Residency Interviews 2008
Effective Residency Interviews 2008
Improving Your Interview Skills for Residency 2007
Improving Your Interview Skills for Residency 2007
Preparingfor Residency Interviews Class of 2009
Preparingfor Residency Interviews Class of 2009
International Medical Graduate: Collaboration Key for Success
International Medical Graduate: Collaboration Key for Success
Residency Interviewing
Residency Interviewing
Personal Statement Workshop 2008
Personal Statement Workshop 2008
Tips To make a Personal Statement
Tips To make a Personal Statement
Schindler: The Documentary
Schindler: The Documentary
Why men don't iron
Why men don't iron
How web 2.0 is changing medicine
How web 2.0 is changing medicine
Immunoglobulins
Immunoglobulins
Characters of the Immune System
Characters of the Immune System
Immunology Basic Terms
Immunology Basic Terms
Digital Literacy: Sources of Information
Digital Literacy: Sources of Information
Digital Literacy: Internet Misconceptions
Digital Literacy: Internet Misconceptions
Digital Literacy Skills
Digital Literacy Skills
Digital Literacy
Digital Literacy
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