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Lecture Unit 2

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Answer
Blood Plasma   Becomes interstitial fluid when leaked out of capillaries. Becomes lymph when picked up by lymphatic vessels. Again becomes blood plasma when dumped back into veins.  
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Lymphatic System   Most of the fluid is reabsorbed at the venous end, but ~3L/day is not. Lymphatic sys returns this fluid to the blood stream.  
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Functions of the Lymphatic System   Returns leaked plasma to the bloodstream. Transport dietary lipids-diluted in lymph. Lymphatic organs house lymphocytes. Generates an immune response & increases the lymphocyte population.  
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Lymph Vessels   Return lymph to venous bloodstream. Order: Lymphatic capillaries pick up interstitial fluid. Lymphatic Vessels. Lymphatic trunks. Lymphatic ducts-empty lymph back into venous circulation.  
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Lymph Capillaries   Close-ended tubes. Overlapping endothelial cells from 1-way flaps. Occur most everywhere blood capillaries occur-absent from red bone marrow, CNS, & avascular tissues.  
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Lacteals   Special types of lymphatic capillaries, pick up interstitial fluid, dietary lipids, & lipid-soluble vitamins. GI lymph=CHYLE (Lymph w/ fat in it).  
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Lymphatic Vessels   Receive lymph from capillaries. Resemble small veins-3 tunics, valves. Valves prevent backflow in the low pressure system. 2 types: afferent-flow towards lymph nodes. efferent-flow away from lymph nodes. cleaner than afferent vessels.  
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Lymphatic Trunks   Drain lymph from major body regions.  
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Lymphatic Ducts   Return lymph to cardiovascular sys. Empty at the junction of the internal jugular & subclavian veins. Thoracic-drains upper left quadrant & lower quadrants. Right lymphatic-drains upper right quadrant.  
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Lymphatic Nodules   Oval clusters of lymphatic tissue NOT surrounded by a connective tissue capsule. Contain some lymphatic cells-proliferating B-lymphocytes & some macrophages. Filter & attack antigens. Mucosa Associated Lymphoid Tissue (MALT). Tonsils  
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Tonsils   Protect the pharynx from infection. Pharyngeal tonsils (adenoids). Palatine tonsils. Lingual tonsils. Tubal tonsils.  
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Tonsillitis & Tonsillectomy   Tonsils may be infected by viruses or bacteria. Symptoms: Fever, chills, sore throat, difficulty swallowing. Tonsillectomies are advised only if the person has had 6-7 infections in 1 year or 2-3 per year for several years.  
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Lymphatic Organs   Thymus, Lymph Nodes, & Spleen. Consist of Lymphatic cells & extracellular matrix-Form layers w/ inner medulla & outer cortex. Completely surrounded by a connective tissue capsule!  
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Thymus   Large in infants & young children. After puberty it begins to shrink. Each lobe has cortex & medulla. They help T-cells mature.  
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Lymph Nodes   Filter antigens form lymph & initiate immune response. Cortex-lymphocytes, dendritic cells. Medulla-lymphocytes, macrophages. Afferent & efferent lymphatic vessels. Clusters-axillary, inguinal, cervical. Know cisterna chyli.  
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Spleen   Largest lymphatic organ. Upper left quadrant of abdomen. White pulp contains lymphatic cells. Initiates immune response when antigens are found. Red pulp functions as a blood reservoir. Macrophages phagocytose bacteria & carry out hemolysis.  
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Lymphedema   Edema due to lymph node obstruction. Lymphatic filariasis: worms lodge in nodes. Surgical removal of nodes. Malignant tumors of nodes. Radiation causing scar tissue. Extreme cases-elephantiasis-common in southeast asia/africa. NOT operable/curable.  
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Lymphatic cells   LYMPHCYTES-most abundant cell type. B-lymphcytes, T-lymphocytes, & Natural Killer cells. Migrate through lymphatic sys, bind antigens. MACROPHAGES-monocytes that have migrated from bloodstream. Phagocytosis.  
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Lymphopoiesis   All born in red bone marrow. T-cells mature in thymus. B-cells mature in bone marrow.  
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T lymphocytes   Two main types: 1. Helper (CD4) 2. Cytotoxic (CD8). Other types: Memory, Suppressor.  
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Helper T lymphocytes (CD4)   Initiate & oversee immune response. Present antigens to other cells. Secrete cytokines-Chemical signals that bind to & activate other cells. Targeted by AIDS. Boss of the immune system.  
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Cytotoxic T lymphocytes (CD8)   Kill by either secreting substances that break down the invading cell membrane or by triggering cell death. Kill bad guys by releasing poisons.  
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Memory T lymphocytes   Patrol body after attack.  
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Suppressor T lymphocytes   Turn off immune response. Everyone would get autoimmune diseases w/o these.  
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B Lymphocytes   Respond to 1 antigen by producing immunoglobulins (antibodies). Cannot be activated until a Helper T-lymphocyte presents it w/ an antigen. Once activated create Plasma cells ( create antibodies), & memory B-lymphocytes.  
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Antibodies   Bind to antigens. Tag targets for destruction by T-cells.  
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Immunity (B Lymphocytes)   Secondary immune response is stronger & faster than primary response.  
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NK (Natural Killer) Cells   NK cells can respond to multipe antigens. (Each B & T cell can only respond to a single antigen). NK cells can kill a wide variety of infected cells and some cancerous cells.  
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Lymphoma   Malignant neoplasm. Swollen lymph nodes in groin, cervical, axillary region. Hodgkin's lymphoma-presence of Reed-Sternberg cell. If caught early prognosis is good. AIDS is a risk factor. Non-Hodgkin's lymphoma. Bad-access to the whole body through lymph.  
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HIV   Human Immunodeficiency Virus. Passed through intimate contact w/ infected body fluids. Targets helper T-cells which oversee the body's immune response.  
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AIDS   Acquired Immunodeficiency Syndrome. An HIV infection is diagnosed as AIDS when helper T-cell count drops below 200 cells/mm3. Drug cocktail can stop disease from progressing but must be taken for life.  
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