Anatomy books

Thursday, October 13, 2016

spleen secondary lymphatic organ : important highlights

Spleen: It is the largest accumulation of lymphoid tissue in the body.
Function:
i)                    Removal of old red blood cells
ii)                  Immune response
iii)                Reservoir of blood
iv)                 Formation of erythrocyte in fetal life
Histological features of spleen:
i)                    Splenic pulp: white and red pulp is present
ii)                  Capsule is present (covers the spleen, )
Trabeculae arises from capsule divide spleen into incomplete compartment  
White pulp: contain
Lymphatic nodules with germinal centers,
A central arteriole
Periarterial lymphatic sheaths (surround the central arteriole,  contain T lymphocytes)

SN: Central arteriole and periarterial lymphatic sheath situated within the lymphatic nodules
Red pulp:It is formed by splenic cord and splenic sinusoid
Splenic cord contains
T & B Lymphocytes,
Reticular cells & fibers,
Macrophages, Plasma cells,
Many blood cells-Erythrocytes,Platelets, Granulocytes
Splenic sinusoids: is formed by Discontinuous endothelial cells lining with discontinous  basal lamina
Splenic circulation
Closed circulation:
Splenic artery →the trabecular artery →central artery →penicillar arteries→ terminal  arterial capillaries (TAC) →splenic sinusoids →splenic vein
Open circulation:
Splenic artery →the trabecular artery →central artery →penicillar arteries→terminal  arterial capillaries (TAC) →red pulp →splenic sinusoids →splenic vein

Lymph node : easy and brief description

Lymph node

Lymph nodes are small encapsulated organs located along the pathway of lymphatic vessels   
Diameter: 1mm to 2 cm
Two types of lymphatic vessels are connected with lymph node: they are –
1. Afferent lymph vessels: convey lymph toward the L. node and penetrate the capsule at multiple sites.  

2. Efferent lymph vessels: convey lymph away from the lymph node and leave at the hilum. It is one in number.
 Functions of lymph node:
  1. Filter the lymph
  2. 2.Produce lymphocytes
  3. 3. Initiation of immune responses
  4. 4.phagocytosis
Histological features of Lymph node:
  1. capsule is present
  2. sub-capsular sinus is present
  3. Outer cortex contains lymphatic nodules. Superficial part of cortex contain B lymphocytes and deeper zone of cortex contain T lymphocyte
  4. inner medulla  contain medullary cord which composed of B lymphocyte and plasma cells  
Cells present within the lymph nodes:
1.T & B lymphocyte,
2.dendritic cells,
3.macrophages
What is lymphatic nodule?
Ans: small collection of lymphocytes found in mucosa of different organs like ileum, appendix, bronchus etc.
Types of lymphatic nodule:
Primary and secondary lymphatic nodules
When a germinal center appears in a lymphatic nodule the lymphatic nodule known as secondary L nodule
What is germinal center:
It is a pale staining area situated within a lymphatic nodule contain immature B lymphoblast.
Germinal centre found only in secondary lymphatic nodule.
What is trabeculea?
Ans: They are the part of capsule which enter in to the organ
What do you mean by sinuses of lymph node?
Ans: these are empty spaces within a lymph node where lymph flows. 

Thymus : brief and easy handout

Type of organ: lympho-epithelial organ
Location:  in the superior mediastinum.  
Parts: It has two lobes
Cells of thymus:
i) Developing T lymphocytes (which come from bone marrow lymphoid stem cells) 
 ii) epithelioreticular cells
Development:
    i) Lymphocyte: mesodermal in origin
    ii) Epithelium primordium : developed from the endoderm of 3rd and 4th pharyngeal pouches.
Thymus function:
Maturation and differentiation of T lymphocytes so they can distinguish between self antigen and non-self antigen.
Histological features of thymus :
a) Capsule is present which penetrate and divides the thymus into incomplete lobules.
b) Each lobulus is divided into outer cortex and inner medulla
c) Outer cortex of each lobules contain large number of developing T lymphocytes
    but contain no lymphatic nodule
d) Medulla  contain Hassall’s corpuscles which are formed by epithelio-reticular cells
 Thymic or Hassall’s corpuscles
          Location: thymic medulla.
          Formation: by epithelioreticular cells. The epithelioreticular cells are concentrically arranged and cytoplasm of the cells contain keratohyalin granules, lipid droplet and intermediate filaments
Blood thymic barrier

1.Lining endothelium of the capillary  wall
2.Basal lamina of endothelial cells
3.Macrophages in the surrounding  perivascular connective tissue
4. Basal lamina of epithelioreticular    cells
5.Epithelioreticular cells
Important of blood thymic barrier:

Prevent entering of antigen into the thymic cortex

Two important negative points regarding Thymus:
It contain
i)  No lymphatic nodules and
ii) No B lymphocytes
 Involution of the thymus:  After puberty much of the parenchyma of the thymus, in particular cortical lymphoid tissue, is replaced by adipose tissue.

Cells of lymphatic or immune system, development to final destination :summary

Cells of lymphatic or immune system:
1. Different types of lymphocyte:
a)T lymphocyte :are four types
  i) helper T cells
ii) Cytotoxic T cells
iii) Suppressor T cell
iv) Memory T cell
b) B lymphocyte: produce plasma cells which secrete antibodies        
c) Natural killer cells
 (Helper T lymphocyte stimulate the development of other lymphocytes so it is known as master lymphocyte,in HIV this cell is destroy by HIV virus, so other cells of immune system became inactive)
2. Antigen presenting cells:
a) Macrophages
 b) Kupffer cells of the liver
 c)Langerhan’s cells in the epidermis
d) Dendritic cells of spleen and lymph nodes
Development of Lymphocyte

Lymphocyte
Origin
Maturation and differentiation
Final destination
T lymphocyte
Bone marrow
Thymus
  • Mid & deep zone of lymph node,
  • In periarterial lymphatic sheath of spleen,
  • mucosa associate lymphatic tissue
B lymphocyte
Bone marrow
Bone marrow
  • superficial zone of lymph node,
  • outside the periarterial lymphatic sheath of white pulp of spleen,
  • mucosa associate lymphatic tissue

Lymphatic drainage of body : easy description

Lymphatic drainage of body
What is Lymph?
Ans : Tissue fluid which came out from capillary and enters in the lymphatic capillary is known as lymph.
They contain macromolecules of colloid like protein, carbondioxide, cancer cells, bacteria etc.
Cisterna chili: it is a dilated lymphatic sac situated in front of L1-2. Collect lymph from abdomino-pelvic organs. It is continued above as thoracic duct


Lymph vessels
Collect lymph
Drain lymph into the
Number
Lymph capillary: they begin blindly in the tissue space around the blood capillaries
LC collect lymph from tissue space
Afferent lymph vessels
Many
Afferent lymph vessels
Collect lymph from lymph capillary
Adjacent lymph node
Many & located around
 the capsule of lymph node
Efferent lymph vessels
Collect lymph from lymph node
Drain lymph into terminal lymphatic ducts
One in number,
exit
 lymph node through in
hilum
Terminal lymphatic duct : two in number



i) right lymphatic duct
Collect lymph from right side of head and neck, right upper limb & chest
Drain lymph into the venous system at the junction between right  internal jugular vein and rt subclavian vein
ii) thoracic duct
Collect lymph from whole body except right side of head and neck, right upper limb & chest
Drain lymph into the venous system at the junction between left internal jugular vein and left subclavian vein




Component of lymphatic system

Lymphatic system :

Component of lymphatic system : 

1. lymph vessels:

  • lymphatic capillary,
  • afferent & efferent lymph vessels,
  • thoracic duct,
  • right lymphatic duct

2. Lymphatic organs:

Primary lymphatic organs :

  • bone marrow
  • thymus

Secondary lymphatic organs :

  • spleen,
  • tonsil,
  • lymph nodes,
  • mucosa associated lymphatic tissue:
               BALT : bronchus associated lymphatic tissue ,
               GALT: gut associated lymphatic tissue

Lymphatic capillary : 

it has some unique character
  1.  overlapping of endothelium
  2. discontinuous basal lamina
  3. anchoring filaments (elatic fibres) attach the endothelium with surrounding tissue 
Due to these features interstitial fluid enter in to lymphatic capillary like one way gate

Why bone marrow and thymus consider as primary lymphatic organ?
Ans: In these organs, the cells of immune system became mature and differentiate so they are known as primary lymphatic organ.
After maturation and differentiation an immune cells (lymphocyte) can distinguish between self antigen and non-self antigen. So a mature lymphocyte destroy non-self antigen but not react with self antigen.
What is the function of secondary lymphatic organs?
Ans : They only proliferate the cells of immune system ( lymphocytes)  but maturation and differentiation is not possible in secondary lymphatic organ  


Endocrine system : easy and brief handout

Name of endocrine glands (ductless gland)
  1. Hypophysis or pituitary glands
  2. Adrenal glands
  3. Pancreas
  4. Thyroid glands
  5. Parathyroid glands
  6. Pineal glands
Endocrine system : It produce various secretions called hormones that serve as effectors to regulate the activities of various cells, tissues and organs in the body
Hormone: it is a  biological substance acting on specific target cells 
Pituitary glands
Gross structure & development:  
Anterior lobe (adenohypophysis), the glandular epithelial tissue. It is derived from the evagination of ectoderm of oropharynx 

Posterior lobe (neurohypophysis) the neural secretory tissue. It is derived from the neuroectoderm of the floor of the third ventricle
          Location: It lies in the sella turcica ( a depressed area in the body of sphenoid )
         It has two functional components
Anterior lobe
         Pars distalis
         Pars intermedia
         Pars tuberalis
Posterior lobe
         Pars nervosa
         Infundibulum
Blood supply of pituitary glands
      The blood supply of hypophysis is derived from the internal carotid artery
      The superior hypophyseal arteries supply the median eminence and neural stalk. This artery divide into fenestrates capillaries which irrigates the median eminence and stalk. These capillaries rejoin to form veins that developed the second capillaries plexus in the adenohypophysis. This hypophyseal portal system carries neurohormones from the median eminence to the adenohypophysis where they control the function of the cells of this part of the hypophysis 
      The inferior hypophyseal arteries supply the neurohypophysis

Histological features of anterior lobe of pituitary gland (also known as Adenohypophysis ) : contain cells and capillaries
         There are two cells types:
  1. Chromophobes (do not stain intensely)
  2. Chromophils i) Basophils ii) Acidophils 
(Five functional cell types are identified in the anterior lobe on the basis of immunocytochemical reactions
         Somatotrope (GH cell)
         Lactotrope (PRL cell)
         Corticotrope (ACTH cell)
         Gonadotrope (FSH and LH cell)
         Thyrotrope (TSH cell))
Pars intermedia surrounds a series of  small cystic cavities that represent the residual lumen of Rathke’s pouch
Histological features of Posterior lobe ( Pars nervosa and infundibular stalk ) :
         These have the appearance of nervous tissue.
         pituicytes are present : they are the  cells of the pars nervosa , resembling neuroglial cells. They probably support the unmyelinated nerve fibres,
          Herring bodies are present : terminal regions of unmyelinated nerve fibres are expanded by neurosecretion is  known as Herring bodies
Suprarenal gland
Histological features
  1. outer cortex has  three concentric zones, zona glomerulosa, zona fasciculata and zona reticularis
  2. inner medulla containing  large veins and contain chromaffin cells and large autonomic ganglion cells
  3. capsule is present
 Short description of Cortex
         Zona glomerularis is immediately deep to the capsule. It consists of columnar cells arranged in arches and spherical clusters.
         Zona fasciculata : the thickest zone of the cortex. The more or less cuboidal cells (spongiocytes) are arranged in long, parallel cords.spongiocytes appear highly vacuolated except those of the deepest region which are smaller and much less vacuolated
         Zona reticularis : the innermost zone of the cortex . It is composed of small, dark cells arranged in irregularly anastomosing cords. The intervening capillaries are enlarged 
Thyroid glands
Parts : two lobes and isthmus
Location: in front of trachea and thyroid cartilage
Histological features of thyroid glands
  1. thyroid follicle is lined by simple cuboidal epithelium
  2. thyroid follicle is filled by colloid
  3. parafollicular cells are present periphery of the thyroid follicle but within the basement membrane of follicular cells
  4. capsule is present
follicular cells secrete: T3 and T4
parafollicular cells secrete: calcitonin
development : parts of gland
stoma : develops from mesoderm
parenchyma are the glandular part : cells of parenchyma : follicular cells develops from endoderm and parafollicular cells develops from neural crest (part of neuroectoderm )
Parathyroid gland
         Capsule is present
         Parenchymal cell
  1. Chief cells are numerous, small cells with large nuclei that form cords
  2. Oxyphils cells are larger, acidophilic and much fewer in number than chief cells
Pineal body
         Capsule derived from pia mater
         Parenchymal cells
  1. Pinealocytes are recognized by the large size of their nuclei
  2. Neuroglial cells posses smaller, denser nuclei than the pineatocytes
         Brain sand: characteristic of the pineal are the calcified accretions in the intercellular spaces known as brain sand or corpora arenacea.