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Human Anatomy and Physiology
LECTURE NOTES For Nursing Students Human Anatomy and Physiology Nega Assefa Alemaya University Yosief Tsige Jimma University In collaboration with the Ethiopia Public Health Training Initiative, The Carter Center, the Ethiopia Ministry of Health, and the Ethiopia Ministry of Education 2003 Funded under USAID Cooperative Agreement No. 663-A-00-00-0358-00. Produced in collaboration with the Ethiopia Public Health Training Initiative, The Carter Center, the Ethiopia Ministry of Health, and the Ethiopia Ministry of Education. Important Guidelines for Printing and Photocopying Limited permission is granted free of charge to print or photocopy all pages of this publication for educational, not-for-profit use by health care workers, students or faculty. All copies must retain all author credits and copyright notices included in the original document. Under no circumstances is it permissible to sell or distribute on a commercial basis, or to claim authorship of, copies of material reproduced from this publication. ©2003 by Nega Assefa and Yosief Tsige All rights reserved. Except as expressly provided above, no part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission of the author or authors. This material is intended for educational use only by practicing health care workers or students and faculty in a health care field. Human Anatomy and Physiology Preface There is a shortage in Ethiopia of teaching / learning material in the area of anatomy and physicalogy for nurses. The Carter Center EPHTI appreciating the problem and promoted the development of this lecture note that could help both the teachers and students. -
Chapter 21 the Lymphatic System
Chapter 21 Lecture Outline See separate PowerPoint slides for all figures and tables pre- inserted into PowerPoint without notes. Copyright © McGraw-Hill Education. Permission required for reproduction or display. 1 Introduction • The body harbors at least 10 times as many bacterial cells as human cells – Some beneficial – Some potentially disease-causing • Immune system—not an organ system, but a cell population that inhabits all organs and defends the body from agents of disease – Especially concentrated in the true organ system: lymphatic system • Network of organs and vein-like vessels that recover fluid • Inspect it for disease agents • Activate immune responses • Return fluid to the bloodstream 21-2 The Lymphatic System • Expected Learning Outcomes – List the functions of the lymphatic system. – Explain how lymph forms and returns to the bloodstream. – Name the major cells of the lymphatic system and state their functions. – Name and describe the types of lymphatic tissue. – Describe the structure and function of the red bone marrow, thymus, lymph nodes, tonsils, and spleen. 21-3 The Lymphatic System • Fluid recovery – Fluid continually filters from the blood capillaries into the tissue spaces • Blood capillaries reabsorb 85% • 15% (2 to 4 L/day) of the water and about half of the plasma proteins enter the lymphatic system and then are returned to the blood 21-4 The Lymphatic System • Immunity – Excess filtered fluid picks up foreign cells and chemicals from the tissues • Passes through lymph nodes where immune cells stand guard against foreign matter • Activates a protective immune response • Lipid absorption – Lacteals in small intestine absorb dietary lipids that are not absorbed by the blood capillaries 21-5 The Lymphatic System Copyright © The McGraw-Hill Companies, Inc. -
Lymphatic System
OUTLINE 24.1 Functions of the Lymphatic System 725 24.2 Lymph and Lymph Vessels 726 24 24.2a Lymphatic Capillaries 726 24.2b Lymphatic Vessels 726 24.2c Lymphatic Trunks 727 24.2d Lymphatic Ducts 727 Lymphatic 24.3 Lymphatic Cells 729 24.3a Types and Functions of Lymphocytes 729 24.3b Lymphopoiesis 734 24.4 Lymphatic Structures 735 System 24.4a Lymphatic Nodules 735 24.4b Lymphatic Organs 736 24.5 Aging and the Lymphatic System 741 24.6 Development of the Lymphatic System 741 MODULE 10: LYMPHATIC SYSTEM mck78097_ch24_724-746.indd 724 2/25/11 2:16 PM Chapter Twenty-Four Lymphatic System 725 e have seen in chapters 21–23 how the cardiovascular system W transports blood throughout the body, where it exchanges gases and nutrients with the tissues. Another body system, called the lymphatic system, aids the cardiovascular system by transporting excess interstitial fluid through lymph vessels assisting in maintain- ing fluid homeostasis. Once this fluid enters the vessels, the fluid is Tonsils renamed lymph. Along the way, lymph is filtered and checked for Cervical lymph nodes foreign or pathologic material, such as bacteria and cancer cells. Right lymphatic duct Lymphatic structures contain certain cells that initiate an immune Axillary response to abnormal materials. Without the primary immune Thymus response by the lymphatic system, the body would be unable to fight lymph nodes infection and keep itself healthy. In this chapter we examine the lymph vessels, lymphatic Thoracic duct structures, and lymphatic organs of the body, and learn how each Spleen Cisterna chyli of these components plays an important role in keeping us healthy. -
Studies of the Physiology of Lymphatic Vessel by Microcirculation Methods*
80 S. GoDART References 1 Bennett, H. S., ]. H. Lu/t, ]. C. Hampton: Morpho 10 Karnovsky, M. ].: The ultrastructural basis of ca logical classification of vertebrate blood capillaries. pillary permeability studied with peroxidase as a Amer. J. Physiol., 196 (1959), 381-390 tracer. j. Cell Bioi. .35 (1967), 213-236 2 Casley-Smith, ]. R.: An electron microscopical study 11 Leak, L. V.: Ultrastructural studies on the lymphatic of the passage of ions through the endothelium of anchoring filaments. J. Cell. Bioi. 36 (1968), 129-149 lymphatic and blood capillaries, and through the 12 Majno, G.: Ultrastructure of the vascular membrane. mesothelium. Quart. J. exp. Physiol. 52. (1967), 105-113 In: Handbook of Physiology. Circulation 3 (1965), .3 Casley-Smith, ]. R.: The fine structures, properties -2293-2375; Ed. W. F. Hamilton, P. Dow. Waverly and permeabilities of the endothelium. How these de Press, Baltimore, USA termine the functioning of the lymphatic system. In: 13 Mayerson, H. S.: The physiologic importance of New Trends in Basic Lymphology; Ed. J. Collette; lymph. In: Handbook of Physiology. Circulation 2 Birkhauser, Basel 1967 (1963), 1035-1073; Ed. W. F. Hamilton, P. Dow. Wa 4 Casley-Smith, ]. R.: The fine structures and permea verly Press, Baltimore USA. bilities of lymphatics under some pathological condi 14 Palade, G. E.: Blood capillaries of the heart and tions. In: New Trends in Basic Lymphology. Ed. J. other organs. Circulation 24 (1961), 368-384 Collette. Birkhauser, Basel 1967 15 Pappenheimer, ]. R.: The passage of molecules 5 Casley-Smith, ]. R.: The functioning of the lympha· through capillary walls. Physiol. Rev. 33 (1953). -
Urinary System
24 The Urinary System nimals living in an aquatic environment face little risk of becoming dehy- 24.1 Overview of the drated. However, animals that started to spend more time on dry land millions Urinary System 941 Aof years ago needed mechanisms to conserve water and prevent dehydration. 24.2 Anatomy of the Kidneys 943 The organ system that performs this function in humans—the urinary system—is the 24.3 Overview of topic of this chapter. The organs of the urinary system are organs of excretion—they Renal Physiology 951 remove wastes and water from the body. Specifically, the urinary system “cleans the 24.4 Renal Physiology I: blood” of metabolic wastes, which are substances produced by the body that it cannot Glomerular Filtration 951 use for any purpose. However, as you will learn in this chapter, the urinary system does 24.5 Renal Physiology II: far more: This system is also essential for removing toxins, maintaining homeostasis of Tubular Reabsorption and Secretion 960 many factors (including blood pH and blood pressure), and producing erythrocytes. 24.6 Renal Physiology III: Read on to discover how the urinary system is vital to your body’s homeostasis. Regulation of Urine Concentration and Volume 968 24.7 Putting It All Together: MODULE 24.1 The Big Picture of Renal Overview of the Urinary System Physiology 974 24.8 Urine and Renal Clearance 974 Learning Outcomes 24.9 Urine Transport, Storage, and Elimination 976 1. List and describe the organs of the urinary system. 2. Describe the major functions of the kidneys. The urinary system is composed of the paired kidneys and the urinary tract. -
The Lymphatics in Kidney Health and Disease
REVIEWS The lymphatics in kidney health and disease Michael D. Donnan 1,2, Yael Kenig- Kozlovsky3 and Susan E. Quaggin1,2 ✉ Abstract | The mammalian vascular system consists of two networks: the blood vascular system and the lymphatic vascular system. Throughout the body, the lymphatic system contributes to homeostatic mechanisms by draining extravasated interstitial fluid and facilitating the trafficking and activation of immune cells. In the kidney, lymphatic vessels exist mainly in the kidney cortex. In the medulla, the ascending vasa recta represent a hybrid lymphatic-like vessel that performs lymphatic- like roles in interstitial fluid reabsorption. Although the lymphatic network is mainly derived from the venous system, evidence supports the existence of lymphatic beds that are of non-venous origin. Following their development and maturation, lymphatic vessel density remains relatively stable; however, these vessels undergo dynamic functional changes to meet tissue demands. Additionally, new lymphatic growth, or lymphangiogenesis, can be induced by pathological conditions such as tissue injury, interstitial fluid overload, hyperglycaemia and inflammation. Lymphangiogenesis is also associated with conditions such as polycystic kidney disease, hypertension, ultrafiltration failure and transplant rejection. Although lymphangiogenesis has protective functions in clearing accumulated fluid and immune cells, the kidney lymphatics may also propagate an inflammatory feedback loop, exacerbating inflammation and fibrosis. Greater understanding of lymphatic biology, including the developmental origin and function of the lymphatics and their response to pathogenic stimuli, may aid the development of new therapeutic agents that target the lymphatic system. In mammals, the circulatory system consists of the blood role of dermal lymphatics in fluid homeostasis4 and the and the lymphatic vascular systems, which perform contribution of cardiac lymphatic remodelling to cardio- complementary roles in maintaining body homeostasis.