1. A. Tonsils B. Lymph Nodes C. Thymus D. Lymphatic Vessels E
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Te2, Part Iii
TERMINOLOGIA EMBRYOLOGICA Second Edition International Embryological Terminology FIPAT The Federative International Programme for Anatomical Terminology A programme of the International Federation of Associations of Anatomists (IFAA) TE2, PART III Contents Caput V: Organogenesis Chapter 5: Organogenesis (continued) Systema respiratorium Respiratory system Systema urinarium Urinary system Systemata genitalia Genital systems Coeloma Coelom Glandulae endocrinae Endocrine glands Systema cardiovasculare Cardiovascular system Systema lymphoideum Lymphoid system Bibliographic Reference Citation: FIPAT. Terminologia Embryologica. 2nd ed. FIPAT.library.dal.ca. Federative International Programme for Anatomical Terminology, February 2017 Published pending approval by the General Assembly at the next Congress of IFAA (2019) Creative Commons License: The publication of Terminologia Embryologica is under a Creative Commons Attribution-NoDerivatives 4.0 International (CC BY-ND 4.0) license The individual terms in this terminology are within the public domain. Statements about terms being part of this international standard terminology should use the above bibliographic reference to cite this terminology. The unaltered PDF files of this terminology may be freely copied and distributed by users. IFAA member societies are authorized to publish translations of this terminology. Authors of other works that might be considered derivative should write to the Chair of FIPAT for permission to publish a derivative work. Caput V: ORGANOGENESIS Chapter 5: ORGANOGENESIS -
Unilateral Tonsillar Swelling: Role and Urgency of Tonsillectomy
Journal of Otolaryngology-ENT Research Case report Open Access Unilateral tonsillar swelling: role and urgency of tonsillectomy Abstract Volume 13 Issue 1 - 2021 Unilateral tonsillar swelling is a fairly common presenting complaint in an Ear, Nose and J Kynaston, S Drever, M Shakeel, M Supriya, N Throat (ENT) department. It may or may not be associated with any other symptoms. Most McCluney of the time, the tonsil asymmetry is secondary to previous history of tonsillitis, quinsy, and Department of otolaryngology and head &neck surgery, tonsil stones. Other benign lesions to cause tonsil swelling may include a mucus retention Aberdeen Royal Infirmary, Aberdeen, UK cyst, lipoma, polyp or papilloma. Sometimes, it is the site of primary malignancy but in these situations, it is often associated with red flag symptoms like pain in the mouth, dysphagia, Correspondence: Muhammad Shakeel, FRCSED (ORL- odynophagia, referred otalgia, weight loss, night sweating, haemoptysis, haematemesis, HNS), Consultant ENT/Thyroid surgeon, Department of hoarseness or neck nodes. Most of the patients with suspected tonsillar malignancy have Otolaryngology-Head and Neck surgery, Aberdeen Royal underlying risk factors like smoking and excessive alcohol intake. However, lately, the Infirmary, Aberdeen, AB252ZN, UK, Tel 00441224552117, tonsil squamous cell carcinoma can be found in younger patients with no history of smoking Email or drinking as there is rising incidence of human papilloma virus related oropharyngeal malignancy. Sometimes, lymphoma may manifest as a tonsil enlargement. If, after detailed Received: June 24, 2020 | Published: February 25, 2021 history and examination, there remains any doubt about the underlying cause of unilateral tonsil swelling then tonsillectomy should be considered for histological analysis. -
Thalassemia and the Spleen
Thalassemia and the Spleen 4 Living with Thalassemia are developing an infection (fever, chills, sore throats, unexplained coughs, listlessness, muscle pain, etc.) and Issues in Thalassemia report them to your doctor right away. Thalassemia Care • Sometimes a splenectomy can lead to an exceptionally and the Spleen high platelet count, which can in turn lead to blood clotting. by Marie B. Martin, RN, and Craig Butler Your doctor should monitor your platelet count on a regular basis and may ask you to take baby aspirin daily. This sounds kind of frightening. Is a splenectomy really a What is the spleen? wise choice? The spleen is a small organ (normally That’s a decision that must be made in each individual case. about the size of a fist) that lies in the A doctor with significant experience with thalassemia is upper left part of the abdomen, near going to be in the best position to offer advice about this; the stomach and below the ribcage. however, most people who are splenectomized are able to What does it do? manage the challenges it presents with relatively little The spleen has a number of functions, the most important of difficulty. which are filtering blood and creating lymphocytes. It also acts as a “reservoir” of blood, keeping a certain amount on Of course, it’s best to avoid any circumstances that can lead hand for use in emergencies. to the need for a splenectomy in the first place. For a person with thalassemia, this means following a transfusion In its filtering capacity, the spleen is able to remove large regimen that keeps hemoglobin levels above 9 or 10gm/dL. -
Health Tip: Swollen Lymph "Glands" - When Should You Be Concerned?
Printer Friendly Version Page 1 of 3 Health Tip: Swollen lymph "glands" - When should you be concerned? Lymph nodes, sometimes referred to as lymph "glands", are part of the body's lymphatic system. The lymphatic system consists of a system of conduits and organized collections of lymphoid tissue that include nodes, the tonsils, and the spleen. Coursing through these channels is liquid called lymph that eventually drains into the bloodstream near the heart, but along the way, it is "filtered" by the lymph nodes. Within these lymph nodes are high concentrations of disease fighting cells, particularly lymphocytes. While performing their intended function of fighting infection, lymph nodes typically become enlarged. In fact, infection is most common reason for lymph nodes enlargement. Lymph nodes are found throughout the body, but when enlarged, are usually noticed in characteristic locations, particularly the neck, groin and armpit regions. Lymph node enlargement can be localized to one group of lymph nodes or can be generalized (involving several sites of lymph nodes). For example, enlarged lymph nodes localized to the arm pit could occur as a result of a bacterial infection in a hand wound. Generalized lymph node swelling, on the other hand, could be seen in a systemic illness such as viral mononucleosis. In addition to viral and bacterial infections, other causes for enlarged lymph nodes include immune disorders (lupus, rheumatoid arthritis, etc.), cancers affecting the lymphatic system (leukemia, lymphoma, Hodgkin's disease), and cancers that have spread (metastasized) from some other part of the body to the lymphatic system. The discovery of enlarged lymph nodes often causes concern because many people are aware that lymph node enlargement can be an early sign of cancer. -
Regulate CD4 T Cell Responses Dependent Red Pulp Macrophages − CSF-1
CSF-1−Dependent Red Pulp Macrophages Regulate CD4 T Cell Responses Daisuke Kurotaki, Shigeyuki Kon, Kyeonghwa Bae, Koyu Ito, Yutaka Matsui, Yosuke Nakayama, Masashi Kanayama, This information is current as Chiemi Kimura, Yoshinori Narita, Takashi Nishimura, of September 29, 2021. Kazuya Iwabuchi, Matthias Mack, Nico van Rooijen, Shimon Sakaguchi, Toshimitsu Uede and Junko Morimoto J Immunol published online 14 January 2011 http://www.jimmunol.org/content/early/2011/01/14/jimmun Downloaded from ol.1001345 Supplementary http://www.jimmunol.org/content/suppl/2011/01/14/jimmunol.100134 Material 5.DC1 http://www.jimmunol.org/ Why The JI? Submit online. • Rapid Reviews! 30 days* from submission to initial decision • No Triage! Every submission reviewed by practicing scientists by guest on September 29, 2021 • Fast Publication! 4 weeks from acceptance to publication *average Subscription Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Permissions Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 2011 by The American Association of Immunologists, Inc. All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. Published January 14, 2011, doi:10.4049/jimmunol.1001345 The Journal of Immunology CSF-1–Dependent Red Pulp Macrophages Regulate CD4 T Cell Responses Daisuke Kurotaki,*,† Shigeyuki Kon,† Kyeonghwa Bae,† Koyu Ito,† Yutaka Matsui,* Yosuke Nakayama,† Masashi Kanayama,† Chiemi Kimura,† Yoshinori Narita,‡ Takashi Nishimura,‡ Kazuya Iwabuchi,x Matthias Mack,{ Nico van Rooijen,‖ Shimon Sakaguchi,# Toshimitsu Uede,*,† and Junko Morimoto† The balance between immune activation and suppression must be regulated to maintain immune homeostasis. -
Salvage Cisterna Chyli and Thoracic Duct Glue Embolization in 2 Dogs with Recurrent Idiopathic Chylothorax
Case Report J Vet Intern Med 2014;28:672–677 Salvage Cisterna Chyli and Thoracic Duct Glue Embolization in 2 Dogs with Recurrent Idiopathic Chylothorax D.C. Clendaniel, C. Weisse, W.T.N. Culp, A. Berent, and J.A. Solomon Key words: Chylous; Fluoroscopy; Interventional Radiology; Pleural Effusion; Thoracocentesis. Case Report Abbreviations: Case 1 PO administered by mouth 4-year-old male castrated English Mastiff weigh- PRN administered as needed Aing 72 kg (158 lb) was evaluated for acute dysp- nea after a 1-week history of restlessness, episodes of increased respiratory effort, and inappetance. The dog The sample was too lipemic to obtain an accurate total was otherwise healthy and received seasonal heart- protein concentration. No microorganisms or atypical worm preventative medication and routine vaccina- cells were identified. Comparison of the fluid triglycer- tions. ide concentration with the serum triglyceride concen- On initial examination, the dog was bright, alert, tration (57 mg/dL; reference interval 50–150 mg/dL), responsive, and had a body condition score of 5/9. combined with cytologic findings, was consistent with The body temperature was 101.8°F (38.7°C), and the chylous effusion. heart rate was 150 beats/min. There was an increased Thoracic radiography revealed a small hyperlucent respiratory effort during both inspiration and expira- region in the caudodorsal thorax, suggesting mild tion with an abdominal component. Thoracic ausculta- pneumothorax presumably secondary to recent tho- tion revealed decreased lung sounds in the ventral lung racocentesis. No evidence of valvular or myocardial fields. Heart sounds were of normal rhythm, but muf- disease was observed during echocardiogram evalua- fled. -
Osteopathic Approach to the Spleen
Osteopathic approach to the spleen Luc Peeters and Grégoire Lason 1. Introduction the first 3 years to 4 - 6 times the birth size. The position therefore progressively becomes more lateral in place of The spleen is an organ that is all too often neglected in the original epigastric position. The spleen is found pos- the clinic, most likely because conditions of the spleen do tero-latero-superior from the stomach, its arterial supply is not tend to present a defined clinical picture. Furthermore, via the splenic artery and the left gastroepiploic artery it has long been thought that the spleen, like the tonsils, is (Figure 2). The venous drainage is via the splenic vein an organ that is superfluous in the adult. into the portal vein (Figure 2). The spleen is actually the largest lymphoid organ in the body and is implicated within the blood circulation. In the foetus it is an organ involved in haematogenesis while in the adult it produces lymphocytes. The spleen is for the blood what the lymph nodes are for the lymphatic system. The spleen also purifies and filters the blood by removing dead cells and foreign materials out of the circulation The function of red blood cell reserve is also essential for the maintenance of human activity. Osteopaths often identify splenic congestion under the influence of poor diaphragm function. Some of the symptoms that can be associated with dysfunction of the spleen are: Figure 2 – Position and vascularisation of the spleen Anaemia in children Disorders of blood development Gingivitis, painful and bleeding gums Swollen, painful tongue, dysphagia and glossitis Fatigue, hyperirritability and restlessness due to the anaemia Vertigo and tinnitus Frequent colds and infections due to decreased resis- tance Thrombocytosis Tension headaches The spleen is also considered an important organ by the osteopath as it plays a role in the immunity, the reaction of the circulation and oxygen transport during effort as well as in regulation of the blood pressure. -
Tonsillar Crypts and Bacterial Invasion of Tonsils, a Pilot Study R Mal, a Oluwasanmi, J Mitchard
The Internet Journal of Otorhinolaryngology ISPUB.COM Volume 9 Number 2 Tonsillar crypts and bacterial invasion of tonsils, a pilot study R Mal, A Oluwasanmi, J Mitchard Citation R Mal, A Oluwasanmi, J Mitchard. Tonsillar crypts and bacterial invasion of tonsils, a pilot study. The Internet Journal of Otorhinolaryngology. 2008 Volume 9 Number 2. Abstract Conclusion: We found no clear correlation between tonsillitis and a defect in the tonsillar crypt epithelium. Tonsillitis might be due to immunological differences of subjects rather than a lack of integrity of the crypt epithelium.Further study with larger sample size and normal control is suggested.Objective: To investigate histologically if a lack of protection of the deep lymphoid tissue in tonsillar crypts by an intact epithelial covering is an aetiological factor for tonsillitis.Method: A prospective histological study of the tonsillar crypt epithelium by immunostaining for cytokeratin in 34 consecutive patients undergoing tonsillectomy either for tonsillitis or tonsillar hypertrophy without infection (17 patients in each group).Results: Discontinuity in the epithelium was found in 70.6% of the groups of patients with tonsillitis and in 35.3% of the groups of patients with tonsillar hypertrophy. This is of borderline significance. INTRODUCTION infection apparently occurrs through the micropore of the The association of lymphoid tissue with protective crypt epithelium. A.Jacobi in his presidential address in epithelium is widespread, eg skin, upper aerodigestive tract, 1906: “The tonsil as a portal of microbic and toxic invasion” gut, bronchi, urinary tract. The function of the palatine stated: “ A surface lesion must always be supposed to exist tonsils, an example of an organised mucosa-associated when a living germ or toxin is to find access.----- Stoher has lymphoid tissue, is to sample the environmental antigen and shown small gaps between the normal epithelia of the participate with the initiation and maintenance of the local surface of the tonsil”. -
A Tissue-Engineered Model of the Intestinal Lacteal for Evaluating Lipid Transport by Lymphatics
ARTICLE A Tissue-Engineered Model of the Intestinal Lacteal for Evaluating Lipid Transport by Lymphatics J. Brandon Dixon,1,2 Sandeep Raghunathan,1 Melody A. Swartz1,2,3 1Institute of Bioengineering, School of Life Sciences, E´ cole Polytechnique Fe´de´rale de Lausanne (EPFL), CH-1015 Lausanne, Switzerland; telephone: þ41 21 693 9686; fax: þ41 21 693 9670; e-mail: melody.swartz@epfl.ch 2Department of Biomedical Engineering, Northwestern University, Evanston, Illinois 3Institute of Chemical Sciences and Engineering, School of Basic Sciences, EPFL, Lausanne, Switzerland Received 4 September 2008; revision received 21 February 2009; accepted 20 March 2009 Published online 1 April 2009 in Wiley InterScience (www.interscience.wiley.com). DOI 10.1002/bit.22337 trafficking, but in addition, lymphatics are central to the transport of dietary lipid from the gut. In the small intestine, ABSTRACT: Lacteals are the entry point of all dietary lipids into the circulation, yet little is known about the active enterocytes reesterify the majority of free fatty acids (FFAs) regulation of lipid uptake by these lymphatic vessels, and absorbed from the lumen of the gut into triacylglycerols there lacks in vitro models to study the lacteal—enterocyte which are then incorporated into chylomicrons (Tso and interface. We describe an in vitro model of the human Balint, 1986) and secreted basally to be picked up solely by intestinal microenvironment containing differentiated lacteals, which are blind-ended lymphatic vessels in the Caco-2 cells and lymphatic endothelial cells (LECs). We characterize the model for fatty acid, lipoprotein, albumin, center of each villus (Azzali, 1982; Schmid-Scho¨nbein, and dextran transport, and compare to qualitative uptake of 1990). -
Tonsils and Adenoids
Tonsils and Adenoids 575 S 70th Street, Suite 440 Lincoln, NE 68510 402.484.5500 Tonsils and adenoids are masses of tissue similar to the lymph nodes or “glands” found in the neck, groin and armpits. Tonsils are the two masses at the back of the throat. Adenoids are high up in the throat, behind the nose and roof of the mouth (soft palate) and are not visible through the mouth without special instruments. Tonsils and adenoids are near the entrance to the breathing passages, where they catch incoming germs. They “sample” bacteria and viruses, but can become infected themselves. This happens primarily during the first few years of life, but less frequently with age. Children who have their tonsils and adenoids removed suffer no loss in their resistance. What affects tonsils and adenoids? The most common problems affecting the tonsils and adenoids are recurrent infections of the throat or ear and significant enlargement or obstruction that causes breathing and swallowing problems. Abscesses around the tonsils, chronic tonsillitis and infections of small pockets within the tonsils that produce foul-smelling, cheese-like formations can also affect the tonsils and adenoids, making them sore and swollen. Tumors are rare, but can grow on the tonsils. How are tonsil and adenoid diseases treated? Bacterial infections, especially those caused by streptococcus, are first treated with antibiotics. Sometimes, removal of the tonsils and/or adenoids may be recommended. The two primary reasons for removal are recurrent infection despite antibiotic therapy and difficulty breathing due to enlarged tonsils and/or adenoids. Chronic infection can affect other areas, such as the eustachian tube, the passage between the back of the nose and the inside of the ear. -
Lymphatic Dysregulation in Patients with Heart Failure JACC Review Topic of the Week
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY VOL. 78, NO. 1, 2021 ª 2021 BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION PUBLISHED BY ELSEVIER THE PRESENT AND FUTURE JACC REVIEW TOPIC OF THE WEEK Lymphatic Dysregulation in Patients With Heart Failure JACC Review Topic of the Week a,b c d e Marat Fudim, MD, MHS, Husam M. Salah, MD, Janarthanan Sathananthan, MBCHB, MPH, Mathieu Bernier, MD, f g e,h i Waleska Pabon-Ramos, MD, MPH, Robert S. Schwartz, MD, Josep Rodés-Cabau, MD, PHD, François Côté, MD, j d a,b Abubaker Khalifa, MD, Sean A. Virani, MD, MSC, MPH, Manesh R. Patel, MD ABSTRACT The lymphatic system is an integral part of the circulatory system and plays an important role in the volume homeostasis of the human body. The complex anatomy and physiology paired with a lack of simple diagnostic tools to study the lymphatic system have led to an underappreciation of the contribution of the lymphatic system to acute and chronic heart failure (HF). Herein, we discuss the physiological role of the lymphatic system in volume management and the evidence demonstrating the dysregulation of the lymphatic system in HF. Further, we discuss the opportunity to target the lymphatic system in the management of HF and different potential approaches to accessing the lymphatic system. (J Am Coll Cardiol 2021;78:66–76) © 2021 by the American College of Cardiology Foundation. he circulatory system consists of the cardio- lead to interstitial edema with clinical manifestations T vascular system and the lymphatic system. such as extremity and tissue edema, including pulmo- The cardiovascular system is a closed, high- nary edema. -
Cancer and Lymphatics: Part I
Cancer And Lymphatics: Part I Jassin M. Jouria, MD Dr. Jassin M. Jouria is a medical doctor, professor of academic medicine, and medical author. He graduated from Ross University School of Medicine and has completed his clinical clerkship training in various teaching hospitals throughout New York, including King’s County Hospital Center and Brookdale Medical Center, among others. Dr. Jouria has passed all USMLE medical board exams, and has served as a test prep tutor and instructor for Kaplan. He has developed several medical courses and curricula for a variety of educational institutions. Dr. Jouria has also served on multiple levels in the academic field including faculty member and Department Chair. Dr. Jouria continues to serves as a Subject Matter Expert for several continuing education organizations covering multiple basic medical sciences. He has also developed several continuing medical education courses covering various topics in clinical medicine. Recently, Dr. Jouria has been contracted by the University of Miami/Jackson Memorial Hospital’s Department of Surgery to develop an e-module training series for trauma patient management. Dr. Jouria is currently authoring an academic textbook on Human Anatomy & Physiology. ABSTRACT In the human body, cells receive nutrition and oxygen from lymph, a fluid that is recirculated through the body via an extensive network of vessels. Upon arriving at one of many nodes found within the body, the lymph is filtered to discern healthy cells from those carrying disease or infection. However, cancer can either develop in the lymph nodes around the body, or it can travel there via the lymphatic vessel network.