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LYMPHATIC SYSTEM
By-
Dr Garima Sehgal
Lecturer
Department of Anatomy
KGMU
LYMPH
 What is lymph ?
Tissue fluid (interstitial fluid) that
enters the lymphatic vessels
FORMATION AND TRANSPORT
OF TISSUE FLUID
Essentiallyadrainagesystem
accessorytovenoussystem
largerparticlesthatescapeintotissue
fluid canonlyberemovedvialymphatic
system
LYMPHATIC SYSTE
Functions of the Lymphatic
System
24-
5
 Reabsorbs excess interstitial fluid:
 returns it to the venous circulation
 maintain blood volume levels
 prevent interstitial fluid levels from rising out of
control.
 Transport dietary lipids:
 transported through lacteals
 drain into larger lymphatic vessels
 eventually into the bloodstream.
 lymphocyte development, and the immune
Components of the Lymphatic
System
24-
6  Lymph
 Lymphatic Vessels
 Lymphatic Capillaries
 Lymphatic Vessels
 Lymphatic Trunks
 Lymphatic Ducts
 Lymphatic Organs
 Thymus
 Lymph Nodes
 Spleen
 Tonsils
 Lymphatic cells
Lymph Vessels
 Lymphatic capillaries –
 Lymphatic collecting vessels
 Lymphatic trunks –
 Lymphatic ducts –
lymphatic_system.ppt
Lymphatic Capillaries
24-
9
Features of structure:
 Blind end
 Single layer of overlapping
endothelial cells
 More permeable than that of
blood capillary
 Absent from avascular
structures, brain, spinal cord
splenic pulp and bone
marrow
Lymphatic Capillaries – Lacteals
24-
10
 The small intestine contains special
types of lymphatic capillaries called
lacteals.
 Lacteals pick up not only interstitial
fluid, but also dietary lipids and lipid-
soluble vitamins.
 The lymph of this area has a milky
color due to the lipid and is also called
Lymphatic Vessels
24-
11
Features of
structure
Three layered wall
but thinner than vein,
More numerous
valves than in vein
Interposed by lymph
nodes at intervals
Arranged in
superficial and deep
LYMPH TRUNKS
 right and left jugular trunks
 right and left subclavian
trunks
 right and left
bronchomediastinal trunks
 right and left lumbar trunks
LYMPHATIC DUCTS
24-
13
Right lymphatic duct
 Formed by union of
right jugular,
subclavian, and
bronchomediastinal
trunks
 Ends by entering the
right venous angle
Thoracic duct
 Begins in front of L1 as a
dilated sac, the cisterna
chyli,
 formed by left and right
lumbar trunks and
intestinal trunk
 Enter thoracic cavity &
ascends
 Travels upward, veering
LYMPHATIC
DUCTS
15
THORACIC DUCT…..
 At the root of the neck,
it turns laterally
 arches forwards and
descends to enter the
left venous angle
 before termination, it
receives the left
jugular, Subclavian
and broncho-
mediastinal trunk
DRAINAGE PATTERN
THORACIC DUCT -
Drains lymph from lower
limbs, pelvic cavity,
abdominal cavity, left
side of thorax, and left
side of the head, neck
RIGHT LYMPHATIC DUCT
-Receives lymph from
right half of head, neck,
thorax and right upper
limb, right lung, right side
of heart, right surface of
liver
Lymphatic Cells
24-
17
 Also called lymphoid cells.
 Located in both the lymphatic system
and the cardiovascular system.
 Work together to elicit an immune
response.
 Types of lymphatic cells are:
 macrophages
 epithelial cells
 dendritic cells
 lymphocytes
LYMPHATIC ORGANS
Primary organs
Red bone marrow
Thymus gland
Secondary organs
Lymph nodes
Lymph nodules
Spleen
Lymph
Nodes
24-
19 Small, round or oval
 located along the
pathways of lymph
vessels.
 length from 1 - 25
millimeters
 Typically found in
clusters
 receive lymph from
many body regions.
 Lymph nodes are also
Lymph node
Features
 Bean-shaped bodies
 With afferent vessels
(entering at the periphery)
and efferent lymph
vessels(emerging at the
hilus)
 Arranged in groups, along
the blood vessels or the
flexural side of the joint
 Divided into superficial and
21
 Regional Lymph Node is the
lymph node where the lymph of the
organ or part of the body drainge to
firstly
Sentinel Lymph Node(in clinic)
Regional Lymph drainage
22
Spleen
Location
Left epigastric region
between 9th-11th rib
in line of 10th rib
 Largest lymphatic organ in
the body.
 Can vary considerably in
size and weight
Function
23
THYMUS
Features
 Consists of two
elongated lobes
 Is a large organ in
the fetus
 Occupies the
thoracic cavity
behind the sternum
 Secrete
lymphopoietin
Lymphatic Nodules
24-
24
 Oval clusters of lymphatic cells with some
extracellular matrix that are not surrounded by a
connective tissue capsule.
 Filter and attack antigens.
 In some areas of the body, many lymphatic nodules
group together to form larger structures.
 mucosa-associated lymphatic tissue (MALT) or
tonsils
 very prominent in the mucosa of the small intestine,
primarily in the ileum
Peyer patches
lymphatic_system.ppt
Tonsils
24-
26
 clusters of lymphatic cells and extracellular
matrix not completely surrounded by a
connective tissue capsule.
 Consist of multiple germinal centers and
crypts
 Several groups of tonsils form a protective
ring around the pharynx.
pharyngeal tonsils (or adenoids) in
nasopharynx
palatine tonsils in oral cavity
lingual tonsils along posterior one-third of
MALT (Mucosa Associated
Lymphoid Tissue)
27
APPLIED
ANATOMY
LYMPHANGITIS
 Inflammation of the
lymph vessels
 Commonest cause
bacteria called
streptococcus
pyogenes(most
common).
 Lymph vessels appear
as red streaks through
FILARIASIS
LYMPHEDEMA
 Occurs due to
accumulation of
lymphatic fluid in
the interstitial tissue
 Sometimes can be
appreciated after
wearing tight
clothing or jewellary
on affected limb
LYMPHADENOPATHY
 Means a disease
of the lymph
nodes
 Lymph nodes
become swollen/
enlarged and may
be painful to touch
LYMPHOMAS
 Cancers
originating either
from the
lymphocytes in the
lymph nodes or
the lymphatic
tissue in organs
 Risk factors -- HIV,
HEPATITIS, EBV
infections
TONSILLITIS
 Infection of the
pharyngeal tonsils
 Tonsils are swollen,
 Fever and pain
during swallowing
usually present
 Treatment –
surgical removal of
tonsils
(TONSILLECTOMY)
SPLENOMEGALY
 Enlarged
Spleen
 Various
causes
LET’S REVISE
SOME IMPORTANT
FACTS
Name the structures labelled
A-E.
QUESTION. 1
 I am a part of lymphatic system and protect
the body by clearing worn out red cells and
foreign bodies from the blood stream. Who
am I?
A. Thymus
B. Palatine
Tonsil
C. Spleen
QUESTION. 2
Which is the correct statement about the
Lymphatic system?
A. It Reabsorbs excess interstitial fluid and
returns it to the venous circulation.
B. Transports dietary lipids through lacteals.
C. Helps in lymphocyte development, and the
immune response.
D. All of the above
QUESTION. 3
 Which disease caused by
mosquito bite blocks the
lymphatic drainage causing
huge swelling of body parts
(commonly lower limb)
A. Malaria
B. Filaria
C. Dengue
D. Yellow fever
QUESTION. 4
 Which of these is a primary lymphoid
organ ?
A. Lymph Node
B. Spleen
C. Tonsil
D. Bone Marrow
QUESTION. 5

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lymphatic_system.ppt

  • 1. LYMPHATIC SYSTEM By- Dr Garima Sehgal Lecturer Department of Anatomy KGMU
  • 2. LYMPH  What is lymph ? Tissue fluid (interstitial fluid) that enters the lymphatic vessels
  • 5. Functions of the Lymphatic System 24- 5  Reabsorbs excess interstitial fluid:  returns it to the venous circulation  maintain blood volume levels  prevent interstitial fluid levels from rising out of control.  Transport dietary lipids:  transported through lacteals  drain into larger lymphatic vessels  eventually into the bloodstream.  lymphocyte development, and the immune
  • 6. Components of the Lymphatic System 24- 6  Lymph  Lymphatic Vessels  Lymphatic Capillaries  Lymphatic Vessels  Lymphatic Trunks  Lymphatic Ducts  Lymphatic Organs  Thymus  Lymph Nodes  Spleen  Tonsils  Lymphatic cells
  • 7. Lymph Vessels  Lymphatic capillaries –  Lymphatic collecting vessels  Lymphatic trunks –  Lymphatic ducts –
  • 9. Lymphatic Capillaries 24- 9 Features of structure:  Blind end  Single layer of overlapping endothelial cells  More permeable than that of blood capillary  Absent from avascular structures, brain, spinal cord splenic pulp and bone marrow
  • 10. Lymphatic Capillaries – Lacteals 24- 10  The small intestine contains special types of lymphatic capillaries called lacteals.  Lacteals pick up not only interstitial fluid, but also dietary lipids and lipid- soluble vitamins.  The lymph of this area has a milky color due to the lipid and is also called
  • 11. Lymphatic Vessels 24- 11 Features of structure Three layered wall but thinner than vein, More numerous valves than in vein Interposed by lymph nodes at intervals Arranged in superficial and deep
  • 12. LYMPH TRUNKS  right and left jugular trunks  right and left subclavian trunks  right and left bronchomediastinal trunks  right and left lumbar trunks
  • 13. LYMPHATIC DUCTS 24- 13 Right lymphatic duct  Formed by union of right jugular, subclavian, and bronchomediastinal trunks  Ends by entering the right venous angle
  • 14. Thoracic duct  Begins in front of L1 as a dilated sac, the cisterna chyli,  formed by left and right lumbar trunks and intestinal trunk  Enter thoracic cavity & ascends  Travels upward, veering LYMPHATIC DUCTS
  • 15. 15 THORACIC DUCT…..  At the root of the neck, it turns laterally  arches forwards and descends to enter the left venous angle  before termination, it receives the left jugular, Subclavian and broncho- mediastinal trunk
  • 16. DRAINAGE PATTERN THORACIC DUCT - Drains lymph from lower limbs, pelvic cavity, abdominal cavity, left side of thorax, and left side of the head, neck RIGHT LYMPHATIC DUCT -Receives lymph from right half of head, neck, thorax and right upper limb, right lung, right side of heart, right surface of liver
  • 17. Lymphatic Cells 24- 17  Also called lymphoid cells.  Located in both the lymphatic system and the cardiovascular system.  Work together to elicit an immune response.  Types of lymphatic cells are:  macrophages  epithelial cells  dendritic cells  lymphocytes
  • 18. LYMPHATIC ORGANS Primary organs Red bone marrow Thymus gland Secondary organs Lymph nodes Lymph nodules Spleen
  • 19. Lymph Nodes 24- 19 Small, round or oval  located along the pathways of lymph vessels.  length from 1 - 25 millimeters  Typically found in clusters  receive lymph from many body regions.  Lymph nodes are also
  • 20. Lymph node Features  Bean-shaped bodies  With afferent vessels (entering at the periphery) and efferent lymph vessels(emerging at the hilus)  Arranged in groups, along the blood vessels or the flexural side of the joint  Divided into superficial and
  • 21. 21  Regional Lymph Node is the lymph node where the lymph of the organ or part of the body drainge to firstly Sentinel Lymph Node(in clinic) Regional Lymph drainage
  • 22. 22 Spleen Location Left epigastric region between 9th-11th rib in line of 10th rib  Largest lymphatic organ in the body.  Can vary considerably in size and weight Function
  • 23. 23 THYMUS Features  Consists of two elongated lobes  Is a large organ in the fetus  Occupies the thoracic cavity behind the sternum  Secrete lymphopoietin
  • 24. Lymphatic Nodules 24- 24  Oval clusters of lymphatic cells with some extracellular matrix that are not surrounded by a connective tissue capsule.  Filter and attack antigens.  In some areas of the body, many lymphatic nodules group together to form larger structures.  mucosa-associated lymphatic tissue (MALT) or tonsils  very prominent in the mucosa of the small intestine, primarily in the ileum Peyer patches
  • 26. Tonsils 24- 26  clusters of lymphatic cells and extracellular matrix not completely surrounded by a connective tissue capsule.  Consist of multiple germinal centers and crypts  Several groups of tonsils form a protective ring around the pharynx. pharyngeal tonsils (or adenoids) in nasopharynx palatine tonsils in oral cavity lingual tonsils along posterior one-third of
  • 29. LYMPHANGITIS  Inflammation of the lymph vessels  Commonest cause bacteria called streptococcus pyogenes(most common).  Lymph vessels appear as red streaks through
  • 31. LYMPHEDEMA  Occurs due to accumulation of lymphatic fluid in the interstitial tissue  Sometimes can be appreciated after wearing tight clothing or jewellary on affected limb
  • 32. LYMPHADENOPATHY  Means a disease of the lymph nodes  Lymph nodes become swollen/ enlarged and may be painful to touch
  • 33. LYMPHOMAS  Cancers originating either from the lymphocytes in the lymph nodes or the lymphatic tissue in organs  Risk factors -- HIV, HEPATITIS, EBV infections
  • 34. TONSILLITIS  Infection of the pharyngeal tonsils  Tonsils are swollen,  Fever and pain during swallowing usually present  Treatment – surgical removal of tonsils (TONSILLECTOMY)
  • 37. Name the structures labelled A-E. QUESTION. 1
  • 38.  I am a part of lymphatic system and protect the body by clearing worn out red cells and foreign bodies from the blood stream. Who am I? A. Thymus B. Palatine Tonsil C. Spleen QUESTION. 2
  • 39. Which is the correct statement about the Lymphatic system? A. It Reabsorbs excess interstitial fluid and returns it to the venous circulation. B. Transports dietary lipids through lacteals. C. Helps in lymphocyte development, and the immune response. D. All of the above QUESTION. 3
  • 40.  Which disease caused by mosquito bite blocks the lymphatic drainage causing huge swelling of body parts (commonly lower limb) A. Malaria B. Filaria C. Dengue D. Yellow fever QUESTION. 4
  • 41.  Which of these is a primary lymphoid organ ? A. Lymph Node B. Spleen C. Tonsil D. Bone Marrow QUESTION. 5