Talk:Draft 2016: Difference between revisions

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==Spleen==
===Thymus Anatomy===
{|
! Thymus Anatomy
|-
| [[File:Thymus cartoon.jpg|400px]]
| [[File:Gray1178.jp|400px]]
|-
| adult thymus
| infant thymus
|}


===Thymus Functions===
{| class="wikitable mw-collapsible mw-collapsed"
! Thymus Functions 
|-
|
# '''Immune''' - filters blood in much the way that the lymph nodes filter lymph.
## '''Lymphocytes''' in the spleen react to pathogens in the blood and attempt to destroy them.
## '''Macrophages''' then engulf the resulting debris, the damaged cells, and the other large particles.
# '''Red Blood Cell Removal''' - spleen (and liver) removes old and damaged erythrocytes from the circulating blood.
# '''Blood Reservoir''' - The sinuses in the spleen also act as a reservoir for blood. In emergencies (haemorrhage) smooth muscle in the vessel walls and in the capsule of the spleen contracts, squeezes blood out of the spleen into the general circulation.
|}
===Thymus Structure===
{| class="wikitable mw-collapsible mw-collapsed"
! Thymus Structure 
|-
|  [[File:Spleen structure cartoon 01.jpg|800px]]
* '''afferent splenic artery''' branches into central arterioles, which are sheathed by white pulp areas.
* '''white pulp''' areas consist of the T-cell zone (also known as the periarteriolar lymphoid sheath, PALS), arterioles and B-cell follicles.
* arterioles end in cords in the '''red pulp''', from where the blood runs into venous sinuses that collect into the '''efferent splenic vein'''.
* larger arteries and veins run together in connective-tissue trabeculae, which are continuous with the capsule that surrounds the spleen.
|}
===Thymus Histology===
{| class="wikitable mw-collapsible mw-collapsed"
! Thymus Histology 
|-
| 
* Capsule with trabeculae (dense connective tissue)
[[File:Spleen histology 06.jpg|600px]]
{|
! Overview - red and white pulp
! Overview - blood vessels
! Red pulp
|-
| [[File:Spleen_histology_01.jpg|300px]]
| [[File:Spleen_histology_02.jpg|300px]]
| [[File:Spleen_histology_03.jpg|300px]]
|}
'''Reticular Fibers''' (type III collagen) act as supporting meshwork (can be seen in Silver stained preparations)
{|
| [[File:Spleen_histology_05.jpg|300px]]
| [[File:Spleen_histology_04.jpg|300px]]
|}
{{Thymus Histology}}
|}
==Thymus==
[[File:Thymus cartoon.jpg|thumb|Adult Thymus]]
[[File:Gray1178.jpg|thumb|Fetal thymus anatomy]]
Gross Anatomy
* Superior mediastinum, anterior to heart
* Bilobed lymphoepithelial organ
{|
| Histology
* Contains reticular cells but no fibers
* Stem lymphocytes
** proliferate and differentiate
** forms long-lived T- lymphocytes
* removes auto-reactive  T-lymphocytes (negative selection)
| {{Thymus Movie 1}}
|}
===Thymus Cells===
{|
|-bgcolor="F5FAFF"
! Reticular cells
! Macrophages
! Lymphocytes
|-
|
* Abundant, eosinophilic, large, ovoid and light nucleus 1-2 nucleoli
* sheathe cortical capillaries
* form an epitheloid layer
* maintain microenvironment for development of T-lymphocytes in cortex (thymic epitheliocytes)
|
* cortex and medulla
* difficult to distinguish from reticular cells in {{HE}}
* remove auto-reactive  T-lymphocytes
|
* located in cortex and medulla
* more numerous (denser) in cortex
* majority are developing T-lymphocytes (= thymic lymphocytes or thymocytes)
|}
===Development Changes===
{Changes with age
Overall Size
* birth 10-15 g
* puberty 30-40 g
* after puberty - decreases in size (involution)
* middle-aged 10 g, replaced by adipose tissue
Histology
<gallery>
File:Fetal thymus.jpg|Fetal thymus
File:Thymus - young 01.jpg‎|Young medulla
File:Thymus - young 02.jpg‎|Young cortex
</gallery>
===Adult Thymus===
{|
| [[File:Thymus adult.jpg|300px]]
|
* Cortical lymphoid tissue is replaced by adipose tissue (involution)
* Increase in size of thymic corpuscles
* '''Thymic corpuscle''' - (Hassall’s corpuscle) mass of concentric epithelioreticular cells.
[[File:Thymus - young 01.jpg|300px]]
|}

Latest revision as of 20:57, 26 February 2016