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Blood, Lymph and Immune Systems. Blood. hem /o and hemat /o plasma - 55% formed elements - 45% serum - plasma without clotting proteins. Blood Cells. RBC - erythrocytes - erythropoiesis WBC - leukocytes - leukopoiesis Platelets - thrombocytes - thrombopoiesis. Erythrocytes.
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Blood • hem/o and hemat/o • plasma - 55% • formed elements - 45% • serum - plasma without clotting proteins
Blood Cells • RBC - erythrocytes - erythropoiesis • WBC - leukocytes - leukopoiesis • Platelets - thrombocytes - thrombopoiesis
Erythrocytes • erythr/o - red • cyte - cell • Hemoglobin - blood protein transports oxygen • Reticulocyte - immature erythrocyte • RBCs produced by red bone marrow
Leukocytes • leuk/o - white • Protect the body against invasion • Pass through capillary walls
Granulocytes • neutrophils (phagocytosis) • eosinophils (allergies) • basophils (promote inflammation) • Agranulocytes • lymphocytes (production of circulating antibodies) • monocytes (macrophages) • Collection of dead and living bacteria and leukocytes called pus, abscess.
Thrombocytes • smallest formed element • made in bone marrow • essential to blood coagulation • If injury, blood comes in contact with any tissue other than the lining of the vessels, platelets stick together, form plug, seals wound. Chemicals released, series of reactions, formation of clot.
Plasma • plasma • 92% water • 8% plasma proteins • albumin • globulin • fibrinogen • serum - plasma without clotting proteins or fibrinogen
Functions of the Immune System • To protect the entire body from a variety of harmful substances • pathogenic microorganisms • allergens • toxins • malignant cells
Structures of the Immune System • Unlike other body systems, Immune System is NOT contained within a single set of organs or vessels • Action depends on structures from lymphatic, cardiovascular, and Integumentary systems • Works primarily through antigen-antibody reaction
Lymphatic System • Major structures • lymph vessels • lymph nodes • lymph fluid • tonsils • Also • spleen • thymus
Functions of the Lymph System • lymph/o • drain fluid from tissue spaces and return to it to the blood • transport materials (nutrients, hormones and oxygen) to body cells • carry away waste products to the blood • transport lipids away from digestive system • control of infection
Lymph System • Lymph originates in blood plasma • Interstitial fluid • cleans and nourishes body tissues • collects cellular debris, bacteria • return to blood or lymph capillaries
Lymph Nodes • located in lymph vessels • small round or oval structures (filters) • depositories for cellular debris • bacteria and debris phagocytized
Lymph Nodes • inside are masses of tissue which contain WBCs (lymphocytes) • almost always grouped 2 or 3 to 100 • invading cells destroyed in nodes and often swell as an indicator of the disease process
Spleen • sac-like mass of lymphatic tissue • filter for lymph • phagocytic cells • hemolytic
Thymus • lymphatic tissue • mediastinum • primary role: changes lymphocytes to T cells for cellular immunity
Tonsils • masses of lymph tissue designed to filter tissue fluid, not lymph • located beneath certain areas of moist epithelium exposed to outside and hence to contamination • any or all may become so loaded with bacteria that the pathogens gain dominance • should not be removed unless absolutely necessary.
Antigen-Antibody Reactions • Antigen - any substance that the body regards as foreign (virus, bacterium, toxin) • Antibody - a disease fighting protein developed by the body in response to the presence of an antigen • Antigen-antibody reaction or immune reaction
Blood Groups • Four blood groups based on presence or absence of blood antigens (agglutinogens) on surface of RBCs • A - A antigen • B - B antigen • AB - both AB antigens • O - no AB antigens
Plasma does not contain the antibody against own antigen • Antigenson the donor’s RBCs react with the antibodies in patients plasma and cause a transfustion reaction.
Rh Factor • Rh factor is antigen present on RBC of 85% of pop. of US. • Rh positive and Rh negative • Rh neg pregnant woman may develop antibodies to the Rh protein of her Rh-positive fetus. • hemolytic disease of the newborn • prevented with RhoGAM
Immunity • Immunity-state of being resistant or not susceptible to a specific disease • Acquired immunity-any form of immunity NOT present at birth and obtained during life
Factors That Influence Immune System • Health • Age • Heredity
Anemias • Oxygen-carrying capacity of blood is reduced • symptom of disease • erythropenia • hypochromasia • hematocrit
Acquired Immune Deficiency Syndrome (AIDS) • Caused by HIV (Human Immunodeficiency Virus) • HIV infects T-helper cells with often a long incubation of up to 10 years • AIDS name applied during advanced stages of disease • After immune system destroyed, opportunistic infections occur.
Autoimmune Disorders Antigens stimulate development of antibodies that are unable to distinguish antigens of internal cells. Body makes antibodies and T cells against itself and attacks own tissues. Multisystemic involvement. Myasthenia gravis, rheumatoid arthritis
Edema • Hypoproteinemia • lowers osmotic pressure within blood • large amounts of plasma pass out of blood • poor lymph drainage • increased capillary permeability • congestive heart failure • localized edema, ascites
Hemophilia • Hereditary blood clotting disorder • sex-linked, usually in men • lack factor VIII, essential for blood clotting • hematomas • hemarthrosis
Infectious Mononucleosis • Acute infection caused by virus. • Fever, sore throat, swollen lymph glands, atypical lymphocytes, splenomegaly, hepatomegaly, abnormal liver function, and bruising. • transmitted by droplet infection • Infection confers permanent immunity • Treatment symptomatic
Oncology, the study of tumors • Metastasis, Metastasize • Carcinoma • Malignant Melanoma • Adenocarcinoma • Sarcoma (arises from bone, fat, muscle, etc.) • Osteocarcoma • Osteosarcoma • Myosarcoma • Myeloma
Leukemia • Major oncological disorder of blood-forming organs • malignant cells replace health bone marrow cells • acute myelogenous leukemia • acute lymphocytic leukemia
Hodgkin’s Disease • Malignant disorder • Painless, progressive enlargement of lymphoid tissue first evident in cervical lymph nodes; splenomegaly • Anorexia, weight loss, pruritus, anemia, leukocytosis
Kaposi’s Sarcoma • Malignancy associated with AIDS • lesions emerge as purplish-brown macules and develop into plaques and nodules