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Lymphnode

       Definition
o        Lymph nodes are collections of lymphoid tissue at strategic points
o        Small and medium sized lymph vessels open into lmph nodes
o        The lymph runs through 8 - 10 nodes before reaching the blood stream

       Structure
o        Capsule - fibrous tissue - forms trabeculae  (partitions)
o        Substance of the lymph node is made of
       reticular tissue & lymphatic tissue - containing many lymphocytes and macrophages
o        4 - 5 afferent lymph vessels enter the lymph node
o        One efferent lymph vessel carries lymph away from the node 
o        Lymph node has - hilum - a concave part through which an artery enters and a vein and efferent lymph vessel leave

       Nodes for different regions
o        For head & neck - deep and superficial cervical nodes
o        Upper limbs - nodes in the elbow regions - deep and superficial axillary nodes
o        Lower limbs - deep ad superficial nodes including popliteal nodes and inguinal nodes
o        Breast - axillary nodes
o        Thoracic cavity - parasternal, intercostal, brachiocepalic, mediastinal, tracheobronchial, bronchopulmonary and eosophageal nodes
o        Pelvic and abdominal cavities - nodes associated with the blood vessels supplying the organs and close to the main arteries i.e.   The aorta and external and internal iliac arteries.

       Functions of Lymph Nodes
o        Filtering bacteria and other particulate matter
o        phagocytosis
o        Proliferation of lymphocyteso        
o        Activated T and B lymphocytes multiply in lymph nodes
o        Antibodies are produced by sensitised B-lymphocytes
o        The antibodies enter lymph and blood from the node


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