Diseases of the lymph nodes and lymph vessels in MFA. Topographic anatomy of the lymphatic system, classification, etiology, clinical examination. Basic principles of treatment Flashcards
Classifications of Lymph node diseases
- Inflammatory→ non specific(acute/chronic)/specific
- Other forms of lymphadenitis→ infectious diseases
- *-Tumour diseases**
Lymph nodes in the maxillofacial and cervical region
- Submandibular
- Submental
- Facial
- Preauricular and parotid
- Retroauricular
- Occipital
- Cervical
- Subclavicular
- Subclavian
Main collector of lymph from maxillofacial region
-Submandibular Lymph nodes
Lymphadenitis
Secondary inflammatory infection of lymph nodes← Periostitis, osteomyelitis
Lymphangitis
- Secondary inflammatory condition of lymph vessels
- Primary form in case of trauma
Types of lymphadenitis and lymphangitis
-Serous/purulent
Acute/chronic
Vessels affected→ Capillary/reticular/trunk
Bacterial flora that cause lymphadenitis and lymphangitis
- Staphylococci
- Streptococci
- E.coli
- Fusiform bacteria
Infections that may cause lymphadenitis and lymphangitis
- Acute or exacerbated periodontitis
- Radicular cyst
- Alveolitis
- Maxillary abscesses and phlegmons
- Acute periostitis
- Osteomyelitis of the jaw
Local Symptoms of Lymphangitis
- Pain
- Local fever
- Swelling
- Redness of skin or mucous membranes
Clinical presentation of acute lymphangitis
- Hyperaemia of skin
- Pain
- Wounds, boils and carbuncles
- Fever, malaise, chills, headache
Clinical presentation of Chronic lymphangitis
- Painless infiltrate
- Normal or blue-violet skin
Lymph node examination methods
- Palpation
- Biopsy
- Scintigraphy examination
- Conventional x-ray
Treatment of lymphadenitis
- Removal or primary cause
- Incision in purulent forms→ Drainage
- Removing destroyed/damaging nodes
- Medication→ Antibiotics/anti-inflammatory
Specific Lymphadenitis
- Tuberculous Lymphadenitis of cervical node most common
- Fever
- Sweating and fatigue
- Loss of appetite
- Enlarged lymph nodes