lymph drainage 2

Question 1

intercostal spaces’ lymph drain into the

Answer 1

PARASTERNAL / INTERNAL THORACIC NODES

• also receive the ff
• medial part of breast
• diaphragm
• umbilical region

INTERCOSTAL NODES near the head of ribs
-also receive from pleura

Question 2

pericardiu lymph drain into

Answer 2

PHRENIC NODES

• also receive from
• diaphragm
• liver

drain into parasternal and posterior mediastinal LN

[anterior mediastinnal nodes]
-also receive from thymus

Question 3

lymph of the heart

Answer 3

follow the right coronary artery to empty into the ANTERIOR MEDIASTINAL NODES

and follow the left coronary artery to tempty into the TRACHEOBRONCHIAL NODE

Question 4

LN at the hilum of the lung

Answer 4

bronchopulmonary nodes

“hilar lymph nodes”

Question 5

lymphatic drainage flow of the lungs

Answer 5

1. superficial plexus and deep plexus
2. bronchopulmonary / hilar ln
3. tracheobronchial (inferior-superior) ln
4. paratracheal ln
5. bronchomediastinal ln and trunks
6. thoracic duct / right lymphatic duct

Question 6

level 2 axillary lymph node

Answer 6

central ln

LEVEL 1 (lateral to pectoralis minor)
anterior / pectoral ln
Posterior / scapular ln
lateral / humaera ln

LVEL 2 (deep to pectoralis minor)
Central ln

Level 3 (medial to pectoralis minor)
Apical ln

Question 7

region above the umiblius drain into the

Answer 7

axillary ln

Question 8

ln of upper part of esophagus

Answer 8

deep cervical

middle - mediastinal
lower - celiac

Question 9

LD of lower rectum

Answer 9

internal iliiac nodes (following the middle rectal artery)

upper rectum:
pararectal —> inferior mesenteric nodes

“The lymph vessels of the rectum drain first into the par-arectal nodes and then into inferior mesenteric nodes. Lymph vessels from the lower part of the rectum follow the middle rectal artery to the internal iliac nodes.”

Question 10

drainage of upper anus

Answer 10

inferior mesenteric ln

Question 11

upper part of vagina drains into

Answer 11

internal iliac ln
-and “other pelivc organs”

and drain into the common iliac ln and then to lumbar ln (para-aortic ln)

Question 12

LD of kidneys

Answer 12

lateral aortic ln

“para-aortic ln”

Question 13

LD of adrenal glands

Answer 13

lateral aortic / para-aortic / lymbar nodes

Question 14

LD of middle ureter

Answer 14

common iliac nodes

upper ureter
-to kidney lymphatics or to lumbar ln

middle ureter
-to common iliac ln

lower ureter
-to common, external, and internal iliac ln

pelvic ureter and bladder
-to internal ln

Question 15

LD of urinary bladder

Answer 15

internal and external ln

Question 16

LD of epididymis

Answer 16

lumbar ln

Question 17

ld of seminal vesicles

Answer 17

internal iliac nodes

Question 18

blood supply of seminal vesicles

Answer 18

inferior vesicle3 and middle rectal

Question 19

secretions of seminal vesicle

Answer 19

fluid
fructose
ascorbicc acid
amino acids
prostaglands

Question 20

LD of prostate

Answer 20

internal iliac nodes

Question 21

blood supply of prostate

Answer 21

inferior vesical and middle rectal arteries

Question 22

LD of uterine tubes

Answer 22

internal iliac ln

para-aortic nodes

Question 23

LD of uterine body

Answer 23

interanl and external iliac nodes
(also cervix)

fundus - para-aortic nodes

Question 24

LD of lower 1/3 of vagina

Answer 24

superficial inguinal nodes

upper 1/3: internal and external iiliac ln

middle 1/3: internal iliac ln

lower 1/3: superficial inguinal ln