lymph node Flashcards

1
Q

the lymph node of head and neck are arranged as:

A
  1. collar that extends from below the chin to the back of the head
  2. deep vertical group in the neck embedded in the carotid sheath
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2
Q

list collar lymph nodes

A
  1. occipital nodes
  2. retro auricular ( mastoid ) nodes
  3. parotid nodes
  4. buccal ( facial ) node
  5. submandibular nodes
  6. submental nodes
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3
Q

occipital nodes lie …………….

A

over the occipital bone on the back of the skull

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4
Q

occipital nodes drain …………….

A

the back of the scalp

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5
Q

retro auricular ( mastoid ) nodes lie …………….

A
  1. behind the ear over the mastoid process
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6
Q

retro auricular drain ………………

A

the scalp above the ear
the auricle
external auditory meatus

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7
Q

parotid nodes lie ………………..

A

on or within the parotid salivary gland

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8
Q

parotid nodes drain ………………

A

temple
the forehead
the eyelids
the parotid gland
the auricle
the external auditory meatus

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9
Q

buccal ( facial ) nodes lie …….

A

one or two nodes lie in the cheek over the buccinator muscle

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10
Q

buccal ( facial ) nodes drain …………..

A

the lymph that ultimately passes into submandibular nodes

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11
Q

submandibular nodes lie ……….

A

superficial to the submandibular salivary glands just below the lower margin of the mandible

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12
Q

submandibular nodes drain ………..

A
  • the front of the scalp
  • the nose
  • the cheek
  • the upper lip
  • the lower lip (except thecentral part)
  • the frontal , maxillary and ethmoid sinuses
    -the upper and the lower teeth (except the lower incisors)
  • the floor of the mouth , vestibule and gums
  • ant two third of the tongue except the tip
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13
Q

submental nodes lie in ………..

A

the submental triangle just below the chin

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14
Q

submental nodes drain ……….

A

-the tip of tongue
- the floor of the ant part of the mouth
- the incisor teeth
- the center part of the lower lip
- the skin over the chin

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15
Q

list nodes of deep vertical group of LN

A
  1. ant cervical nodes
  2. superficial cervical nodes
  3. retropharyngeal nodes
  4. laryngeal nodes
  5. tracheal (paratracheal) nodes
  6. deep cervical nodes
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16
Q

ant cervical nodes lie …………………

A

along course of the ant Juglar vein in the front of the neck

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17
Q

ant cervical node drain ………………….

A

the skin and superficial tissues of the front of the neck

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18
Q

superficial cervical nodes lie ……………..

A

along the course of the external Juglar vein on the side of the neck

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19
Q

superficial cervical nodes drain………..

A
  • the skin over angle of jaw
  • skin over the lower part of the parotid gland
  • lobule of ear
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20
Q

retropharyngeal nodes lie …………..

A

behind the pharynx
in front of the vertebral column

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21
Q

retropharyngeal nodes drain………..

A
  • nasopharynx
  • auditary tube
  • vertebral column
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22
Q

laryngeal nodes lie …….

A

in front of the larynx

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23
Q

laryngeal node drain ………..

A

the larynx

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24
Q

tracheal (paratracheal) nodes lie ……..

A

alongside the trachea

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25
tracheal (paratracheal)nodes drain ....
neighboring structure including the thyroid gland
26
deep cervical nodes lie ..........
along course of the internal Juglar vein within the carotid sheath , forming vertical chain
27
deep cervical nodes drain...........
all Groups of regional nodes : - the jugulodigastric nodes - the juguloomohyoid node
28
the jugulodigastric nodes located ............it mainly concerned with drainage of ....&......
- below and behind the angle of the jaw - the tonsil & tongue
29
the juguloomohyoid node situated close to .......is mainly associated with drainage of ..........
- omohyoid muscle. - tongue
30
the efferent lymph vessels from deep cervical LN join to form ...............which drain into ........or the ............
- the Juglar trunk - thoracic duct , RT lymphatic duct
31
LN in the neck should be examined from .............the patient
behind
32
the examination of LN in the neck is more easier by asking the patient to .........to reduce the..............of the muscle
-flex the neck slightly - tension
33
axillary lymph nodes are ...........in number
20 to 30
34
axillary LN drain..................
- upper limb -the lateral quadrants of the breast - superficial lymphatics from the trunk wall above the level of the umbilicus
35
list groups of axillary LN
-ant ( pectoral ) group - post (subscapular) group - lateral group - central group - infraclavicular (deltopectoral) group - apical group
36
ant (pectoral) group lie ........
- along lower border of pectoralis minor behind the pectoralis major
37
ant (pectoral) group drain ...........
- lateral quadrant of the breast & superficial vessels from the anterolateral abdominal wall above the level of the umbilicus
38
post (subscapular) group lie ....
in front of the subscapularis muscle
39
post (subscapular) group drain ......
superficial lymph vessels from the back , down as far as the level of the iliac crests
40
lateral group lie ....
along medial side of the axillary vein
41
lateral group drain ........
most of the lymph vessels of the upper limb ( except those superficial vessels draining the lateral side of the infraclavicular nodes )
42
central group lie ..........
in the center of the axilla in the axillary fat
43
central group drain .............
-ant ( pectoral ) group - post (subscapular) group - lateral group
44
central group drain .............
45
- infraclavicular (deltopectoral) group not strictly axillary nodes . why?
because they are located outside the axilla
46
- infraclavicular (deltopectoral) group lie in ..........
the groove between the deltoid and pectoralis major muscles
47
- infraclavicular (deltopectoral) group drain .......
superficial lymph vessels from the lateral side of the hand , forearm and arm
48
apical group lie ............
at the apex of the axilla at the lateral border of the 1st rib
49
apical group drain .............
all axillary nodes: -ant ( pectoral ) group - post (subscapular) group - lateral group - central group - infraclavicular (deltopectoral) group
50
apical group drain .............
all axillary nodes
51
apical group after drain all other axillary group , it drain then into ..........
-subclavian lymph trunk .
52
the subclavian lymph trunk drain into ..........on the left side & drain into ............on the right side.
- thoracic duct (Lt side) - right lymph trunk (Rt side)
53
list group of inguinal LN
1. superficial inguinal LNs - the horizontal group - the vertical group 2. deep inguinal LNs * both drain into popliteal LNs
54
list the position of : 1- superficial inguinal LNs 2- horizontal group of superficial one 3- vertical group of superficial one 4- deep inguinal LNs 5- popliteal LNs
1- superficial inguinal LNs : in the superficial fascia below the inguinal ligament 2- horizontal group of superficial one : just below & parallel to the inguinal ligament 3- vertical group of superficial one : along the terminal part of the great saphenous vein 4- deep inguinal LNs: beneath deep fascia along the medial side of the femoral vein (in the femoral canal) 5- popliteal LNs : in the popliteal fossa , embedded in the fat , along the popliteal vessels
55
the medial members of the horizontal group of superficial inguinal LNs drain ..................
superficial lymph vessels from -the ant abdominal wall below the level of the umbilicus - from the perineum - the tip of urethra - the external genitalia of both sexes EXCEPT the testes - lower half of the anal canal
56
the lateral members of the horizontal group of superficial inguinal LNs drain.....................
superficial lymph vessels from : - gluteal region - the back below the level of the iliac crests
57
vertical group of superficial inguinal LN drain ...........
superficial lymph vessels of the lower limb
58
the efferent lymph vessels from the superficial inguinal LNs pass through the ..........in the deep fascia and join ..........
-saphenous opening - the deep inguinal nodes
59
afferents of deep inguinal LNs drain ........&.........
superficial inguinal LNs & popliteal LNs
60
efferent of deep inguinal LNs enter the abdomen by passing through .......to .............
the femoral canal external iliac LNs
61
popliteal LNs drain afferent from :
1. deep lymphatics from : - leg (along ant & post tibial vessels) 2. superficial lymphatics from : - lateral site of the foot and leg , running along small saphenous vein
62
efferent of popliteal LNs run along ...........to the ............
- femoral vessels - deep inguinal LNs