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anatomy > lymph node > Flashcards

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
Q

tracheal (paratracheal)nodes drain ….

A

neighboring structure including the thyroid gland

26
Q

deep cervical nodes lie ……….

A

along course of the internal Juglar vein within the carotid sheath , forming vertical chain

27
Q

deep cervical nodes drain………..

A

all Groups of regional nodes :
- the jugulodigastric nodes
- the juguloomohyoid node

28
Q

the jugulodigastric nodes located …………it mainly concerned with drainage of ….&……

A
  • below and behind the angle of the jaw
  • the tonsil & tongue
29
Q

the juguloomohyoid node situated close to …….is mainly associated with drainage of ……….

A
  • omohyoid muscle.
  • tongue
30
Q

the efferent lymph vessels from deep cervical LN join to form ……………which drain into ……..or the …………

A
  • the Juglar trunk
  • thoracic duct , RT lymphatic duct
31
Q

LN in the neck should be examined from ………….the patient

A

behind

32
Q

the examination of LN in the neck is more easier by asking the patient to ………to reduce the…………..of the muscle

A

-flex the neck slightly
- tension

33
Q

axillary lymph nodes are ………..in number

A

20 to 30

34
Q

axillary LN drain………………

A
  • upper limb
    -the lateral quadrants of the breast
  • superficial lymphatics from the trunk wall above the level of the umbilicus
35
Q

list groups of axillary LN

A

-ant ( pectoral ) group
- post (subscapular) group
- lateral group
- central group
- infraclavicular (deltopectoral) group
- apical group

36
Q

ant (pectoral) group lie ……..

A
  • along lower border of pectoralis minor behind the pectoralis major
37
Q

ant (pectoral) group drain ………..

A
  • lateral quadrant of the breast & superficial vessels from the anterolateral abdominal wall above the level of the umbilicus
38
Q

post (subscapular) group lie ….

A

in front of the subscapularis muscle

39
Q

post (subscapular) group drain ……

A

superficial lymph vessels from the back , down as far as the level of the iliac crests

40
Q

lateral group lie ….

A

along medial side of the axillary vein

41
Q

lateral group drain ……..

A

most of the lymph vessels of the upper limb ( except those superficial vessels draining the lateral side of the infraclavicular nodes )

42
Q

central group lie ……….

A

in the center of the axilla in the axillary fat

43
Q

central group drain ………….

A

-ant ( pectoral ) group
- post (subscapular) group
- lateral group

44
Q

central group drain ………….

A
45
Q
  • infraclavicular (deltopectoral) group not strictly axillary nodes . why?
A

because they are located outside the axilla

46
Q
  • infraclavicular (deltopectoral) group lie in ……….
A

the groove between the deltoid and pectoralis major muscles

47
Q
  • infraclavicular (deltopectoral) group drain …….
A

superficial lymph vessels from the lateral side of the hand , forearm and arm

48
Q

apical group lie …………

A

at the apex of the axilla at the lateral border of the 1st rib

49
Q

apical group drain ………….

A

all axillary nodes:
-ant ( pectoral ) group
- post (subscapular) group
- lateral group
- central group
- infraclavicular (deltopectoral) group

50
Q

apical group drain ………….

A

all axillary nodes

51
Q

apical group after drain all other axillary group , it drain then into ……….

A

-subclavian lymph trunk .

52
Q

the subclavian lymph trunk drain into ……….on the left side & drain into …………on the right side.

A
  • thoracic duct (Lt side)
  • right lymph trunk (Rt side)
53
Q

list group of inguinal LN

A
  1. superficial inguinal LNs
    - the horizontal group
    - the vertical group
  2. deep inguinal LNs
    * both drain into popliteal LNs
54
Q

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

A

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
Q

the medial members of the horizontal group of superficial inguinal LNs drain ………………

A

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
Q

the lateral members of the horizontal group of superficial inguinal LNs drain…………………

A

superficial lymph vessels from :
- gluteal region
- the back below the level of the iliac crests

57
Q

vertical group of superficial inguinal LN drain ………..

A

superficial lymph vessels of the lower limb

58
Q

the efferent lymph vessels from the superficial inguinal LNs pass through the ……….in the deep fascia and join ……….

A

-saphenous opening
- the deep inguinal nodes

59
Q

afferents of deep inguinal LNs drain ……..&………

A

superficial inguinal LNs & popliteal LNs

60
Q

efferent of deep inguinal LNs enter the abdomen by passing through …….to ………….

A

the femoral canal
external iliac LNs

61
Q

popliteal LNs drain afferent from :

A
  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
Q

efferent of popliteal LNs run along ………..to the …………

A
  • femoral vessels
  • deep inguinal LNs

anatomy (2 decks)

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