lymphatic drainage :) from pp Flashcards

1
Q

lymphatic system

A

Network of lymphatic vessels which begin in peripheral tissues and end at connections to veins.

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2
Q

lymph

A

fluid simular to plasma

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3
Q

lymphoid organs

A

Connected to the lymphatic vessels and contain large numbers of lymphocytes.

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4
Q

functions of lymphatic system

A
  1. The production, maintenance and distribution of lymphocytes
  2. The return of fluid and solutes from peripheral tissues to the blood
  3. The distribution of hormones, nutrients, and waste products to the general circulation
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5
Q

lymphatic vessels

A

Lymphatic capillaries unite to form increasingly larger vessels

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6
Q

where do larger lymphatic vessels feed

A

into collecting ducts which empty into the venous system

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7
Q

what are larger lymphatic vessels interrupted by

A

lymph nodes

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8
Q

what do lymphatic vessels commonly occur in associated with

A

blood vessels

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9
Q

what are the two sets of lymphatic vessels that collect lymph from lympatic capillaries

A

superficial

deep

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10
Q

superficial lymphatic vessels

A

variabel distribution e.g. in subcutaneous deep layer to skin

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11
Q

deep lymphatic vessels

A

larger

more constant vessels that accompany deep arteries and veins supplying skeletal muscles and orgs

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12
Q

clinical importance of infection

A

infections often spread through lymphatic vessels

lymph nodes produce a response to the infection by enlarging

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13
Q

what do malignant cells often do

A

lose their desmosomal attachments to each other

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14
Q

where do malignant cells migrate

A

through lympatic vessels into lymph nodes where they form secondary growths

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15
Q

where do the lymphatic capillaries start

A

in the same regions are capillary beds

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16
Q

what is filtered through the nodes and what is in the nodes

A

lymph is filtered through the nodes

lymphocytes there

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17
Q

what are peripheral tissues bathed in

A

interstitial fluid

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18
Q

what happens at capillary beds

A

some liquid passes out from the plasma into the interstitial space
enters the lymphatic capillaries

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19
Q

what happens if there is a build up of interstitial fluid

A

regional swelling (odema)

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20
Q

what is also in the interstitial space

A

cells

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21
Q

what are the main collecting ducts

A

thoracic duct

right lymphatic duct

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22
Q

thoracic duct

A

collects majority

collects from all vessels from the left side and below the diaphragm

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23
Q

path and start of the thoracic duct

A

lymphatic thinks form the cisterns chyli
travel up as the thoracic duct
drains at the junction between subclavian and jugular trunk on the left

24
Q

right lymphatic trunk

A

drains the arm
head and neck
formed from right jugular and subclavian

25
what is in the lymphatic vessels
have valves to prevent lymph from flowing the wrong way
26
how is lymph moved in the system
via muscle contraction | compression of abdominals and breathing (thoracic duct)
27
what are the lymph nodes of the head and neck
``` pre auricular post auricular/mastoid occipital submental submandibular superficial cervical deep cervical ```
28
superficial cervical
chain of lymph nodes along the external jugular vein over the top of sternocleidomastoid
29
deep cervical
along the internal jugular vein | underneath/deep to sternocleidomastoid
30
what does the pre auricular drain
anterolateral scalp eyelids cheeks
31
what does the submental drain
``` central lower lip chin floor of mouth tip of tongue incisor teeth ```
32
what does the post auricular drain
posteriolateral scalp
33
what does the occipital drain
posterior scalp and neck
34
what does submandibular drian
face gingivae teeth tongue
35
which nodes drain directly into the deep cervial nodes
pre auricular submandibular submentla
36
which nodes pass into the superficial nodes and then where next
occipital and post auricular | onto deep nodes
37
where do the deep cervial nodes go
form right and left jugular trunks | empty into the right lymphatic duct or thoracic
38
where does the majority of the oral cavity drain
into submandibular nodes
39
what drains into the submental
skin of lip floor of mouth incisors
40
what drains into the deep cervical lymph nodes within the intraoral
rear molars | soft palate
41
what can spread easily to the lymph nodes
oral squamous cell carcinoma
42
lymphatic drainage of the tongue - nodes
submental submandibular juglodigastric juguloomohyoid
43
where does the posterior 1/3 of the tongue drain
into juglodigrastric nodes (of the deep cervical chain)
44
where does the anterior 2/3 tongue drain
directly into the deep or | indirectly via submetall and submandibular
45
where does the tip of the tongue drain
submittal and then jugloomohyoid
46
what cervical nodes can be palapted and when
jugulo-omohyoid and juglodigastric | when enlarged
47
where is the juglodigastric found
intersection of the internal jugular vein and posterior belly of digastric
48
where is juglo omohyoid
near intermediate tendon of omohyoid | sternocleidomastoid runs over it
49
what is the midline raphe and where does it run
dense band of connective tissue | deficient at the tip ad posterior 1/3
50
what does the raphe form and what does this mean
impervious lymph barrier | lymph cannot diffuse accords the raphe
51
drainage of the tongue
bitalterla at tip and posterior 1/3 | ipsilateral for remaining anterior 2/3
52
what is lymph node elangment known as
lymphadenopathy
53
malignant cells
atypical in appearance | lose their desmosomal attachments to each other and eCM
54
migrating cancer
through lympathic vessels into lymph nodes where they can form secondary growths (metastasis)
55
what happens if lymph node burst
can spread into near tissues | extra capsular spreading