Lymphatic Drainage of the Upper Limb Flashcards

1
Q

Where do the superficial lymphatic vessels of the upper limb arise

A

From lymphatic plexuses in the skin of the hand

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2
Q

Where do lymph vessels travel in the upper limb

A

In close proximity to major superficial veins

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3
Q

Where do the lymph vessels shadowing the basilic vein go

A

Enter cubital lymph nodes

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4
Q

Where are the cubital lymph nodes found

A

Medially to the vein

Proximally to medial epicondyle of humerus

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5
Q

Where do vessels from the cubital lymph nodes terminate

A

Axillary lymph nodes

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6
Q

Where do the lymph vessels shadowing the cephalic vein go

A

Enter apical axillary lymph nodes

Some enter deltopectoral lymph nodes

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7
Q

Where are the majority of upper lymph nodes located

A

In the axilla

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8
Q

What are the 5 anatomical groups of axillary lymph nodes

A
Pectoral
Subscapular
Humeral
Central
Apical
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9
Q

How many pectoral lymph nodes are there

A

3-5

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10
Q

Where are the pectoral lymph nodes located

A

Medial wall of axilla

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11
Q

Where do pectoral lymph nodes primarily receive lymph

A

From anterior thoracic wall (including most of breast)

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12
Q

How many subscapular lymph nodes are there

A

6-7

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13
Q

Where are the subscapular lymph nodes located

A

Along posterior axillary fold and subscapular blood vessels

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14
Q

Where do the subscapular lymph nodes receieve lymph from

A

Posterior thoracic wall

Scapular region

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15
Q

How many humeral lymph nodes are there

A

4-6

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16
Q

Where are the humeral lyph nodes located

A

Lateral wall of axilla

Posterior to axillary vein

17
Q

Where do humeral nodes receive majority of lymph

A

Upper limb

18
Q

How many central lymph nodes are there

19
Q

Where are the central nodes located

A

Near base of axilla
Deep to pectoralis minor
Close to 2nd part of axillary artery

20
Q

Where do central nodes receive lymph from

A

Efferent vessels from pectoral, subscapular and humeral axillary lymph node groups

21
Q

Where are apical nodes located

A

Apex of axilla
Close to axillary vein
Close to 1st part of axillary artery

22
Q

Where do apical nodes receive lymph from

A

From efferent vessels of central axillary lymph nodes (ie. from all axillary lymph nodes)
From lypmhatic vessels accompanying cephalic vein

23
Q

Where do efferent vessels from apical axillary nodes go

A

Through cervico-axillary canal then converge to form subclavian lymphatic trunk

24
Q

Where does the right subclavian trunk go

A

Continues to form right lymphatic duct

Enters right venous angle

25
What is the right venous angle
Junction of internal jugular and subclavian veins
26
Where does the left subclavian trunk drain
Directly into thoracic duct