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

A

3-4

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
Q

What is the right venous angle

A

Junction of internal jugular and subclavian veins

26
Q

Where does the left subclavian trunk drain

A

Directly into thoracic duct