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1 STEP Uworld immunology > LYMPHATIC DRAINAGE TABLE UW > Flashcards

LYMPHATIC DRAINAGE TABLE UW Flashcards

1
Q

Submandibular (mandibular angle)? area drained

A

oral cavity (Tongue, gum, cheek, lips)

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2
Q

Submandibular? pathology

A

Malignancy of oral cavity (metastasis and turmors), tonsilitis

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3
Q

Deep cervical (sternocleido, accompany internal jugular and carotid)? area drained

A

Lymph fluid drainage of all superficial lymph node groups of the HEAD and NECK + OROPHARYNX
Drain into the right lymphatic duct and thoracic duct

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4
Q

Deep cervical? pathology

A

Upper respiratory tract infections
Infectious mononucleosis
Kawasaki disease
Malignancy of the head, neck, and oropharynx

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5
Q

LEFT Supraclavicular (Virchow nodes)? area drained

A

Left thorax, Lungs, Left upper extremity

Abdomen, Pelvis

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6
Q

LEFT Supraclavicular (Virchow nodes)? pathology

A

Lung carcinoma
Sarcoidosis

+!!!!!
Left supraclavicular lymphadenopathy (Troisier sign) is usually indicative of a possible abdominopelvic malignancy (especially metastatic gastric or pancreatic carcinoma).

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7
Q

RIGHT Supraclavicular? area drained

A

Right supraclavicular nodes drain into the right lymphatic duct and collect:
Neck, Right thorax, Right upper extremity, Right mediastinum, Lungs, Esophagus

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8
Q

RIGHT Supraclavicular? pathology

A

Lung carcinoma

Sarcoidosis

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9
Q

Mediastinal = paratracheal? area

A

Occurs in anterior mediastinum;

Drain structures within the mediastinum (trachea, esophagus, hila of the lungs, heart and pericardium, thymus)

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10
Q

Mediastinal = paratracheal? pathology

A

Mediastinal malignancies: Lung carcinoma; Esophageal carcinoma; Hodgkin lymphoma

Metastatic malignancies (e.g., breast carcinoma, thyroid carcinoma)

Granulomatous pulmonary diseases e.g., tuberculosis (unilateral), sarcoidosis (bilateral), histoplasmosis, pneumoconiosis, mycoplasma

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11
Q

Hilar? area

A

Occurs: Adjacent to main stem bronchus (hila of the lungs)

Drains LUNGS

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12
Q

Hilar? pathology

A

Lung carcinoma

Granulomatous pulmonary diseases e.g., tuberculosis (unilateral), sarcoidosis (bilateral), histoplasmosis, pneumoconiosis, mycoplasma

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13
Q

Where drains mediastinal and hilar lymph nodes?

A

thoracic duct

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14
Q

In sarcoidosis which side of lymph nodes is affected?

A

Sarcoidosis (bilateral hilar)

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15
Q

In TB which side of lymph nodes is affected?

A

Pulmonary TB (unilateral hilar)

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16
Q

Lung carcinoma, sarcoidosis and TB, pneumoconiosis, mycoplasma. What lymph nodes?

A

BOTH MEDIASTINAL AND HILAR

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17
Q

Mestastatic malignancies affect which chest lymphnodes?

A

mediastinal

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18
Q

Supra/Epitrochlear? location ?

A

Subcutaneous fat above medial epicondyle of humerus (∼ 3 cm from elbow)

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19
Q

Supra/Epitrochlear? area drained

A

Ulnar forearm and hand

Drain into the axillary lymph nodes

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20
Q

Supra/Epitrochlear? pathology

A 
SECONDARY SYPHILIS
Melanoma
Lymphoproliferative disorders
Infections of hand and forearm
Tularemia
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21
Q

Periumbilical (Sister Mary Joseph node)? location?

A

Grouped around the umbilicus

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22
Q

Periumbilical (Sister Mary Joseph node)? drained area

A

Abdomen and pelvis (umbilical area)

Drain into axillary, inguinal, and para-aortic lymph nodes

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23
Q

Periumbilical (Sister Mary Joseph node)? pathology

A

metastasis of malignant cancer in the abdominopelvic region (e.g., GASTRIC cancer, pancreatic cancer, ovarian cancer)

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24
Q

Celiac? location

A

Around the origin of the celiac trunk

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25
Q

Celiac? area drained

A

Stomach, UPPER duodenum, pancreas, spleen, liver and biliary tract (foregut)

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26
Q

Pre-aortic lymph nodes group? 3

A

celiac, superior mesenteric, inferior mesenteric

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27
Q

Superior mesenteric? location

A

Around the origin of the superior mesenteric artery

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28
Q

Superior mesenteric? area drained

A

Lower duodenum, small intestine (jejunum, ileum) and colon to the splenic flexure (midgut)

29
Q

Inferior mesenteric? location

A

Around the origin of the inferior mesenteric artery

30
Q

Inferior mesenteric? area drained

A

Colon from splenic flexure to the uppermost part of the rectum (hindgut)

31
Q

Where drains all groups of pre-aortic lymph nodes?

A

Cisterna chyli (via intestinal lymphatic trunk)

32
Q

Pre-aortic lymph nodes. Pathologies?

A

Infectious focus in the bowel (e.g., appendicitis, colitis, typhoid fever)

Mesenteric lymphadenitis

Inflammatory bowel disease (e.g., ulcerative colitis)

Celiac disease

Colon cancer

33
Q

PARA-aortic (lumbar)? location

A

In front of the lumbar vertebrae near the aorta, around the renal vein

34
Q

PARA-aortic (lumbar)? area drained

A

Kidneys and suprarenal glands
Females: ovaries, uterus, fallopian tubes
Males: testes

Receive lymph from the common iliac nodes

35
Q

PARA-aortic (lumbar)? pathology

A

Endometrial cancer
Ovarian cancer
Testicular cancer
METASTASIS

36
Q

PARA-aortic (lumbar)? drains to

A

Cisterna chyli (via lumbar lymphatic trunk)

37
Q

External iliac? location

A

Around the external iliac arteries

38
Q

External iliac? area drained

A 
Body of the uterus
Fundus of the bladder (superior bladder)
Cervix
Upper third of the vagina
Lymph from the deep inguinal nodes
39
Q

External iliac? pathology

A

Sexually transmitted infections (STI)

Metastasis

40
Q

Where drains external and internal iliac?

A

common iliac lymph nodes

41
Q

Internal iliac? location

A

Surrounding the internal iliac arteries

42
Q

Internal iliac? drained area

A

Lower rectum and anal canal (above the dentate line)
Bladder (except the fundus)
Cervix, lower uterus, and middle third of the vagina
Prostate and corpora cavernosum

43
Q

Internal iliac? pathology

A

Bladder cancer
Cervical cancer
Prostate cancer
Sexually transmitted infections (STI)

44
Q

Common iliac lymph nodes? location

A

Around the common iliac vessels

45
Q

Common iliac lymph nodes? area drained

A

Lymph from the internal and external iliac nodes

46
Q

Common iliac lymph nodes? pathology

A

Metastasis

47
Q

where drains common iliac lymph nodes?

A

para-aortic

48
Q

Inguinal lymph nodes consist of…..?

A

superficial and deep inguinal

49
Q

Superficial inguinal? location

A

Superficial fascia of the thigh in the region of the femoral triangle

50
Q

Superficial inguinal? area drained

A

from FA: Anal canal (below pectinate line), skin below umbilicus (except popliteal area), scrotum, vulva

  1. Horizontal group:
    Inguinal region
    Inferior abdominal wall (below the umbilicus)
    Gluteal region
    Scrotum, vulva, lower third of the vagina, penis except for the glans
    Distal anal canal (below the pectinate line)
  2. Vertical group: lower limb with the exception of the gluteal region, popliteal area, and the lateral surface of the lower leg
    Drain into the deep inguinal lymph nodes
51
Q

Superficial inguinal? pathology

A

STDs (e.g., lymphogranuloma venereum, genital herpes, chancroid, syphilis)
Pelvic malignancy (e.g., anal or vulvar cancer)
Infection of the lower extremity
Melanoma of the lower extremity
Medial foot and leg cellulitis

52
Q

Deep inguinal? location

A

Medial thigh (femoral triangle), parallel to the junction of the great saphenous vein and the femoral vein

53
Q

Deep inguinal? area drained

A

Lower limbs
Glans penis or clitoris
Lymph from the superficial inguinal and popliteal lymph nodes
Drain into the external iliac lymph nodes

54
Q

Deep inguinal? pathology

A

STDs
Infections of the MEDIAL leg or foot (e.g., cellulitis)!!!!!!!!!!
Melanoma

55
Q

Popliteal lymph nodes? area drained

A

Dorsolateral aspect of the foot and the posterior calf

Drain into the deep inguinal lymph nodes

56
Q

Popliteal lymph nodes? patholgoy

A

Infections of the LATERAL leg or foot (e.g., cellulitis)

Melanoma

57
Q

The testicles, epididymis, and seminal ducts are drained by ,………

A

The testicles, epididymis, and seminal ducts are drained by the deep, iliac, and lumbar lymph nodes.

58
Q

What lymph nodes are not palpable?

A

(CHEST) Paratracheal+mediastinal+hilar
(ABDOMEN) celiac, superior and inferior mesenteric
+PARAaortic
(ILIAC) External and internal

59
Q

What lymph nodes are palpable?

A

submandibular, cervical, supraclavicular, axilary, epitrochlear, superficial inguinal, periumbilical, popliteal

60
Q

Axillary lymph nodes. Anterior (pectoral) lymph nodes? area drained

A

Mammary and pectoral regions

Skin region located above the umbilicus

61
Q

Axillary lymph nodes. Central lymph nodes? drained area

A

Lymph from the anterior, posterior, and lateral axillary lymph nodes
Drain into the apical lymph nodes

62
Q

Axillary lymph nodes. Anterior and central PATHOLOGY?

A

Localized infection in the drainage area (e.g., mastitis)

Breast cancer or metastasis

63
Q

Axillary lymph nodes. Posterior (subscapular) lymph nodes? drained area

A

Upper back and posterior neck

64
Q

Axillary lymph nodes. Posterior (subscapular) lymph nodes? pathology

A

Localized infection of the upper extremities/chest wall

65
Q

Axillary lymph nodes. Lateral (brachial) lymph nodes? drained area

A

Majority of the upper limb

66
Q

Axillary lymph nodes. Lateral (brachial) lymph nodes? pathology

A

Localized infections of the upper extremities

67
Q

Axillary lymph nodes. Apical (subclavicular aka infraclavicular) lymph nodes? Drained area

A

Lymph from the central lymph node group

Upper outer quadrant of the breast

Drain into the right lymphatic duct and thoracic duct

68
Q

Axillary lymph nodes. Apical (subclavicular aka infraclavicular) lymph nodes? Pathology

A

Localized infection in the drainage area (e.g., mastitis)

Breast cancer or metastasis

1 STEP Uworld immunology (13 decks)

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