Lymphatic Structures And Lymph Flow Flashcards

1
Q

Describe the anatomical features of lymph nodes

A

Connective tissue capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

List 4 important functions of lymph nodes

A

Removal of

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Pre collectors

A

Precollector is both a transport and collecting vessel
It can absorb LOL in sm amounts and transport lymph from initial LV to to collectors
They are interconnected with skin zones.
They are smaller than collectors and bigger than ILV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Initial lymph vessels

A

Initial lymph vessels are the smallest vessels and form the beginning of the lymphatic vascular system.
Found in the entire dermis and drain LOL from the connective tissue.

They have a blind origin in the tissue like fingers in a glove.
They cosist of a single layer of endothelial cells that overlap on the edges so they open like shutter valves.
The ILV transports the LOL to the precollectors.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a lymphangion?

A

Any portion of the lymph vessel thats between two valves is a lymphangion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Name 3 mechanisms which control smooth muscle in collector vessels.

A

Lymphangiomotoricity=
Autonomous motoricity
Passive distension- from inside ( filling pressure)
from outside ( distension pressure)
Internal and external stimuli
Temperature rise

Muscle and joint pump
Arterial pulsation
Respiration and peristalsis
Negative intrathoracic pressure ( negative pressure in the thorax)
External pressure ( mld and bandaging)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What mechanisms allow uptake of fluids by the ILV?

A

When pressure is low valves are closed, when pressure is up it pulls on the anchoring filaments that are attached to the fibre network ( endothelial cells) which opens the valves so fluid can enter the vessel.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

List at least 6 functions of the lymphatic vascular system.

A

To circulate lymphocytes- immune system
Removal of fluid
Removal of lge proteins and lipids
Removal of organic and inorganic wastes-
Assists in maintaining blood volume
Maintain protein circulation
( waste going into blood ie carbon dioxide)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Name three mechanisms which control smooth muscle in collector vessels

A
Muscle and joint pump
Arterial pulsation
Respiration and peristalsis
Negative intrathoracic pressure
External pressure (MLD and bandaging)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Upper left lobe of lung

A

Bronchomediastinal trunk to thoracic duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Contraction of collector smooth muscle is controlled by…

A

Sympathetic nervous system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What happens when sympathetic activity is high?

A

Running from the bear!
Stress is high!
It suppresses and flow slows down.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where are initial lymph vessels found?

A

In loose connective tissue (where blood capillaries are)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What do B cells do?

A

They produce plasma cells which manufacture antibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Proteins in the tissues attract water. This is known as….

A

Cotp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Connective tissue contains phagocytic cells known as …

A

Macrophages

17
Q

Which cell is stimulated by antigens to produce antibodies?

A

B lymphocytes

18
Q

A lymphostatic edema could be…

A

Primary

Functional

19
Q

What is meant by the term functional reserve of the lymph vessel system?

A

The difference between transport capacity and lymph obligatory load.

20
Q

What characteristic edema locations would indicate a patient has lipedema?

A

Bilateral symmetrical thighs

21
Q

How does primary lymphedema differ from secondary lymphodema?

A

It can be caused by a deficiency of lymph vessels.

22
Q

What is a characteristic of Dynamic edema?

A

Lymph system is functioning at capacity.

not damaged

23
Q

Name three typical skin alterations due to chronic lymphodema…

A

Hyperkeratosis
Papillomatosis
Lymph cysts
Lymph fistulas

24
Q

What are some of the forces that encourage fluid movement from the blood capillariy to the interstitium?

A
Hydrostatic blood pressure
Colloid osmotic ( oncotic) tissue pressure
( both encourage water out)
25
Q

What holds the water in…

A
Hydrostatic tissue pressure
Colloid osmotic ( oncotic) blood pressure

( both hold water in the blood capillary as opposed to encouraging it out nto the interstitium)

26
Q

What are the intrinsic mechanisms for normal lymph flow?

A

ANS
Stretch receptor reflex
Automyogenic ( a property no other muscle has 5-7 x p/min)

27
Q

What are the extrinsic mechanisms for normal lymph flow?

A
Breathing
Pulsation of arteries
Skeletal muscle contractions
Intestinal peristalsis
Gravity
28
Q

What do the pulsation of arteries do to the Lymph vessels?

A

The veins, valves arteries are all in a sheath so the Lymph vessels get squeezed a bit.

29
Q

What does breathing do to Lymph flow?

A

High pressure area to low pressure area
Diaphragm fills up, thoracic decreases
Hi pressure to low pressure allows the lymph to flow more

30
Q

What do skeletal muscle contractions do the lymph flow?

A

By walking around active lymph load increases ( stretches) which then triggers the Stretch receptor reflex

31
Q

SRR triggers what rate of firing of smooth muscle?

A

Max 27-30 x per min

32
Q

What increases lymph flow?

A

Exercise- activating skeletal muscle pumps
Carbon dioxide and water

Body temperature- LS can only work to max capacity not higher. Only up to 39 degrees C, above that inhibits L/ flow- functional proteins- de nature

33
Q

Characteristics of Stage 3 lymphoedema

A

Stemmer sign

34
Q

What is Lymphostatic ( Lymphoedema) edema?

A

= low volume insufficiency
=mechanical insufficiency

Its a failure of the lymphatic system

High protein edema (MLD can help)

35
Q

What are the root causes of Lympostatic edema( lymphoedema)

A

Direct damage to LS
Lack of movement- sedentary lifestyle, obesity
- reduction of lymphangiomotoricity
- reduction of venous return
Lymph vessel spasm
- pain
- greatly fluctuating stimuli ( electrical current, laser)
- inflammatory processes

36
Q

Suggested classification for lymphedema

A

Acute/ chronic
primary/ secondary
Benign/ malignant

Stages 1/2/3

37
Q

Skin changes in Stage 3

A

Pachydermia
Papillomatosis- warty growths on skin

Lymphatic cysts- lymph filled cysts on skin

Lymphatic fistulas- hole gets developed in sweat gland or sebaceous gland and leaks out

Hyperkeratosis-