Lymphatic System

Question 1

What are the functions of the lymphatics system?

Answer 1

Maintains fluid balance
Filtration
Phagocytosis
Production of lymphocytes
Production of antibodies
Fat absorption from the intestinal tract
Pathway for malignancy

Question 2

What are the structures in the lymphatic system?

Answer 2

Lymph nodes
Collecting ducts
Lymph fluid- Lymphocytes
Spleen
Thymus
Tonsils
Adenoids
Peyer patches (small intestine)

Question 3

Where does the right upper body drain?

Answer 3

right subclavian

Question 4

What drains the majority of body’s lymph?

Answer 4

thoracic duct via left subclavian

Question 5

What is lymph movement dependent on?

Answer 5

venous system

Question 6

Where are superficial nodes?

Answer 6

subcutaneous tissue

Question 7

Where are deep nodes?

Answer 7

muscle fascia or within body cavity

Question 8

Humoral immunity

Originate in bone marrow

Answer 8

B cells

Question 9

Cell-mediated immunity

Originate in bone marrow and mature in thymus

Answer 9

T cells

Question 10

Where is thymus located?

Answer 10

superior mediastinum, no function in adults life

Question 11

What are tonsils composed into?

Answer 11

follicles and crypts, lymphoid tissues

Question 12

What are pharyngeal tonsils?

Answer 12

adenoids

Question 13

What are clusters of lymphoid cells in SI?

Answer 13

peyer patches

Question 14

What do you inspect for lymph nodes?

Answer 14

Visible lymph nodes
Edema
Erythema
Red streaks
Skin lesions

Question 15

What do you use to palpate lymph nodes?

Answer 15

2nd, 3rd, 4th finger pads

Question 16

What do you note on PE?

Answer 16

Consistency
Mobility
Tenderness
Size
Warmth

Question 17

How do you differientiate a cyst ?

Answer 17

will transilluminate

Question 18

What divides A and P triangles of neck?

Answer 18

anterior border of SCM

Question 19

What do you have pt do when examining tissue?

Answer 19

bend toward the side being examined - ease taut tissue

Question 20

What is the head lymph PE?

Answer 20

Occipital Nodes base of skull
Postauricular nodes over mastoid process
Preauricular nodes in front of ears
Parotid and retropharyngeal nodes angle of mandible
Submandibular nodes mandible between angle and tip
Submental nodes behind mandible tip

Question 21

What is the neck lymph PE?

Answer 21

Superficial cervical nodes at SCM
Posterior cervical nodes along anterior border trapezius
Cervical nodes deep to SCM
Supraclavicular nodes- angle formed by clavicle and SCM
Virchow nodes

Question 22

What are the supraclavicular nodes called?

Answer 22

virchow

Question 23

How do you examine axillary lymph nodes?

Answer 23

Pt sitting or laying
Support forearm with your contralateral arm
Examining hand-palm flat in axilla

Question 24

How do you examine epitrochlear lymph nodes?

Answer 24

Hold pt’s wrist and relax elbow

Palpate groove in circular motion between triceps and biceps

Question 25

What disease do you see epitrochlear lymph nodes?

Answer 25

hodgkin disease

Question 26

How do you palpate inguinal lymph nodes?

Answer 26

Pt supine with knees slightly flexed Superior superficial inguinal nodes closer to inguinal canals Inferior superficial inguinal nodes deeper in the groin

Question 27

Where does testes lymph drain?

Answer 27

abdomen

Question 28

Where do penile and scrotal ssurfaces drain?

Answer 28

inguinal

Question 29

Where do female internal genitals and pelvic drain?

Answer 29

pap aortic

Question 30

What does lower vagina and vulva drain?

Answer 30

inguinal nodes

Question 31

fixed hard and painless

Answer 31

malignancy

Question 32

enlarged and tender

Answer 32

infection

Question 33

palpable virchow

Answer 33

malignancy

Question 34

slow enlarge over wks

Answer 34

benign

Question 35

rapid enlarge w/o signs of infection

Answer 35

malignant

Question 36

What is the onset of lymphedema?

Answer 36

gradual

Question 37

An immune complex disease, Symptoms appear 7 to 10 days following use of a provoking substance, uticaria, lymphadenopathy, joint pain, fever

Answer 37

serum sickness

Question 38

Occurs most frequently in adolescents and young adults — all races, Males are twice as likely as females to acquire, painless enlarged cervical , matted or rubbery

Answer 38

hodgkin's

Question 39

What are risk factors for HIV?

Answer 39

Heterosexual contact with homosexual or bisexual men Multiple and indiscriminate sexual contacts IV drug use Blood transfusion with infected blood or blood concentrates Diagnosis of, or been treated for, hepatitis, TB, or an STI such as syphilis Sexual activity with IV drug users

Question 40

What is a shotty lymph node?

Answer 40

Nodes feel like BBs or buckshot.