Lymphatic System Flashcards

1
Q

What does the lymphatic system consist of?

A
Lymph fluid and ducts 
lymph nodes
spleen 
thymus 
tonsil and adenoids 
peyer patches
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2
Q

Lymph tissue located in where?

A

Stomach, appendix, bone marrow and lungs

Except for placenta and CNS

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3
Q

Fxn of immune system

A

protects body from antigens
Removes damaged cells
Partial barrier to malignant cells

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4
Q

Immunocompetence can lead to

A

Allergies
Immunodeficiencies
Autoimmune disorder

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5
Q

`Metabolic processes of immune system

A
movement in a closed circuit 
produce lymphocytes 
production of antibodies 
phagocytosis 
absorption of fat and fat-soluble substances 
manufacture of blood
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6
Q

Composition of lymph

A

Clear fluid
WBCs
RBCs
Proteins

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7
Q

Drainage of lymph

A
Moves from blood to interstitial spaces
Collected by ducts 
Carried to nodes
Moves to venous 
Closed but porous circulation
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8
Q

Lymph nodes

A

Receive lymph from ducts
Surrounded by capsules of connective tissue and fibrils
Located superficially and deep

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9
Q

Lymphocytes

A

Respond to antigens
B-lymphocytes produce antibodies
T-lymphocytes control immune response of B-lymph
Humoral and Cellular immunity
Increased presence of lymphocytes indicated infection

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10
Q

Thymus

A

Extends upward into lower neck
Primary fxn during childhood
T-cell production

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11
Q

Spleen

A

Blood-forming organ
red corpuscle storage
contain blood-filtering macrophages
immune response usually originates here

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12
Q

Tonsils and Adenoids

A

Palatine - tonsils
Pharyngeal - adenoids
Lingual - base of tongue
Responds to inhaled or intranasal antigens

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13
Q

Peyer Patches

A

Lymph tissue in small intestine

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14
Q

HPI: enlarged nodes

A
character
associated local 
associated systemic 
predisposing factors 
medications
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15
Q

HPI: Swelling of extremity

A

unilateral or bilateral, intermittent, duration
predisposing
associated
efforts at treatment

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16
Q

PMHx

A
Chest radiographs
TB
Blood trans
Chronic illnes
surgery
recurrent infections
autoimmune disorder
allergies
17
Q

FH

A
Malignancy 
Anemia 
Recent infections 
TB
Immune disorder 
Hemophilia
18
Q

Personal and Social

A

Travel
Drugs (IV)
Alcohol
Sexual hx

19
Q

Three physical signs of disorder of lymph

A

lymphadenopathy - enlarged nodes
lymphangitis - red-streaks
lyphedema

20
Q

Inspection

A
Lymph nodes 
edema
erythema
red streaks 
skin lesions
21
Q

Palpation

A
enlargement 
consistency 
mobility
tenderness
size
warmth
22
Q

Node characteristics

A
harder - malignancy 
tender - inflammation 
nodes dont pulsate 
Palpable supraclavicular could be abdominal or thoracic malignancy
Virchow node
23
Q

Head sequence

A
Occipital
Postauricular
Preauricular 
Parotid/tonsillar
Submandibular 
Submental
24
Q

Neck sequence

A

Anterior cervical
Posterior cervical
Cervical nodes in SCM
Supra and infraclavicular

25
Q

Other areas of nodes

A

axillae
epitrochlear
inguinal and popliteal
spleen

26
Q

Acute lymphangitis

A

Inflammation of one or more lymphatic vessel

27
Q

Acute suppurative lymphadenitis

A

infection or inflammation of lymph node

May affect a single or localized group

28
Q

Lymphedema

A

swelling due to fluid accumulation due to inadequate drainage

29
Q

Non-Hodgkin lymphoma

A

malignany neoplasm

Hodgkin = malignant lymphoma

30
Q

Cat scratch disease

A

subacute/chronic lymphadenitis in children

31
Q

A&P in children

A
antibodies are immature 
Thymus is largest 
tonils are larger
lymph node distribution is same as adult 
lumphatic system gradually reaches adult
32
Q

Hx of infants and children

A
recurrent infections 
present or recent infections or trauma in distal nodes 
poor growth, failure to thrive 
loss of interest in play or eating 
immunizations
maternal HIV infections
hemophilia
33
Q

Exam in infants and children

A

enlarged postauricular/occipital not unusual in younger than 2
enlarge cervical/submandibular frequent in older than one

34
Q

Hx of pregnant women

A

weeks of gestation
hx of rubella and other infections
presence of pets in household - cat litter or feces

35
Q

A&P in older

A

number of nodes may diminish
size decreases
nodes of older are more fibrotic and fatty
impaired ability to resist infection

36
Q

Hx of older

A

presence of autoimmune
recent infection or trauma distal to nodes
delayed healing