Lymphatics Flashcards

1
Q

what is the lymphatic system

A

overflow for drainage of surplus tissue fluid and leaked plasma proteins into bloodstream as well as removal of debris from cellular decomposition and infection

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2
Q

how does most lymph re-enter vascular system

A

via thoracic duct

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3
Q

what is the exception of lymph re-entering the vascular system

A

the right superior quadrant which drains into right lymphatic duct

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4
Q

what nodes drain the head and neck

A

superficial and deep i.e. deep cervical nodes –> right / left subclavian through thoracic or right lymphatic duct

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5
Q

5 main pairs of superficial nodes

A
  1. occipital
  2. posterior auricular
  3. anterior auricular
  4. superficial parotid
  5. facial
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6
Q

how do superficial nodes normally feel

A

soft, small, free, mobile

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7
Q

how do superficial nodes feel when pathological changes

A

hard, enlarged and palpable

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8
Q

what nodes cannot be palpated

A

deep lymph nodes in the head e.g. deep parotid and retropharyngeal

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9
Q

where do deep lymph nodes drain

A

into the deep cervical nodes

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10
Q

how do nodes of the neck / cervical lymph nodes drain

A

they are paired and unilaterally drain the right or left tissue, structure or organ in each region depending on their location

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11
Q

what is the exception of node drainage

A

midline submental nodes which drain tissue in submental triangle bilaterally

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12
Q

4 groups of cervical lymph nodes

A
  1. submental
  2. submandibular
  3. external jugular
    anterior jugular
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13
Q

what do submental lymph nodes drain

A

lower lip, both sides of chin, floor of mouth and mandibular incisors associated with periodontium and gingiva

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14
Q

what do submandibular lymph nodes drain

A

unilaterally drain cheeks, upper lip, body of tongue, anterior hard palate and remainder of teeth except maxillary third molars and mandibular incisors

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15
Q

is drainage of the tongue bilateral or unilateral

A

bilateral

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16
Q

enlarged lymph nodes may indicate

A

current / past pathology or area of immune activity

17
Q

explain lymphogenous spread of cancer

A

cancer cells travel via lymphatics, are filtered and trapped in lymph nodes which become secondary (metastatic) cancer sites

18
Q

generally how to differentiate between inflammation / infection and malignancy in nodes

A

inflammation/infection = swollen, tender lymph nodes
malignancy = hard, painless lymph nodes

19
Q

area of lymph drainage indicates potential location of disease or malignancy for example

A

submandibular nodes = oral cavity, face, nasal cavity & maxillary sinus
supraclavicular nodes = thorax & abdomen