Lymphatics

Question 1

what parts of the body drain into the right (minor) lymphatic duct

Answer 1

• right upper extremity
• right hemicranium
• the heart
• lung except left upper lobe

Question 2

Describe the course of the thoracic duct

Answer 2

• traverses sibson’s fascia of the thoracic inlet up to levels of C7 before turning around and emptying into the left (major) duct
• extends approximately 18 inches from the cisterna chyli below the diaphragm (at the level of L2), through the aortic hiatus (at the level of T12) into the neck for about 3 cm before draining into the left major duct

Question 3

The sympathetic control to the lymphatic duct is topographically innervated by what nerves

Answer 3

intercostal

Question 4

The cisterna chyli is innervated by what nerve

Answer 4

T11

Question 5

The lymphatics relieve the body’s excess fluids and wastes by both intrinsic and extrinsic forces. What are the extrinsic?

Answer 5

• OMM
• exercise
• contraction of muscles
• Pulsation of adjacent arteries
• Respiratory movement to increase negative intrathoracic pressure

Question 6

The lymphatics relieve the body’s excess fluids and wastes by both intrinsic and extrinsic forces. what are the intrinsic?

Answer 6

• smooth muscle contraction

- interstitial fluid pressure

Question 7

What are the factors that increase interstitial pressure and therefore allow extracellular fluid to enter the lymphatics

Answer 7

• Systemic HTN
• cirrhosis (dereased plasma protein synthesis
• Hypoalbuminemia associated with starvation
• Toxins such as rattlesnake poisoning

Question 8

Where are the places on the body most commonly affected by lymphatic dysfunction

Answer 8

• supraclavicular
• posterior axillary fold
• epigastric area
• inguinal
• popliteal
• Achilles tendon

Question 9

What are the relative contraindications to lymphatic treatment

Answer 9

• Osseous fractures
• Bacterial infections with a temperature greater than 102F
• Abscess or localized infection
• Certain stages of carcinoma