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OS1 final > Lymphatics > Flashcards

Lymphatics Flashcards

1
Q

Fluid Pump locations

A

Thoracic Inlet

Thoracic Diaphragm

Pelvic Diaphragm

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2
Q

Evaluation of Cranial-Cervical Jxn

A
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3
Q

Evaluation of Cervical-Thoracic Jxn

A
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4
Q

Evaluation of Thoracolumbar Jxn

A
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5
Q

Evaluation of Lumbopelvic Jxn

A
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6
Q

Lymph Node Palpation sites

A

Supraclavicular space

Epigastric region

Posterior axillary fold

Inguinal region

Popliteal space

Achilles region

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7
Q

Thoracic Inlet MFR

A
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8
Q

Doming the Diaphragm

A
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9
Q

Ischiorectal Fossa Release

A
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10
Q

Pectoral Traction

A
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11
Q

Rib Raising, Supine

A
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12
Q

Rib Raising, Seated

A
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13
Q

Thoracic Pump (Repetitive/Oscillatory)

A
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14
Q

Thoracic Pump (Vacuum/Atelectasis Modification)

A
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15
Q

Abdominal Pump

A
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16
Q

Sacral Rocking

A
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17
Q

Pedal Pump

A
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18
Q

Tapotement

A
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19
Q

Effleurage and Petrissage

A
20
Q

IT Band Effleurage

A
21
Q

Anterior Cervical Arches Release

A
22
Q

Cervical Stroking

A
23
Q

Cervical Chain Drainage

A
24
Q

Submandibular Drainage

A
25
Q

Mandibular Drainage (Galbreath Technique)

A
26
Q

Auricular Drainage

A
27
Q

What gives rise to the Thymus and parts of the tonsils?

A

Endoderm

28
Q
A
29
Q

When does lymphatic development begin? When is it’s prevelance significant?

A
  • Begins during 5th week of gestation
  • Significant presence by 20 weeks
30
Q

What does the mesoderm give rise to in terms of lymphatics?

A

Lymphatic vessels, lymph
nodes, the spleen, and myeloid tissue

31
Q

How does age both from infant, to puberty, to elderly influence lympatics?

A

Lymphoid tissue increases until puberty when the immune system continues to mature, but lymphoid tissue regresses and then levels off.

In elderly, the immune system may decline and they may not mount a fever.

32
Q

Spleen

What is its location?

Characteriztics and function?

A

Beneath ribs 9-11 on the left, just below diaphram

Largest mass of lymphoid tissue, pressure sensitive (the movement of diaphragm can function to move lymph)

33
Q

What is the function of the liver in terms of lymphatics?

A

Location in the right costal margin

Half of the body’s lymph is formed here
Clears bacteria
“Gate-keeper” of the shared hepato-biliary

-pancreatic venous and lymphatic
drainage

34
Q

Name the location of the tonsils

A

Palatine – lateral pharynx (traditional “tonsils”)
Lingual – posterior 1/3 of tongue
Pharyngeal – adenoids at nasopharyngeal border

35
Q

What organ is significant to the gut associated lymphoid tissue?

What occurs to it with age?

A

The apendix

Atrophy

36
Q

Where are peyer’s patches located in the intestine?

A

The ileum

37
Q

What is the function of lacteals?

A

Transport large chylomicrons that cannot cross the intracellular junctions of circulatory capillaries

38
Q

How much fluid enters the interstitial fluid daily?

A

30L

39
Q

What is the importance of the diaphragm in lymphatics?

What innervation effects the diaphragms effects on lympatics?

A

• 35%-60% of the drainage
through the thoracic duct is
associated with respiration
• “pump” effect of the
diaphragmatic crura on the
cysterna chyli
• Junctures are under sympathetic
control

40
Q

How do lymphatic collectors move lymph?

A

Through the lymphagions (valves)

Larger vessels may have smooth muscle with sympathetic innervation

41
Q

What does the thoracic duct drain?

Where does it originate/terminate?

A

The entire lower bottom extremities and the upper left

Origin: cisterna chyli as a dilation at L1-2 level

Termination: Pierces Sibson’s fascia at superior inlet, U-turns to empty into L subclav/IJ veins

42
Q

What is the origin and termination of the right lympatic duct?

A

Origin: from the junction of R jugular and subclavian trunks (and occasionally the bronchomediastinal trunk)

Termination: Empties at R subclav./IJ venous junction

43
Q

Indications of OMT for lymph

A
  1. Edema, tissue congestion, or lymphatic stasis
  2. Infection
  3. Inflammation
44
Q

Absolute Contraindications for Lymph

A

Anuria – need kidneys functioning to process the extra
fluid return
Necrotizing fasciitis – in the treatment area
Patient unable to tolerate treatment
Patient refuses treatment

45
Q

Most common compensitory pattern is ____ at ___%

A

LRLR, 80%

46
Q

Steps in Lymphatics

A

A. Open pathways to remove restriction to flow
a. Thoracic inlet
b. Anterior and posterior axillary fold techniques
c. Popliteal fossa release
B. Maximize diaphramic functions
a. Dome the diaphragm
b. Ischiorectal fossa release
C. Increase pressure differentials or transmit motion
a. Pectoral traction
b. Rib raising (supine or sitting)
c. All other techniques

OS1 final (12 decks)

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