Lymphatics of the head and neck Flashcards

1
Q

What are the different types of lymph nodes?

A

Regional

Terminal

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2
Q

What is the difference between the location of regional and terminal lymph nodes?

A

Regional lymph nodes are superficial

Terminal lymph nodes are deep

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3
Q

What is the difference between the drainage of regional and terminal lymph nodes?

A

Regional lymph nodes drain lymph from specific areas

Terminal lymph nodes recieve lymph from multiple regional lymph nodes

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4
Q

What is the difference between the palpability of the regional and terminal lymph nodes?

A

When swollen, the regional lymph nodes are easily palpable

However the terminal lymph nodes may not be palpable even when swollen

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5
Q

How many lymph nodes are there in the neck?

A

300

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6
Q

What proportion of all the body’s lymph nodes are there in the neck?

A

3/8

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7
Q

Where are the regional lymph nodes of the neck located?

A

In the superficial cervical fascia

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8
Q

Where are the terminal lymph nodes of the neck located?

A

Deep to the investing layer of cervical fascia
deep to sternocleidomastoid
mostly in the carotid sheath with the IJV

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9
Q

How many regional lymph node groups of the head and neck are there?

A

Eight

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10
Q

What are the groups of regional lymph nodes of the head and neck?

A

Sub-mental

Sub-mandibular

Pre-aruticular

Post-auricular

Occipital

Anteror to EJV

Posterior to EJV

Inferior to EJV

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11
Q

Which regional lymph node group drains lymph from around the eye?

A

Pre-auricular

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12
Q

How many groups of terminal lymph nodes of the head and neck are there?

A

Three

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13
Q

What are the groups of terminal lymph nodes of the head and neck?

A

Jugulo-digastric

Jugulo-omohydroid

Supraclavicular

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14
Q

What is another name for the jugular-digastric node?

A

Tonsillar node

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15
Q

Where is the jugular-digastric node located?

A

Posteriorly and inferiorly to the angle of mandible

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16
Q

What does the right supraclavicular lymph node drain?

A

Oesophagus

Lungs in middle

17
Q

What does the left supraclavicular lymph node drain?

A

Thorax

Abdomen

18
Q

What causes enlargement of the supraclavicular lymph nodes?

A

Thoracic malignancy

Abdominal malignancy

19
Q

What lymphatic ducts does the lymph of the head and neck drain into?

A

Right side drains into right lymphatic duct

Left side drains into thoracic duct

20
Q

What is the most common cause of swelling in the neck?

A

Cervical lymphadenopathy - enlarged lymph nodes of neck

22
Q

What is Virchow’s node?

A

Enlarged left supraclavicular lymph node

23
Q

What is Troiser’s sign?

A

Enlarged, hard, left supraclavicular lymph node

due to abdominal malignancy