Module 1 - Test 2 Flashcards
Where are the perforating pre-collectors located?
Parasternal, Paravertebral, Intercostals
What structure connects the endothelial cells of the lymph capillaries to the surrounding interstitial tissue?
Anchoring filaments.
How are large molecules able to fit into the lymph capillaries?
Lymph capillaries are LARGER than blood capillaries
They have a single layer wall of endothelial cells
The ANCHORING FILAMENTS pull up on the cell wall to open up “gates” when the pressure in the interstitial space is increased.
What is a lymph angion?
The segment of a lymph collector located between a proximal and distal pair of valves
When the lymph volume increases, what happens to lymphangiomotricity?
it increases
What is the main function of the lymph nodes?
To filter harmful material out of the lymph fluid
To produce and house lymphocytes and macrophages for immune system function
What happens to the lymph fluid as it passes through the lymph nodes?
it thickens
What structures form the medial femoral triangle where the inguinal lymph nodes are located?
Inguinal ligament
Gracilis muscle
Sartorius muscle
Which skin areas do the superficial Inguinal lymph nodes drain?
Legs
Lower quadrants
Exteral genetalia
Which parts of the body do the axillary lymph nodes drain?
The upper quadrants of the trunk
Upper extremities
The efferent vessels of the axillary lymph nodes converge to form which structure?
Subclavian Trunk
The lymph fluid in the subclavian trunk goes where?
Right venous angle
Left venous angle
What are the watersheds we utilize during treatment?
Upper horizontal
Sagittal
Lower horizontal
Gluteal
How many quadrants are on the trunk?
4
What is an inter-territorial anastamosis?
A connection between lymph collectors of two adjacent quadrants that crosses over the watersheds
Which anastomoses are commonly used in the treatment of lymphedema?
Anterior axillo-axillary (AAA)
Posterior axillo-axillary (PAA)
Axillo-inguinal/Inguinal-axillary (AI/IA)
Anterior inter-inguinal (AII)
Where is the axillo-axillary anastomoses (AAA) located?
Between the axillary lymph nodes crossing the sagittal watershed
Where is the anterior inter-inguinal anastomosis located?
Across the mons pubis, between the two iliac crests crossing the sagittal watershed
Where is the axillo-inguinal/inguinal-axillary anastomosis (AI/IA) located?
Between the axillary and inguinal lymph nodes, on the front of the body
Where is the posterior axillo-axillary anastomosis (PAA) located?
Just above T3, between the right and left axillary lymph nodes
Where is the posterior inter-inguinal anastomosis (PII) located?
On the sacrum
How much fluid returns to the right venous angle in 24 hours?
300ml
How much fluid returns to the left venous angle in 24 hours?
2-4 L