S1 L2 Cervical Lymph Nodes and Neck Lumps

Question 1

• *Overview of the lymphatic system**
• 3 main roles
• *Lymph nodes**
• when do substances pass through the lymph nodes?
• Role of the lymph nodes (3)

Answer 1

• *Overview of the lymphatic system**
• pic
• *Lymph nodes**
• When do substances pass through the lymph nodes?
• – Physical filter
• – Phagocytic filter
• – Full of lymphocytes (T and B) cells: Activate and proliferate in response to antigens (swell and enlarge)
• Role of the lymph nodes (3)

Question 2

• *Clinical correlates:**
• Lymphoedema
• Lymphadenopathy

Answer 2

- Lymphoedema:
Tissue swelling due to protein with the lymphatic system
- Lymphadenopathy:
Swollen lymph node(s) due to infection or malignancy (primary and secondary)

Question 3

• *Specific regions in the body where collections of lymph nodes may be palpable**
• 3
• *Enlarged lymph node…**
• Name of this…
• Causes of this
• Describe the appearance and feel of the lymph node for each cause

Answer 3

• *Specific regions in the body where collections of lymph nodes may be palpable**
• Cervical, axillary, femoral

Enlarged lymph node…
- Name of this…
Lymphadenopathy
- Causes of this
pic
​- Describe the appearance and feel of the lymph node for each cause
pic

Question 4

• *Organisation of Lymph Nodes - Superficial or Deep**
• Describe location of superficial and deep lymph nodes relative to fascia

Answer 4

Question 5

• *Organisation of Lymph Nodes - Superficial or Deep**
• Superficial lymph nodes is continuous with which type of fascia?
• Deep lymph nodes is continuous with which type of fascia?
• Which structure are deep lymph nodes associated with?
• Drainage?
• Which are more readily palpable?

Answer 5

Question 6

• *Superficial Lymph Node Draining The Face, Scalp and Neck**
• Label diagram (Will help when thinking of the names of the superficial lymph nodes)

Answer 6

Question 7

• *Superficial Lymph Nodes Draining The Face, Scalp and Neck**
• Name the superficial lymph nodes

Answer 7

Question 8

The Superficial Lymph Nodes Draining The Face and Scalp Drain
into Lymph Nodes in the Neck
- Which portions of the face and scalp drain into which lymph nodes?

Answer 8

Question 9

• *Deep lymph nodes of the neck**
• State the names and locations (3)
• Position of two of the three compared to the SCM

Answer 9

Question 10

Which regions will these drain into…

Answer 10

Question 11

• *Waldeyer’s Ring An Annular Collection of Lymphoid Tissue Surrounds the Upper Aerodigestive**
• State the lymphoid tissue in the Waldeyer’s Ring

Answer 11

Question 12

• *Approaching Neck lumps**
• History
• Examination

Answer 12

Question 13

• *Clinical correlates: Possible causes of neck lumps**
• list these

Answer 13

Question 14

• *List neck lumps that you find on the…**
• midline
• lateral

Answer 14

Question 15

Red flags for lymphadenopathy (presenting as a neck lump)

Answer 15

Question 16

Possible cause for the following neck lumps

Answer 16