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Flashcards in Intro to Lymphatics Deck (20):

What parts of the body are drained by the right lymphatic duct? What is drained by the thoracic duct?

Right lymphatic drains right side of head, neck, right upper limb, right side of thorax
Rest is by thoracic duct


What is the name of the bulging of the duct where the thoracic duct begins?

Cysterna chili


When does the thoracic duct cross on its ascent up?

Begins crossing to the eft at T5, reaching left border of esophagus at sternal angle


Which node do the upper limbs converge on?
Which node do the lower limbs converge on?

Upper limbs converge on axillary nodes
Lower limbs converge on inguinal nodes


Where do the efferent vessels from inguinal nodes pass into abdomen and drain into?

External iliac nodes


From what structures do the superficial inguinal nodes receive?

-anterior and posterior surfaces of the trunk below the umbilicus
-the perineum including the lower half of the anal canal, the lower portion of the vagina, and all external genitalia of both sexes (except testes, and except ovaries)
-the superficial lymph vessels of the lower limbs


From what structures do the deep inguinal nodes receive?

Receive all the lymph from the superficial nodes and deep structures of the lower limb


Where does the fluid in the deep inguinal nodes go to?

Ascend through femoral canal and drain into external iliac nodes


What are the final nodes draining the head and neck? Where are they?

Lie along carotid sheath and are the deep cervical nodes


What drains the final nodes located in the carotid sheath?

Jugular trunk


Where does the lymph from lung/pleura, bronchi, trachea, and heart converge? Where does the lymph from these nodes go? Where do they empty from there?

Lymph from these areas converge on the bronchomediastinal lymph nodes
Efferents from these nodes unite into bronchomediastinal trunks
Left jugular, subclavian, and bronchomediastinal trunks empty into thoracic duct
Right jugular, subclavian and bronchomediastinal trunks empty into right lymphatic duct


What is received by the thoracic duct?

Left jugular, subclavian, and bronchomediastinal trunks


What is received by the right lymphatic duct?

right jugular, subclavian, and bronchomediastinal trunks


What are the 3 groups of the pre-aortic nodes?

Celiac nodes (drains foregut)
superior mesenteric node (drains midgut)
inferior mesenteric node (drains hindgut)


What do the efferents from the pre-aortic nodes form? What lymphatic structure does this contribute to?

Intestinal trunk which contributes to the formation of the cysterna chili


What drains into the para-aortic nodes? What do these nodes give rise to?

Drains kidneys, suprarenal glands, and gonads. Upper nodes form the lumbar trunks


What is the first node that ovarian or testicular cancers would travel to?

Para-aortic nodes (lumbar nodes)


What are the two nodes that the breasts drain into

75% of lymph travel to axillary (most pectoral) nodes
Most of remaining lymph drains towards upper abdominal nodes and some goes to opposite breast


Where do the fundus and body of the uterus drain? Where do the lower body and cervix drain to?

Fundus and body drain mostly to lymphatics from uterine tube and ovary passing to lumbar (para-aortic) nodes. Some go to superficial inguinal nodes

Lower body and cervix drain to internal, external, common iliac nodes, and sacral nodes (basically everywhere; common site of carcinoma)


Where does the upper 3/4 of the vagina drain? Bottom 1/4?

Upper 3/4 = internal iliac nodes
Lower 1/4 = superficial inguinal nodes