LYMPHATIC DRAINAGE TABLE UW Flashcards

(68 cards)

1
Q

Submandibular (mandibular angle)? area drained

A

oral cavity (Tongue, gum, cheek, lips)

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2
Q

Submandibular? pathology

A

Malignancy of oral cavity (metastasis and turmors), tonsilitis

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3
Q

Deep cervical (sternocleido, accompany internal jugular and carotid)? area drained

A

Lymph fluid drainage of all superficial lymph node groups of the HEAD and NECK + OROPHARYNX
Drain into the right lymphatic duct and thoracic duct

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4
Q

Deep cervical? pathology

A

Upper respiratory tract infections
Infectious mononucleosis
Kawasaki disease
Malignancy of the head, neck, and oropharynx

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5
Q

LEFT Supraclavicular (Virchow nodes)? area drained

A

Left thorax, Lungs, Left upper extremity

Abdomen, Pelvis

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6
Q

LEFT Supraclavicular (Virchow nodes)? pathology

A

Lung carcinoma
Sarcoidosis

+!!!!!
Left supraclavicular lymphadenopathy (Troisier sign) is usually indicative of a possible abdominopelvic malignancy (especially metastatic gastric or pancreatic carcinoma).

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7
Q

RIGHT Supraclavicular? area drained

A

Right supraclavicular nodes drain into the right lymphatic duct and collect:
Neck, Right thorax, Right upper extremity, Right mediastinum, Lungs, Esophagus

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8
Q

RIGHT Supraclavicular? pathology

A

Lung carcinoma

Sarcoidosis

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9
Q

Mediastinal = paratracheal? area

A

Occurs in anterior mediastinum;

Drain structures within the mediastinum (trachea, esophagus, hila of the lungs, heart and pericardium, thymus)

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10
Q

Mediastinal = paratracheal? pathology

A

Mediastinal malignancies: Lung carcinoma; Esophageal carcinoma; Hodgkin lymphoma

Metastatic malignancies (e.g., breast carcinoma, thyroid carcinoma)

Granulomatous pulmonary diseases e.g., tuberculosis (unilateral), sarcoidosis (bilateral), histoplasmosis, pneumoconiosis, mycoplasma

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11
Q

Hilar? area

A

Occurs: Adjacent to main stem bronchus (hila of the lungs)

Drains LUNGS

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12
Q

Hilar? pathology

A

Lung carcinoma

Granulomatous pulmonary diseases e.g., tuberculosis (unilateral), sarcoidosis (bilateral), histoplasmosis, pneumoconiosis, mycoplasma

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13
Q

Where drains mediastinal and hilar lymph nodes?

A

thoracic duct

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14
Q

In sarcoidosis which side of lymph nodes is affected?

A

Sarcoidosis (bilateral hilar)

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15
Q

In TB which side of lymph nodes is affected?

A

Pulmonary TB (unilateral hilar)

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16
Q

Lung carcinoma, sarcoidosis and TB, pneumoconiosis, mycoplasma. What lymph nodes?

A

BOTH MEDIASTINAL AND HILAR

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17
Q

Mestastatic malignancies affect which chest lymphnodes?

A

mediastinal

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18
Q

Supra/Epitrochlear? location ?

A

Subcutaneous fat above medial epicondyle of humerus (∼ 3 cm from elbow)

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19
Q

Supra/Epitrochlear? area drained

A

Ulnar forearm and hand

Drain into the axillary lymph nodes

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20
Q

Supra/Epitrochlear? pathology

A
SECONDARY SYPHILIS
Melanoma
Lymphoproliferative disorders
Infections of hand and forearm
Tularemia
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21
Q

Periumbilical (Sister Mary Joseph node)? location?

A

Grouped around the umbilicus

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22
Q

Periumbilical (Sister Mary Joseph node)? drained area

A

Abdomen and pelvis (umbilical area)

Drain into axillary, inguinal, and para-aortic lymph nodes

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23
Q

Periumbilical (Sister Mary Joseph node)? pathology

A

metastasis of malignant cancer in the abdominopelvic region (e.g., GASTRIC cancer, pancreatic cancer, ovarian cancer)

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24
Q

Celiac? location

A

Around the origin of the celiac trunk

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25
Celiac? area drained
Stomach, UPPER duodenum, pancreas, spleen, liver and biliary tract (foregut)
26
Pre-aortic lymph nodes group? 3
celiac, superior mesenteric, inferior mesenteric
27
Superior mesenteric? location
Around the origin of the superior mesenteric artery
28
Superior mesenteric? area drained
Lower duodenum, small intestine (jejunum, ileum) and colon to the splenic flexure (midgut)
29
Inferior mesenteric? location
Around the origin of the inferior mesenteric artery
30
Inferior mesenteric? area drained
Colon from splenic flexure to the uppermost part of the rectum (hindgut)
31
Where drains all groups of pre-aortic lymph nodes?
Cisterna chyli (via intestinal lymphatic trunk)
32
Pre-aortic lymph nodes. Pathologies?
Infectious focus in the bowel (e.g., appendicitis, colitis, typhoid fever) Mesenteric lymphadenitis Inflammatory bowel disease (e.g., ulcerative colitis) Celiac disease Colon cancer
33
PARA-aortic (lumbar)? location
In front of the lumbar vertebrae near the aorta, around the renal vein
34
PARA-aortic (lumbar)? area drained
Kidneys and suprarenal glands Females: ovaries, uterus, fallopian tubes Males: testes Receive lymph from the common iliac nodes
35
PARA-aortic (lumbar)? pathology
Endometrial cancer Ovarian cancer Testicular cancer METASTASIS
36
PARA-aortic (lumbar)? drains to
Cisterna chyli (via lumbar lymphatic trunk)
37
External iliac? location
Around the external iliac arteries
38
External iliac? area drained
``` Body of the uterus Fundus of the bladder (superior bladder) Cervix Upper third of the vagina Lymph from the deep inguinal nodes ```
39
External iliac? pathology
Sexually transmitted infections (STI) | Metastasis
40
Where drains external and internal iliac?
common iliac lymph nodes
41
Internal iliac? location
Surrounding the internal iliac arteries
42
Internal iliac? drained area
Lower rectum and anal canal (above the dentate line) Bladder (except the fundus) Cervix, lower uterus, and middle third of the vagina Prostate and corpora cavernosum
43
Internal iliac? pathology
Bladder cancer Cervical cancer Prostate cancer Sexually transmitted infections (STI)
44
Common iliac lymph nodes? location
Around the common iliac vessels
45
Common iliac lymph nodes? area drained
Lymph from the internal and external iliac nodes
46
Common iliac lymph nodes? pathology
Metastasis
47
where drains common iliac lymph nodes?
para-aortic
48
Inguinal lymph nodes consist of.....?
superficial and deep inguinal
49
Superficial inguinal? location
Superficial fascia of the thigh in the region of the femoral triangle
50
Superficial inguinal? area drained
from FA: Anal canal (below pectinate line), skin below umbilicus (except popliteal area), scrotum, vulva 1. Horizontal group: Inguinal region Inferior abdominal wall (below the umbilicus) Gluteal region Scrotum, vulva, lower third of the vagina, penis except for the glans Distal anal canal (below the pectinate line) 2. Vertical group: lower limb with the exception of the gluteal region, popliteal area, and the lateral surface of the lower leg Drain into the deep inguinal lymph nodes
51
Superficial inguinal? pathology
STDs (e.g., lymphogranuloma venereum, genital herpes, chancroid, syphilis) Pelvic malignancy (e.g., anal or vulvar cancer) Infection of the lower extremity Melanoma of the lower extremity Medial foot and leg cellulitis
52
Deep inguinal? location
Medial thigh (femoral triangle), parallel to the junction of the great saphenous vein and the femoral vein
53
Deep inguinal? area drained
Lower limbs Glans penis or clitoris Lymph from the superficial inguinal and popliteal lymph nodes Drain into the external iliac lymph nodes
54
Deep inguinal? pathology
STDs Infections of the MEDIAL leg or foot (e.g., cellulitis)!!!!!!!!!! Melanoma
55
Popliteal lymph nodes? area drained
Dorsolateral aspect of the foot and the posterior calf Drain into the deep inguinal lymph nodes
56
Popliteal lymph nodes? patholgoy
Infections of the LATERAL leg or foot (e.g., cellulitis) | Melanoma
57
The testicles, epididymis, and seminal ducts are drained by ,.........
The testicles, epididymis, and seminal ducts are drained by the deep, iliac, and lumbar lymph nodes.
58
What lymph nodes are not palpable?
(CHEST) Paratracheal+mediastinal+hilar (ABDOMEN) celiac, superior and inferior mesenteric +PARAaortic (ILIAC) External and internal
59
What lymph nodes are palpable?
submandibular, cervical, supraclavicular, axilary, epitrochlear, superficial inguinal, periumbilical, popliteal
60
Axillary lymph nodes. Anterior (pectoral) lymph nodes? area drained
Mammary and pectoral regions | Skin region located above the umbilicus
61
Axillary lymph nodes. Central lymph nodes? drained area
Lymph from the anterior, posterior, and lateral axillary lymph nodes Drain into the apical lymph nodes
62
Axillary lymph nodes. Anterior and central PATHOLOGY?
Localized infection in the drainage area (e.g., mastitis) | Breast cancer or metastasis
63
Axillary lymph nodes. Posterior (subscapular) lymph nodes? drained area
Upper back and posterior neck
64
Axillary lymph nodes. Posterior (subscapular) lymph nodes? pathology
Localized infection of the upper extremities/chest wall
65
Axillary lymph nodes. Lateral (brachial) lymph nodes? drained area
Majority of the upper limb
66
Axillary lymph nodes. Lateral (brachial) lymph nodes? pathology
Localized infections of the upper extremities
67
Axillary lymph nodes. Apical (subclavicular aka infraclavicular) lymph nodes? Drained area
Lymph from the central lymph node group Upper outer quadrant of the breast Drain into the right lymphatic duct and thoracic duct
68
Axillary lymph nodes. Apical (subclavicular aka infraclavicular) lymph nodes? Pathology
Localized infection in the drainage area (e.g., mastitis) Breast cancer or metastasis