Lymphatics Flashcards

(40 cards)

1
Q

What type of fluid does the lymphatic system return to the body circulation?

A

Extracellular fluid

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2
Q

What are the 3 types of extracellular fluid?

A
  1. Plasma- colourless fluid that seeps through capillary walls
  2. Interstitial- plasma that circulates among body tissue
  3. Lymph- interstitial fluid drained out of tissue and enters the lymphatic ducts
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3
Q

How does the lymphatic system differ from the circulatory system? (3)

A
  1. Lack of pump
  2. Travel in one direction
  3. Contains lymph nodes
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4
Q

What system does the lymphatic system course along?

A

Circulatory system

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5
Q

What does the lymphatic system contain?

A

Capillaries, vessels, ducts and nodes through out body

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6
Q

What is a capillary?

A

Blind ended structures in the interstitial places, single endothelial layer

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7
Q

What vessels drain into deep lymphatics?

A

Superficial vessels at subcutaneous level

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8
Q

When do the deep vessels pass through the lump nodes?

A

On their way to the chest

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9
Q

When does the lymph re-enter the bloodstream?

A

In the chest

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10
Q

Describe a lymph node

A

Bean-shaped (ovoid) accumulations of lymph tissue scattered along the lymphatic vessel

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11
Q

What is the normal size of a lymph node?

A

1mm to 1-2cm

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12
Q

Does the lymph node have a cortex

A

Connective tissue capsule

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13
Q

Refer to diagram on pg 5 for picture of lymph node

A

Refer to pg 5

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14
Q

Do the afferent vessels enter or exit lymph node?

A

Enter

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15
Q

What is the route the afferent ? take? What do they do?

A
  1. Carry lymph through sinuses
  2. Filter and destroy bacteria and malignant cells
  3. Germinal centers (sponge like centers)
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16
Q

What are the lymph sinuses lined with?

A

Phagocytic cells

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17
Q

What is the job of the germinal centres?

A

Produce lymphocytes

Empty into the lymph prior to leaving the node

18
Q

Do the efferent vessels enter or exit the lymph node?

19
Q

Are lymph nodes the primary site of dx?

20
Q

Where are secondary diseases seen?

A

Within systemic infections and many neoplasms

21
Q

Where are 2 areas of node bearing areas within the retroperitoneum?

A
  1. Iliac and hypogastric region- pelvis

2. Para-aortic- upper retroperitoneum

22
Q

Lymph chains follow the path of what 3 structures?

A
  1. Thoracic aorta
  2. Abdominal aorta
  3. Iliac arteries
23
Q

What other structures contain lymph tissue? (3)

A
  1. Tonsils- protect oral region
  2. Thymus- produce antibodies before puberty and manufacture lymphocytes
  3. Spleen- filter blood and produce lymphocytes
24
Q

Name the groups of nodes and their specific location (4)

A

Axillary- upper limbs
Cervical- neck
Inguinal- lower limbs
Intestinal nodes- digestion

25
What are intestinal nodes known as?
Peyer's patch
26
Are their deep and superficial channels of drainage?
Yes
27
What does the right lymphatic duct drain?
Right upper quadrant
28
What does the left duct (thoracic duct) drain?
Remaining 2/3 of the body
29
Where does the lymph drain into the circulatory system?
At the junction of the jugular and subclavian veins
30
Describe the physiology of lymph
- Extracellular fluid formation - Similar to blood plasma-higher albumin ratio - Low leukocyte count - No erythrocytes - Digestive enzymes
31
Describe lymph flow
- Slow under resting conditions - Depends on kneading action of skeletal muscles - Contains valves in larger vessels
32
What are the functions of the lymphatic system? (4)
1. Phagocytosis 2. Immunity 3. Tissue damage 4. Excretion- absorption and circulation of end products of fat digestion
33
Describe the scanning technique of lymph nodes
Scan midline in spine or decubitus Sagittal or transverse Assess psoas and QL muscles at pelvic areas Gentle pressure to displace bowel
34
What are the common sites of lymph nodes?
- Para-aortic and para-caval (IVC) areas - Mesenteric and celiac areas - Around pancreas - Renal hilum - Porta hepatis Along iliac vessels
35
What is the sonographic appearance of lymph nodes?
Homogenous, low level echos
36
Are abdominal lymph nodes seen?
Rarely seen, unless inflamed | Should be < 1cm AP
37
What can enlarged para-aortic lymph nodes mimic?
Aneurysm
38
What can obscure visualization of abdominal lymph nodes?
Bowel gas
39
Can enlarged lymph nodes surrounding vessels make evaluation of these vessels and bifurcations difficult?
Yes
40
What condition obscure enlarged lymph nodes?
Hydronephrosis