Lymphatics Flashcards

(37 cards)

1
Q

What year did Olaf Rudbeck first describe lymphatics as a system?

A

1653

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2
Q

What did AT Still do in 1874?

A

Emphasized that diagnosis of the fascia and treatment of the lymphatic system was vital for maintaining health and treating disease

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3
Q

What did the faculty in Kirksville do in 1898?

A

Faculty used skiagraphy (early form of x-ray) to research the distribution of the vascular and lymphatic systems

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4
Q

What did Frederic Millard do in 1922?

A

Published “Applied Anatomy of the Lymphatics”

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5
Q

What is considered lymphatic tissues/organs?

A

Spleen, liver, thymus, tonsils, appendix, visceral lymphoid tissue, lymph nodes

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6
Q

What is the function of the lymphatic system?

A

Major role in numerous homeostatic mechanisms of the body, including immune, digestive, fluid balance, and waste

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7
Q

When does the lymphatic system begin to develop embryologically?

A

5th week

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8
Q

What parts of the lymphatic system come from mesoderm? Endoderm?

A

Mesoderm: lymphatic vessels, lymph nodes, spleen, myeloid tissue

Endoderm: thymus and parts of the tonsils

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9
Q

When does the lymphoid tissue mature?

A

At puberty, but then slowly regresses until age 15-16 before it becomes stable throughout the adult lifespan

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10
Q

How much fluid moves from the capillaries to the interstitial space each day?

A

30 Liters; 90% to capillaries and 10% to lymphatic system; 1/2 of diffused plasma proteins re-enter system via lymph

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11
Q

Where does lymph go?

A

Tissues that do NOT have lymphatic vessels; epidermis (including hair and nails), endomysium of muscle, cartilage, and bone marrow

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12
Q

What is the path of lymph through the lymphatic vessels?

A

Terminal lymphatics -> collecting vessels -> afferent lymph vessels -> lymph nodes -> efferent lymph vessels -> lymphatic trunks -> thoracic duct or right lymphatic duct -> venous system

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13
Q

What are lymphangions?

A

Muscular units with bicuspid valves that contract regularly throughout the lymphatic system and moving lymph in peristaltic waves

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14
Q

What are afferent or prenodal vessels?

A

Collecting vessels prior to lymph node

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15
Q

What are efferent or postnodal vessels?

A

Collecting vessels draining the lymph node

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16
Q

What is the function of lymph nodes?

A

Filtration of lymph fluid, maturation of lymphocytes, and phagocytosis of bacteria and cellular debris

17
Q

What does the lumbar lymphatic trunk drain?

A

Drains lymph from lower limbs and pelvic organs

18
Q

What does the intestinal lymphatic trunk drain?

A

Drains abdominal viscera

19
Q

What does the bronchomediastinal trunk drain?

A

Drains portions of thorax

20
Q

What does the subclavian trunk drain?

A

Drains upper limbs

21
Q

What does the jugular trunk drain?

A

Drains portions of neck and head

22
Q

What is located at the level of L1-L2?

A

Cisterna chyli; gives rise to thoracic duct and drains lymphatic trunks of lower body

23
Q

Where does the thoracic duct drain to?

A

Left subclavian and left jugular veins

24
Q

Where does the right lymphatic duct drain to?

A

Empties at right subclavian and right internal jugular venous junction

25
What is Virchow's Node? What is it associated with?
Left supra-clavicular lymph node; intra-thoracic/abdominal cancer
26
What are the Epitrochlear Nodes? What are they associated with?
Lymph nodes around the elbow trochlea; associated with secondary syphilis
27
Where is the spleen located? What are its functions? Where is it palpable if something is wrong?
Beneath ribs 9-11 on the left next to diaphragm, normally not palpable; destroys damaged/deformed RBCs, synthesize immunoglobulins, clear bacteria; can be palpable near umbilicus if something is wrong
28
Where is the liver located? What are its functions? Where is it palpable?
RUQ; palpable at right costal margin; forms half of the body's lymph, clears bacteria, and is the "gate-keeper" of the shared hepato-biliary-pancreatic venous and lymphatic drainage
29
What is the relationship between the thoracic and pelvic diaphragms?
Movements should be synchronized to help move fluids from the lower extremities and pelvis to the thoracic duct
30
What are the indications for lymphatic OMT?
Lymphatic congestion manifested as edema, mild CHF, upper/lower respiratory infections, asthma, COPD, ligamentous sprains or muscular strains, acute somatic dysfunction, pregnancy
31
What are the absolute contraindications for lymphatic OMT?
Anuria, necrotizing fasciitis
32
What are the relative contraindications for lymphatic OMT?
COPD (specifically thoracic pump), inability to tolerate excessive preload in CHF patients, acute asthma exacerbation, unstable cardiac conditions, cancer, osseous fracture, bacterial infections, chronic infections, diseased organ, circulatory disorders
33
What are transverse restrictors for the lymphatic system?
Tentorium cerebelli, thoracic inlet, thoracolumbar diaphragm, and pelvic diaphragm
34
What are the transition zones of the spine?
OA/C1/C2, C7/T1, T12/L1, and L5/Sacrum
35
What is the sequence of treatment for lymphatic OMT?
1) Open pathways to remove restriction to flow 2) Maximize diaphragmatic functions 3) Increase pressure differentials or transmit motion 4) Mobilize targeted tissue fluids
36
What are the common and uncommon compensatory patterns?
Common: L/R/L/R Uncommon: R/L/R/L
37
What are the uncompensated patterns?
Examples: L/L/L/L, R/L/L/R, R/R/R/R, L/R/R/L