Lymphedema Flashcards

(38 cards)

1
Q

Lymph structures of the body

A
Vessels
Nodes
Spleen
Thymus gland
Lymphocytes
Peyer's Patch
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2
Q

Peyer’s patch is what

A

A collection of lymphoid tissue around the ilium

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3
Q

Lymph vessels of the small intestine absorb what

A

Fat and proteins

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4
Q

Lymph from the intestines is called

A

Chyle

It is a milky-white in appearance

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5
Q

Lymph vessels occur where

A

throughout the body with a few exceptions

- Bone, Cartilage, CNS

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6
Q

Lymph vessels are

A

Close ended vessels

Follow along with the superficial and deep arterial and venous systems

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7
Q

Lymphatic capillaries to what

A
Procollectos
Collectors
Lymph nodes
Transport vessels (trunks)
Venous system
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8
Q

Lymphatic capillaries are what

A

Overlapping endothelial cells
Only one cell thick
Each cell has an anchoring filament to prevent collapse

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9
Q

Pre-collectors are what

A

Basically a larger lymphatic capillary
Direct fluid into the collectors
Wall structure varies

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10
Q

Collectors are what

A

Larger vessels that are segmented into sections known as lymphangions
Series of tricupsid valves spaced 6 to 20 mm apart
Contractile tissue
6 to 10 contractions/minute pushing fluid

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11
Q

Things that we do to impact the lymph system

A

Breathing
Muscle contraction
Vasomotion (arteries)
External compression

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12
Q

Lymph enters the nodes via ____ and exits via ____

A

Enters via afferent vessels

Exit via the efferent vessel and into a transport vessel

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13
Q

How many lymph nodes

A

about 600-700

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14
Q

Lymph nodes - anatomy

A

Encapsulated, peripheral lymphoid organs
Distributed along the course of lymphatic vessel
Act like a series of filters

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15
Q

Lymphatic trunks/ducts - Trunks are formed by

A

the union of efferent vessels coming from various nodes - empty into ducts

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16
Q

Lymphatic trunks/ducts - muscle layer

17
Q

Lymphatic trunks/ducts - Largest lymph vessel is

A

the thoracic duct which empties into the angle of the left subclavian and internal jugular veins

18
Q

Lymphatic trunks/ducts - Thoracic duct starts at ___

The abdominal portion is __

A

L2

The abdominal portion is the Cisterna Chyli

19
Q

Drainage fields

A

Two of them
Right
Left

20
Q

Right drainage field

A

Right head, face, shoulder, upper quadrant - all flow into right lymphatic duct
This then empties into the subclavian vein

21
Q

Left drainage field

A

Left head, arm, upper quadrant, and both sides of the lower trunk, and both LEs drain into the thoraic duct
This then empties into the left subclavian vein

22
Q

Lymphatic watersheds/Anastamoses

A
Drainage pathways: 
Across sternum
Across scapulae
Axilla to inguinal area B
Across pubic area
Inguinal to inguinal area
Post - along superior gluteal region
23
Q

Function

A

1 Removes excessive fluid from body tissues
2 Lymphoid tissue plays role in acquired immunity
3 With inc interstitial pressure, more valves open and allow fluid to move through the system
4 During inflammation the collecting vessels in the area act very similar to the venous system

24
Q

Lymph load

A
Proteins
Water
Cells
Waste products
Fat
25
Lymphangitis
Inflammation of the lymph vessels
26
Lymphadenitis
Inflammation of lymph nodes
27
Lymphedema
Accumulation of protein and cell rich fluid in various parts of the body related to a lymph system dysfunction
28
Elephantiasis
A chronic infectious condition | end stage of lymphedema
29
Lymphedema - Etiology (primary)
Hereditary Congenital Accounts for 10%
30
Lymphedema - Etiology (secondary)
Most common There is a precipitating cause High output vs. Low output failure
31
Lymphokinetic motion and pressure gradient
Blood capillaries (highest pressure) - interstitial fluid - lymph capillaries - lymph veins - lymph ducts - large circ veins (lowest pressure)
32
Lymph load increase - can be from
Active hyperemia Passive hyperemia Hypoproteinemia
33
Lymph load increase - from active hyperemia
Dilation of pre capillary sphincters | Can happen with heat application, massage
34
Lymph load increase - from passive hyperemia
with venous obstruction, venous HTN, CHF, DVT
35
Lymph load increase - from hypoproteinemia
Dec protein in the blood (can be from liver/renal failure or malnutrition)
36
High output failure
Normal, intact lymph system is overwhelmed by demandNo change in protein component
37
High output failure - Normal lymph system filters
about 10% of the normal fluid flow | System can handle up to 10x that amount
38
Low output failure
Dec ability of the lymph transport system High protein content within interstitial spaces resulting in inc oncotic pressures (moves H20 into tissue) Inc collagen buildup within interstitial spaces Becomes a chronic inflammatory condition