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PE Skills Exam 3 Lymphatics
Lymphatics
59
Anatomy
Graduate
11/12/2010

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Term
The lymphatic duct drains the ___ ___ ___ and dumps into the ___ ___ ___.
Definition
- right upper trunk
- right subclavian vein
Term
The thoracic duct drains must of the body, except for the right upper trunk, and dumps into the ___ ____ __.
Definition
- left subclavian vein
Term
role of B cells:
Definition
make antibodies
Term
role of helper T cells:
Definition
control B cells
Term
role of cytotoxic T cells:
Definition
patrol and kill infected cells
Term
Anatomical parts of the lymphatic system:
Definition
Lymphatic Fluid
Collecting Ducts
lymphatic trunk-right upper trunk
thoracic duct-rest of body
Lymph Nodes
Lymphocytes
Spleen
Thymus
Tonsils
Adenoids
Peyer patches
Lymphoid tissue in stomach, appendix, bone marrow, lungs
Term
The spleen is important in protecting you from ___ ___ ___, so a person without a spleen needs extra vaccines, especially the pneumococcal vaccine.
Definition
- blood bourne pathogens
Term
The thymus is the sight of _ ___ maturation as a child, but it is nonfunctional as an adult.
Definition
- T-cell
Term
When people reference the adenoids, this is the same thing as the ___ ____.
Definition
pharyngeal tonsils
Term
Peyer's patches are in the ___ ___, especially the ___ ___.
Definition
- small intestine
- terminal ileum
Term
___ ___ collect lymph fluid from lower extrimies and then dumps into the thoracic duct.
Definition
Cisterna chyli
Term
___ vessels enter the lymph node, then the lymph gets filtered through the ____, which contain ____. The lymph then exits through the ___ vessels.
Definition
- Afferent
- sinuses
- macrophages
- efferent
Term
Bone marrow makes ____ cells which can differentiate into ___ ___ cells or ___ ____ ____. The ___ ___ cells differentiate into B cells and T cells, while the ___ ___ cells differentiate into RBCs, eusinophils, neutrophils, etc.
Definition
- bone marrow makes hematopoetic cells
- lymphoid progenitor cells or myeloid progenitor cells
- lymphoid progenitor cells > B cells and T cells
- myeloid progenitor cells> RBCs, eusinophils, etc.
Term
The spleen is made up of __ pulp and ___ pulp. The ___ pulp filters out damaged red blood cells. The ___ pulp contains the T cells and B cells.
Definition
- red pulp and white pulp
- red
white
Term
The spleen is located just below the ___.
Definition
diaphragm
Term
____ tonsils are the ones you can see, and are what people are talking about when they say "tonsils".
Definition
Palatine
Term
Pharyngeal tonsils, aka ____, cause ear infections.
Definition
- adenoids
Term
____ tonsils are low in the oropharynx, and do not get removed when someone has had their tonsils taken out.
Definition
Lingual
Term
Peyer's patches are most prevalent in the ___.
Definition
ileum
Term
Functions of the lymphatic system:
Definition
Protection
Phagocytosis
Fluid balance
Lymphocyte and antibody production
Absorption
Emergency hematopoiesis
Term
Disorders of the lymphatic system present as one of the following:
Definition
- enlarged nodes
- lymmphangitis
- lymphedema
Term
Physical examination of the lymph system icludes inspection and palpation and requires what tools?
Definition
- your eyes
- good lighting
- centimeter rule and marking pencil
Term
An enlarged ____ lymph node is cancer until proven otherwise.
Definition
- supraclavicular
Term
The ____ lymph nodes drain the face and would be enlarged with bacterial conjunctivitis.
Definition
- preauricular
Term
The ____ ___ lymph nodes drain the ear canal, and thus may be enlarged with ear infections.
Definition
- posterior auricular
Term
The ___ lobe gets enlarged with Tenia capitus, aka ring worm of the scalp.
Definition
- occipital
Term
The ___ ___ nodes drain a lot of the neck.
Definition
- posterior cervical
Term
The ____ ___ nodes drain much of the oral pharynx, so a sore throat could cause enlargement of these nodes.
Definition
- anterior cervical
Term
The ___ and ___ nodes drain the tongue, buccal mucosa, and gums.
Definition
- submandibular
- submental
Term
Most breast cancer is in the ___ ____ quadrant so palpate the ___ nodes. It would spread to the ___ nodes.
Definition
- upper outer
- axillary
- supraclavicular
Term
When would the epitrochlear nodes be enlarged?
Definition
with a hand or forearm lesion
Term
With popliteal and inguinal nodes, just remember they drain what is distal to them.
Definition
Term
Common diseases associated with Lymphatic system:
Definition
Acute lymphangitis
Acute lymphadenitis
+/- suppuration
EBV (mononucleosis)
Cat scratch disease
Lymphedema
Elephantiasis
Cystic Hygromas/Lymphangiomas
Term
Acute lymphangitis means:
Definition
inflammation of lymph vessel
Term
Acute lymphadenitis means:
Definition
inflammation of lymph node
Term
Elephantitis is caused by a ____ that lives in the human lymph system, blocking the lymph system, and thus causing edema.
Definition
- parasite
Term
Cat scratch disease:
Definition
- get scratched by a cat and 2-4 weeks later you notice a swollen lymph node
- caused by bacteria cats have
Term
With acute lymphangitis you will notice ___ ____. This can be seen with ___ or ___ infections.
Definition
- red streaks
- strep
- staph
Term
Acute suppurative lymphadenitis, aka ____, is caused by an infected ___ or ___, and will also manifest itself through ___ ___ and _____.
Definition
- Tularemia
- tick or mosquito
- joint pain
- headaches
Term
With both mono and strep you will see a ___ ___.
Definition
- red throat
Term
Differences b/w Mono and Strep:
- With Mono the ___ and ____ ___ lymph nodes are swollen. With strep you just see the ___ ____ nodes swollen.
- With mono you will see more ___.
- Mono will have atypical ____.
- Mono lasts longer.
- Spleen may enlarge with mono.
Definition
- anterior and posterior cervical
- anterior cervical
- exudate
- lymphocytes
Term
Cat Scratch fever is caused by ___ ___ bacteria. With this you will see lymphanopathy ____ to the scratch, the spleen may also enlarge.
Definition
- spartanala hensli
- proximal
Term
Hodgkins and Non-hodgkins lymphomas are ___ of the lymph nodes. Main manifestation of this is:
Definition
- cancer
- rock hard lymph nodes, so never write a lymph node is hard in someone's chart unless it is really really hard
Term
Harder and more discrete lymph node usually indicates ____.
Definition
malignancy
Term
A tender lymph node indicates inflammation, meaning it is probably ___.
Definition
benign
Term
ARTERIES PULSATE, NODES DO NOT, SO IF YOU FEEL A PULSE ITS NOT A NODE.
Definition
Term
A palpable suprclavicular lymph node on the left is often indicative of:
Definition
- thoracic or abdominal malignancy
Term
Slow enlargement over weeks and months probably means it is ____.
Definition
benign
Term
Rapid enlargement without inflammation probably means it is _____.
Definition
malignant
Term
Palpable left supraclavicular node is called a ___ node.
Definition
- Virchow's
Term
Lymphedema is caused by some sort of blockage in the ___ ____. Tissue can get thick and hard. Treatment is ___ by ____.
Definition
- lymph vessel
- compression
- wrapping
Term
Cystic hygromas and lymphangiomas are ____ ____.
Definition
birth defects
Term
The immune system develops at about ___ weeks of gestation.
Definition
20
Term
The thymus is largest relative to body size at ___ and reaches its greatest absolute weight at ____. Then it begins involution and is replaced by fatty tissue.
Definition
birth
puberty
Term
Tonsils are larger in childhood, may not be indicative of disease.
Definition
Term
At age ___ or less, small, discrete, palpable mobile ____, ____, and ____ nodes are common.
Definition
- 2
- inguinal
- occipital
- postauricular
Term
At age ___ or less it is ____ to have cervical or submandibular lymph nodes. These are common in older children.
Definition
- 1
- uncommon
Term
____ is uncommon at any age.
Definition
supraclavicular
Term
Characteristics to document about abnormal lymph nodes:
Definition
Number
Location
Size
Texture
Mobility
Tenderness
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