Omm Lymphatics

Front 1

Chest wall and pleura drain to ____________ trunk.

Back 1

Intercostal

Front 2

Thoracic viscera drain to _________ trunk.

Back 2

Mediastinal

Front 3

Legs drain to ________ trunk.

Back 3

External Iliac

Front 4

Pelvis drains to _______ trunk.

Back 4

Internal Iliac

Front 5

Arms drain to __________ trunk.

Back 5

Subclavian

Front 6

Head and neck drain to _____________ trunk.

Back 6

Jugular

Front 7

Liver, spleen, stomach and pancreas drain to ____________ trunk.

Back 7

Gastric

Front 8

blind endothelial tubes?

Back 8

lymph capillaries

Front 9

What is Cysterna Chyli?

Back 9

dilated saccule that marks beginning of the Thoracic Duct

Front 10

Cysterna Chyli receives lymph from what?

Back 10

Lower extremities
Pelvis
Abdomen

Front 11

Thoracic duct receives lymph from what?

Back 11

Cysterna Chyli
Left head and neck
Left arm
Left lung

Front 12

Right Lymph duct receives lymph from where?

Back 12

Right head and neck
Right arm
Right upper thorax
Heart and Pericardium

Front 13

What is the largest lymphatic vessel in the body?

Back 13

Thoracic Duct

Front 14

_____% of all plasma proteins that diffuse out of the vascular system are returned to the circulation via the lymph.

Back 14

50%

Front 15

How much fluid is taken up into the lymph ever
y day?

Back 15

3 Liters fluid daily (10% of the total)

Front 16

Lymph provides the first line of defense ______ the skin.

Back 16

inside

Front 17

What kind of lymph comes from the small intestine after eating a fatty meal?

Back 17

Chyle

Front 18

The ______ in the small intestine absorb long chain fats, chylomicrons, and cholesterol.

Back 18

Lacteals in the villi

Front 19

What is the normal interstitial pressure?

Back 19

-6.3 mm Hg

Front 20

An increase in the ________ pressure will cause flow towards the lymph capillaries.

Back 20

interstitial pressure

Front 21

What is the normal rate of flow for lymph?

Back 21

120 ml/hr

Front 22

What happens when the interstitial pressure is moer than 0.0 mmHg?

Back 22

Lymph stops flowing into the capillaries b/c the lymph capillaries have collapsed. Results in LYMPHEDEMA.

Front 23

Systemic HT has what effect on lymph?

Back 23

increases arterial capillary P, leading to increased interstitial pressure, and then to lymph capillary

Front 24

Cirrhosis of the liver causes plastma protein synthesis to decrease. what effect is there on lymph?

Back 24

decreased plasma colloid osmotic pressure, flow into interstitial. increases intertial pressure, flow into lymph cap.

Front 25

What is an example of plasma hypoalbuminea with starvation?

Back 25

Increased interstitial fluid protein

Front 26

what happens when a section of lymph duct distends?

Back 26

it's smooth muscle contracts, and propells the lymph into the next segment of the vessel

Front 27

How does Capillary Peristalsis happen?

Back 27

via Endothelial cells contractile myoendothelial fibrils. creates a slight degree of suction

Front 28

Lymphatic vessels have an intrinsic rate of ___________seconds per cycle.

Back 28

6-8 seconds per cycle

Front 29

What is the rate of lymph per minute?

Back 29

7.5 to 10 cycles per min.

Front 30

What problems do paraplegics have with lymph?

Back 30

develop peripheral edema due to the lack of muscle contraction and thus have no muscle pump to help move lymph along

Front 31

What is the "lymph heart"?

Back 31

Diaphragm

Front 32

Contraction of the Diaphragmatic Crura exert a pumping action on ______________.

Back 32

Cysterna Chyli

Front 33

what muscle promotes negative pressures within the thoracic cavity and positive pressures in the abdomen?

Back 33

diaphragm

Front 34

what are 5 diaphragms in the body?

Back 34

1) Tentorium Cerebelli and Diaphragma Sella
2) Sibson's Fascia
3) Respiratory Diaphragm
4) Pelvic Floor
5) Knees, arches of the foot?

Front 35

What kind of somatic dysfunction could cause restriction of the respiratory diaphram?

Back 35

L1-3, Ribs 6-12, Xiphisternal Joint, somatosomatic reflex of C3-5

Front 36

What is the first step for trx of Lymph problems?

Back 36

thoracic inlet!!!!!!

Front 37

How do you tx a respiratory diaphragm prob?

Back 37

1. correct spinal curve problems
2. Correct somatic dysfxns (L1-3, Ribs 6-12, C3-5)
3. Redome the diaphragm

Front 38

What would you do to correct lymph of the pelvic floor?

Back 38

1. correct innominate dysfxn
2. correct sacral
3. correct pubic symphysis
4. use ischiorectal fossa release on hypertonic or scarred musculature

Front 39

what are 2 indications for lymphatic approach to tx?

Back 39

1. Edema
2. Infxn

Front 40

What are relative contraindication for lymph tx in general?

Back 40

1. acute osseous fracture b/c embolism
2. fever over 102
3. Early stages of cancer (metastic spread)
4. Kidney failure (cause CHF or pulmonary edema)

Front 41

What is thought to decrease the deterioration of NK cell activity during radiation therapy?

Back 41

Light pressure effleurage massage

Front 42

What has a short term improvement on Natural Killer cell activity?

Back 42

Light pressure effleurage massage

Front 43

What is the lymphatic approach to oMM?

Back 43

1. remove obstrxns to lymph flow
2. provide free motion of all diaphragms and rib cage
3. apply external lymph pump techniques
4. apply effleurage tech.

Front 44

What OMM tx is thought to increase basophils?

Back 44

pectoral traction for 3 min.
and splenic pump for 1 min.

Front 45

Thoracic pump, abdominal pump, and exercise all had an efect on the_____________.

Back 45

thoracic duct flow. exercise is best

Front 46

What OMM trx increases mobilization of leukocytes?

Back 46

Abdominal Pump technique