*5 - Lymphatics

Front 1

what are the 2 major ducts of the lymphatic system?

Back 1

the thoracic duct on the left and the right lymphatic duct

Front 2

name to 5 major lymphatic trunks superior to inferior.

Back 2

jugular
subclavian
bronchomediastinal
intestinal
lumbar

Front 3

5 major lymph trunks:

_____________ drains the head and neck region. Where does it drain to? right and left?

Back 3

jugular trunk drains head and neck

R: right lymphatic duct
L: thoracic duct

Front 4

5 major lymph trunks:

_____________ drains the upper limbs. Where does it drain to? right and left?

Back 4

the subclavian trunk drains the UEs

R: right lymphatic duct
L: thoracic duct

Front 5

5 major lymph trunks:

_____________ drains the thorax. Where does it drain to? right and left?

Back 5

Bronchomediastinal trunk drains the thorax

R: right lymphatic duct
L: thoracic duct

Front 6

5 major lymph trunks:

_____________ drains the abdominal viscera. Where does it drain to? right and left?

Back 6

the intestinal trunk drains the abdominal viscera

R and L go to cisterna chyli and then to THORACIC duct

Front 7

5 major lymph trunks:

_____________ drains the abdominal wall, pelvic viscera and LEs. Where does it drain to? right and left?

Back 7

lumbar trunk

R & L do to cisterna chyli and then to THORACIC DUCT

Front 8

which 2 of the 5 main lymphatic trunks do NOT drain to the R lymphatic duct? which 3 of the 5 drain to either the right or left?

Back 8

only to thoracic duct via the cisterna chyli = intestinal and lumbar trunks

to R lymphatic OR thoracic duct = jugular, subclavian, bronchomediastinal trunks

Front 9

drainage vessels of the UE are located either superficially (and follow ________) or deep (and follow ________)

Back 9

sup= vv
deep= aa

Front 10

superficial drainage to the UE:

lateral drainage goes to the ________ nodes then to the apical nodes

Back 10

deltopectoral (follows cephalic v.) ---> apical --> subclavian trunk --> duct

Front 11

superficial drainage to the UE:

along the median part of the arm, the lymph drains to the _____________ nodes

Back 11

lateral axilllary nodes --->apical nodes ---> subclavian trunk --> duct

Front 12

superficial drainage to the UE:

the medial aspect of the UE drains 1st to the ___________ (cubital) nodes and then to ___________

Back 12

supratrochlear (medial compared to capitulum) ---> lateral exillary ---> apical --> subclavian trunk --> duct

Front 13

the deep drainage of the UE goes directly to the ___________

Back 13

lateral axillary nodes

Front 14

name the 5 nodes of the axilla

Back 14

1) pectoral
2) subscapular
3) central
4) lateral
5) apical

Front 15

nodes of the axilla:

the ___________ nodes drain the upper limbs

Back 15

the lateral axillary nodes

Front 16

nodes of the axilla:

the __________ nodes drain the anterior thoracic wall

Back 16

pectoral nodes

Front 17

nodes of the axilla:

the __________ nodes drain the posterior thoracic wall

Back 17

subscapular nodes

Front 18

nodes of the axilla:

the __________ nodes drain the base of the axilla and the lateral, pectoral, and subscapular nodes

Back 18

central nodes

Front 19

nodes of the axilla:

the __________ nodes drain all other axillary nodes

Back 19

apical nodes

Front 20

T/F:

the axillary nodes can drain to the central nodes then to the apical, or they can bypass the central and go straight to the apical nodes

Back 20

TRUE

Front 21

the efferent vessels of the apical nodes unite to form the

Back 21

subclavian trunk

Front 22

drainage of anterior thoracic and abdominal walls:

what makes the division? above this where do they drain? below this?

Back 22

the umbilicus makes the division

above: pectoral nodes (then to apical nodes ---> Subcl trunk)
below: superficial inguinal nodes

Front 23

drainage of posterior thoracic and abdominal walls:

what makes the division? above this where do they drain? below this?

Back 23

the umbilicus makes the division

above: subscapular axillary nodes
below: superficial inguinal nodes

Front 24

name the 3 nodes that drain the deep thoracic wall:

Back 24

1) parasternal nodes
2) intercostal nodes
3) diaphragmatic nodes

Front 25

the following describes the ______ nodes that drain the deep thoracic wall:

-Afferent: breast, deep surface of anterior abdominal wall and anterior thoracic wall, anterior and lateral diaphragm, anterior diaphragmatic surface of the liver

Back 25

parasternal nodes

Front 26

what is the efferent component of the parasternal nodes?

Back 26

parasternal --> bronchomediastinal nodes

Front 27

the following describes the ______ nodes that drain the deep thoracic wall:

afferent: intercostal spaces
efferent: superiorly = bronchomediastinal trunk (--> L/R)
or inferiorly = thoracic duct (<---L/R)

Back 27

intercostal nodes

Front 28

the following describes the ______ nodes that drain the deep thoracic wall:

Afferent: thoracic surface of diaphragm, anterior diaphragmatic surface of the liver

Back 28

Diaphragmatic nodes

Front 29

where do the diaphragmatic nodes course to (efferent)
anteriorly:
posteriorly:
laterally:

Back 29

ant: parasternal nodes
posteriorly: posterior mediastinal nodes
laterally: parasternal, brachiocephalic and posterior medistinal nodes (--> thoracic duct)

Front 30

thoracic contents:

____________ nodes:
afferent: thyroid, pericardium, heart (right portion), and lateral diaphragmatic region
efferent: bronchomediastinal trunk

Back 30

brachiocephalic lymph nodes

(lie on top of brachiocephalic vv)

Front 31

thoracic contents:

____________ nodes:

afferent: posterior mediastinum, posterior and leteral diaphragm (thoracic surface), bare area and posterior surface of liver
efferent: thoracic duct

Back 31

posterior mediastinal nodes

Front 32

the liver's ________ __________ drains to the posterior mediastinal nodes

Back 32

bare area

Front 33

the right side of the heart drains to the _____________ nodes

the left side of the heart drains to the ___________ nodes

Back 33

R: brachiocephalic nodes

L: inferior tracheobronchial nodes (then to R side)

Front 34

tracheobronchial nodes:

name the 5 nodes that fall into this category

Back 34

pulmonary nodes, bronchopulmonary (hilar) nodes, inferior tracheobronchial (subcarinal) nodes, superior tracheobronchial nodes, (para)tracheal nodes

Front 35

trace drainage from RUL & RML to duct

Back 35

RUL & RML:
pulmonary --> bronchopulmonary --> superior tracheobronchial --> tracheal nodes --> R lymphatic duct

Front 36

trace drainage from LUL to duct

Back 36

LUL:
pulmonary --> bronchopulmonary --> superior tracheobronchial --> tracheal --> Thoracic duct

Front 37

trace drainage from LLL to duct

Back 37

LLL:
inferior tracheobronchial lymph node --> R superior tracheobronchial --> tracheal --> R lymphatic duct

Front 38

trace drainage from RLL to duct

Back 38

inferior tracheobronchial lymph nodes --> superior tracheobronchial --> tracheal --> R lymphatic duct

Front 39

what lobe of the lung drains to the thoracic duct

Back 39

LUL

Front 40

besides the lower lungs, the ________ can also drain into the inferior tracheobroncial nodes

Back 40

the left side of the heart

Front 41

major drainage of breast:

Back 41

pectoral axillary nodes

Front 42

3 minor areas of drainage of breast:
-medially:
-superiorly:
-inferiorly:

Back 42

-medially: parasternal nodes --> opposite breast
-superiorly: apical nodes (--> R/L subclavian trunk)
-inferiorly: abdominal (inferior phenic --> celiac) nodes

Front 43

T/F:

some drainage from the breast can go into the intercostal nodes

Back 43

TRUE

Front 44

Abdominal cavity:

2 groups:
1) drains the GI viscera= ______
2) drains pelvic viscera, kidneys, adrenals, and posterior abdominal wall= __________

Back 44

1) preaotric nodes
2) lateral aortic nodes

Front 45

name the 3 main preaortic nodes

Back 45

1) celiac nodes
2) superior mesenteric nodes
3) inferior mesenteric nodes

Front 46

preaortic nodes of abdominal cavity:

the __________ nodes receive drainage from hepatic nodes, left gastric, right gastric, gastroepiploic, pyloric and pancreaticosplenic nodes

Back 46

celiac nodes

Front 47

name the 3 paths of drainage that the liver can take:

1) barearea =
2) diaphragmatic surface=
3) majority of liver=

Back 47

1) posterior mediastinal nodes
2) parasternal nodes
3) hepatic --> celiac --> intestinal trunk --> cisterna chyli --> thoracic duct

Front 48

preaortic nodes of abdominal cavity:

the ___________nodes:
afferent: abdominal esophagus, stomach, duodenum, pancreas, liver, gallbladder

Back 48

celiac nodes

Front 49

where do the celiac nodes drain to?

Back 49

celiac--> intestinal trunk --> cisterna chyli

Front 50

preaortic nodes of abdominal cavity:

_____________ nodes:
afferent: distal duodenum, small intestine, ascending and proximal 2/3 transverse colon, appendix

Back 50

superior mesenteric nodes

Front 51

preaortic nodes of abdominal cavity:

where do the superior mesenteric nodes drain to?

Back 51

SM nodes--> intestinal trunk --> cisterna chyli

Front 52

preaortic nodes of abdominal cavity:

______________ nodes
affernt: distal 1/3 of transverse colon, descending and sigmoid colon, upper rectum

Back 52

inferior mesenteric nodes

Front 53

preaortic nodes of abdominal cavity:

where do the inferior mesenteric nodes drain to?

Back 53

IM nodes--> intestinal trunk --> cisterna chyli

Front 54

name the 4 l sets of lateral aortic nodes of abdominal cavity

Back 54

1) lumbar nodes
2) common iliac nodes
3) external iliac nodes
4) internal iliac nodes

Front 55

Lateral aortic nodes of abdominal cavity:

____________ nodes
afferent: kidney, adrenal glands, testes, ovaries, superiro part of uterus, posterior abdominal wall

Back 55

lumbar nodes

Front 56

Lateral aortic nodes of abdominal cavity:

where do the lumbar nodes drain to?

Back 56

the lumbar trunk --> cisterna chyli

Front 57

Lateral aortic nodes of abdominal cavity:

_____________ nodes
afferent: ext and int iliac nodes

Back 57

common iliac nodes

Front 58

Lateral aortic nodes of abdominal cavity:

where do the common iliac nodes drain?

Back 58

lumbar trunk --> cisterna chyli

Front 59

Lateral aortic nodes of abdominal cavity:

_____________ nodes
-receive drainage from deep inguinal nodes
-afferent: urinary bladder, cervix of uterus, superior portion of vagina, and glans, ductus deferens, seminal vesicles

Back 59

external iliac nodes

Front 60

Lateral aortic nodes of abdominal cavity:

where do the external iliac nodes drain to?

Back 60

the common iliac nodes

Front 61

Lateral aortic nodes of abdominal cavity:

_______________ nodes
afferent: urinary bladder, cervix of uterus, superior portion of vagina, perineum, prostate, shaft of penis, and lower rectum

Back 61

internal iliac nodes

Front 62

Lateral aortic nodes of abdominal cavity:

where do the internal iliac nodes drain?

Back 62

common iliac nodes

Front 63

drainage of MALE reproductive sys:

testes?

Back 63

lumbar nodes

Front 64

drainage of MALE reproductive sys:

scrotum and skin of the penis?

Back 64

superficial inguinal nodes

Front 65

drainage of MALE reproductive sys:

prostate and shaft of the penis?

Back 65

internal iliac nodes

Front 66

drainage of MALE reproductive sys:

glans of the penis?

Back 66

deep inguinal and external iliac nodes

Front 67

name the drainage of each of the components of the male reproductive system:

1) scrotum and skin of the penis
2) testes
3) shaft of penis and prostate
4) glans of penis

Back 67

1) superficial inguinal nodes
2) lumbar nodes
3) internal iliac nodes
4) deep inguinal and external iliac nodes

Front 68

drainage of FEMALE reproductive sys:

ovaries?

Back 68

lumbar nodes (like testes)

Front 69

ovaries and testes drain to ___________ nodes

Back 69

lumbar nodes

Front 70

the uterus' 3 division drain to what nodes?

1) superior body and uterine tube
2) inferior body
3) cervix

Back 70

1) lumbar nodes
2) external iliac nodes
3) external and internal iliac nodes

Front 71

drainage of FEMALE reproductive sys:

name the drainage of the following components of the vagina
1) superior portion
2) middle portion
3) inferior portion

Back 71

1) sup: external and internal iliac nodes
2) mid: internal iliac nodes
3) inf (near vaginal orifice): superficial inguinal nodes

Front 72

Lymphatic drainage of the lower extremity:

name the 3 main drains

Back 72

1) superficial inguinal nodes
2) deep inguinal nodes
3) popliteal

Front 73

Lymphatic drainage of the lower extremity:

___________________ nodes:
afferent: superficial lower limb (except posterolater leg, knee, and foot)

Back 73

superficial inguinal nodes

Front 74

Lymphatic drainage of the lower extremity:

where do the superficial inguinal nodes drain?

Back 74

to the deep inguinal nodes

Front 75

Lymphatic drainage of the lower extremity:

____________________ nodes:
afferent:deep portion of the thigh

Back 75

deep inguinal nodes

Front 76

Lymphatic drainage of the lower extremity:

where do the deep inguinal nodes drain?

Back 76

to the external iliac nodes

Front 77

Lymphatic drainage of the lower extremity:

_______________ nodes
afferent: deep portion of leg and foot, superficial portion of posterolateral aspect of leg, knee, and foot

Back 77

popliteal nodes

Front 78

Lymphatic drainage of the lower extremity:

where do the popliteal nodes drain?

Back 78

deep inguinal nodes

Front 79

Lymphatic drainage of the lower extremity:

the ___________ and ____________ nodes drain to the deep inguinal nodes

Back 79

popliteal nodes and superficial inguinal nodes

Front 80

trace drainage from scrotum

Back 80

superficial inguinal --> deep inguinal --> external iliac --> common iliac --> lumbar trunk --> cisterna chyli

Front 81

trace drainage from superior portion of vagina

Back 81

external and internal iliacs --> common iliac --> lumbar trunk --> cisterna chyli