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CS1 -- Lymph
WVSOM -- CS1: Lymphatics
Question | Answer |
---|---|
What are the 3 main functions of the lymphatic system? | protection, fluid balance, and fat absorption/transport |
What are the two things in the body that do not have lymph vessels? | brain and placenta |
What is the color of lymph fluid? | opalescent and yellow-tinged |
What is the most common WBC in the lymphatic system? | lymphocytes |
Where does the right upper body drain lymph? | right subclavian vein |
Where does the body other than the right upper body drain? | left subclavian vein |
What are the 10 most accessible lymph nodes accessible to inspection and palpation? | occipital, anterior cervical, posterior cervical, submandibular, submental, sublingual, pre and post auricular, supraclavicular, axillary and inguinan/popiteal |
What system overlaps with the lymphatic system? | immune system |
What are the 6 “bad” findings in lymph nodes? | solitary, hard, immobile, large, tender and inflamed |
What is virchow’s node? Left supraclavicular node | |
What does Virchow’s node indicate? | thoracic or abdominal malignancy |
What is a swollen cervical node related to? | sore throat |
What is a swollen submental node related to? | dental abscess |
What is a swollen axillary node related to? | breast CA |
What is a swollen supraclavicular node related to? | abdomen or thoracic cancer |
What is a swollen inguinal node related to? | STD |
What do gereralized swollen lymph nodes related to? | AIDS |
Where is the thymus? | gland located in the superior mediastinum, extendingupward into the lower neck |
What is the function of the thymus? | site of production of T-lymphocytes. |
Why is the thymus important? | essential to the development of protective immune function in early life. |
What happens to the thymus at puberty? | degrades |
Where is the spleen? | left upper quadrant |
What does white pulp of spleen do? | lymphatic nodules and diffuse lymphatic tissue seen around vessels |
What is red pulp? | venous sinusoids in the spleen |
What kind of cells are numerous in the spleen? | blood filtering macrophages |
When does the umbilical cord usually drop of? | 1-2 weeks after birth |
What does it indicate if the umbilical cord does not drop off within 1-2 weeks after birth? | a possible congenital defect |
What should you ask the patient before you palpate for enlarged lymph nodes? | FIRST ask the patient if they have any enlarged lymph nodes. |
What is the order of assessing lymph nodes? | ASK if the patient has enlarged lymph nodes, inspect for enlarged lymph nodes and then palpate for enlarged lymph nodes |
How do you palpate lymph nodes? | press lightly at first and then increase your pressure. |
What should be noted about enlarged lymph nodes?(6) | location, size, shape, consistency, tenderness and movability/fixation |
What are the 2 functional types of lymphcytes? | B Cells and T cells |
What do B cells do? | They are plasma cells and have antibodies |
What are T cells | Kill cells and activate immune response |
Where is the site of the immune response? | Lymph node |
What is the order of lymph vessels from smallest to largest? | capillaries -> veins -> nodes -> ducts |
How is lymph collected? | diffusion |
What are the 6 lymph organs? | lymph nodes, thymus, tonsils, peyer's patches appendix and bone marrow |
What is the function of the lymph node? | Filtering, phagocytosis, activation of immune response |
When do lymph nodes get enlarged? | when workload is increased by infection |
What do swollen nodes indicate? | inflammation, malignancy and infection |
What accounts for 75% of lymphatic drainage? | lymphatic |
Red streaks going up a limb indicate? | infection of the lymph nodes |
What is lymphedema? | obstruction |
What is lymphangtis? | swelling/inflammation along tract that can spill into the blood stream |
What is lymphoma? | neoplasm of the lymph system |
What is primary lymphedema? | agensis, hypoplasia or obstruction |
What is secondary lymphedema? | acquired usually by surgery, tumor or infection |