¡GoConqr estrena diseño! Cuéntanos qué te parece.

Mapa mental

Swelling in Neck

Alya Almualla Inglés

Swelling in Neck

Contenido del mapa

Swelling in Neck

  1. Due to

    • Lymphadenopathy
      • Lymph nodes
        • Development
          • Begins at the end of week five
          • Arise as sac-like outgrowth from the endothelium veins
            • Six primary lymph sacs
              • Two jugular
              • Two iliac
              • One retroperitoneal
              • One cisterna chyli
              • Numerous channels connects the sac with each other and drain the lymph
                • Two main channels, the right and left thoracic ducts
                  • Join the jugular sacs with the cisterna chyli
                    • Thoracic duct
                  • Both duct join the venous system
                    • Empty into the junction of internal jugular and subclavian veins
              • Transformed into groups of lymph nodes in early fetal life "third month"
                • Except the upper portion of the cisterna chyli, which persists
                • Surrounding mesenchymal cells
                  • Give rise to the lymph node capsule and the connective tissue framework of the node
                  • Invade each sac
                    • Break it up into lymphatic channels or sinuses
          • Other Lymphatic tissues
            • Spleen
              • Aggregation of mesenchymal cells
            • Palatine tonsils
              • 2nd pair of pharyngeal pouches
            • Tubal (Pharyngotympanic) tonsils
            • Pharyngeal tonsils (Adenoids)
            • Lingual tonsils
              • Aggregations of lymph nodules
            • Lymph nodules in the mucosa
              • Digestive tract
              • Respiratory tract
        • Distribution
          • Interrupt the course of lymphatic vessels
          • Contain elements of body’s defense system
            • Lymphocyte
              • T cell
                • Cell-mediated immunity
                • CD4+ T cells
                  • Helps
                • CD8+ T cell
                  • Kill virus infected cells
                • Delayed cell-mediated hypersensitivity (type IV)
                • Acute and chronic cellular organ rejection
                • Differentiation and maturation in
                  • Thymus
                    • In the anterosuperior mediastinum
                    • Encapsulated
                    • 3rd pharyngeal pouch
                    • Cortex dense with immature cells
                    • Medulla pale with Mature T cells and Hassal corpuscles (Reticular cells)
              • B cell
                • Humoral immunity
                • Recognize antigen
                • Produce antibody
            • Macrophages
          • Accessible to palpation
            • Axilla
            • Groin and femoral region
            • Neck
              • Superficial ring of lymph nodes
                • Drains into
                • Occipital
                • Mastoid
                • Pre-auricular
                • Parotid
                • Submental
                • Submandibular
                • Facial
                  • Maxillary “infraorbital”
                  • Buccinator
                  • Supramandibular
                • Superficial Cervical
                  • Superficial anterior cervical nodes
                    • Collect lymph from the superficial surfaces of the anterior neck
                    • Close to anterior jugular vein
                  • Posterior lateral superficial cervical nodes
                    • Close to external jugular vein
                    • Collect lymph from superficial surfaces of the neck
              • Vertical group of deep lymph nodes
                • Superior deep cervical lymph nodes
                • Inferior deep cervical lymph nodes
                  • Include
                    • Prelaryngeal
                    • Pretracheal and Paratracheal
                    • Retropharyngeal
                    • Infrahyoid
                    • Jugulodigastric and Jugulo-omohyoid
                    • Supraclavicular
          • Not palpable
            • Trachea and bronchi
            • Aorta and its branches
        • Small (0.1-2.5 cm long)
      • Causes
        • Acute infections
        • Chronic infections
          • Cat Scratch Disease
        • Primary or secondary tumors
          • Lymphoma
            • Non-Hodgkin lymphoma (NHL)
              • Diverse group of malignant neoplasms variously derived from
                • B cell progenitors
                • T cell progenitors
                • Mature B cells
                • Mature T cells
                • Rarely natural killer cells
              • Classification
                • Precursor B cell
                • Precursor T cell
                  • Acute lymphoblastic lymphoma
                • Peripheral B cell
                  • Mantle cell lymphoma
                  • Follicular lymphoma
                  • Marginal zone lymphoma
                  • Diffuse large B cell lymphoma
                    • Transform into
                      • By Richter transformation
                  • Burkitt lymphoma
                  • Small lymphocytic lymphoma
                    • Similar to
                      • Chronic lymphocytic leukemia
                • Peripheral T cell
                  • Anaplastic large T cell lymphoma
                  • Peripheral T cell lymphoma
                  • Mycosis fungoides
              • Aggressive
                • Survival rate (1-2 years)
                • Rapid cellular proliferation
                • 60% of NHL
                • Younger patents
                • More B symptoms
                • Short natural history
              • Indolent
                • Slow cellular proliferation
                • 40% of NHL
                • Older patients
                • Few B symptoms
                • Long natural history
                • Survival rate (7 to 10 years)
              • Diagnosis
                • Excisional biopsy
                • Immunohistochemistry
                • Flow cytometry
                • Chromosome changes
              • Staging
                • Blood tests
                • biopsy & aspirate
                  • Types of biopsy
                    • Fine needle aspiration
                    • Core needle biopsy
                    • Excisional biopsy
                  • Bilateral bone
                • Lactic dehydrogenase, beta-2 microglobulin levels
                • Chest x-ray, CT scan
                • PET
                • Lumbar puncture
                  • AIDS NHL
              • Management
                • Chemotherapy
                  • R-CHOP
                  • R-CVP
                  • FCR
                  • DA-EPOCH
                • Follow-up care
                  • Medical history and physical exam
                  • Lab tests
                  • CT scan
            • Risk factors
              • Age & Gender
              • Family history
              • Weakened immune system
              • Exposure to certain chemicals and drugs
              • Race, ethnicity, and geography
              • Infections
                • Epstein-Barr virus (EBV) / mononucleosis
                  • Burkitt lymphoma
                • Human T-cell lymphotropic virus (HTLV-1)
                  • T-cell lymphoma
                • Human herpes virus 8 (HHV-8)
                  • Kaposi sarcoma
            • Hodgkin lymphoma (HL)
              • Classification
                • Classic Hodgkins Lymphoma (cHL)
                  • Nodular Sclerosis type
                  • Mixed cellularity
                  • Lymphocyte Rich
                  • Lymphocyte Depleted
                • Nodular Lymphocyte predominant Hodgkins lymphoma (NLPHL)
        • Autoimmune Diseases

Imágenes y archivos del mapa

  • Swelling in Neck
  • Swelling in Neck
  • Swelling in Neck
  • Swelling in Neck
  • Swelling in Neck

Información

Descripción
Mapa Mental sobre Swelling in Neck, creado por Alya Almualla el 25/03/2019.
Creado por
Alya Almualla
Visitas
10
Valoración

Escríbenos

¿Sobre qué es tu mensaje?

¿Qué te parece el nuevo diseño?

¿Te gusta?