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| | Cerfolio - Ligation of the Thoracic Duct for Chylothorax |
 | | This can be helpful in delineating the anatomy of the thoracic duct, which is aberrant in almost 40% of patients. | | | Technique for suturing a thoracic duct injury using pledgets for reinforcement. | | | If the leak is high in the chest, simple ligation of the main duct at the level of the hiatus via a laparotomy may not be sufficient and the fistulous effusion may continue. |
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http://www.ctsnet.org/doc/6418
(1828 words)
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| | Bioline International Official Site (site up-dated regularly) |
| | Thoracic duct injury is a rare but serious complication following chest surgeries and major neck dissections with high mortality in untreated patients. | | | Use of video-assisted thoracic surgery in the treatment of chylothorax. | | | Based on the reported experience with VATS thoracic duct ligation and review of the problems and outcome of conservative management, we feel that the guidelines regarding timing of surgery in patients with chylous leak need revision. |
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http://www.bioline.org.br/request?jp04015
(1737 words)
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| | [No title] |
| | The right lymphatic duct drains the right side of the head and neck, the right arm, lung, chest, a good part of the left lung, and the heart, and terminates in the right innominate vein at the junction of the right subclavian and right internal jugular veins. | | | There is no universal consensus for the appropriate time for consideration of reoperation on patients with thoracic duct fistula. | | | Holding early postoperative feeding in patients with known thoracic duct injuries repaired in the OR has been advocated to help prevent the occurrence of chylous fistula. |
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http://www.bcm.edu/oto/grand/12893.html
(2370 words)
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| | Oncology Nursing Society. |
| | When the thoracic duct is injured, the increase in the volume of chest tube fluid is explained by the large quantity of chyle, which could range from 1,500-2,500 ml/day in response to the fat content in a patient's diet. | | | Because of this variability, all patients who have any type of thoracic procedure are at increased risk of having a thoracic duct injury, and, consequently, are at heightened risk for a chylous leak (DeMeester & LaFontaine, 1983). | | | Journal of Thoracic and Cardiovascular Surgery, 112, 1361-1366. |
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http://www.ons.org/publications/journals/CJON/Volume5/Issue3/0503113.asp
(2636 words)
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| | [No title] |
| | Thoracic duct-anterior aspect of the bodies of T6-T12. | | | May be removed by needle tap or thoracocentesis, may be necessary to ligate thoracic duct. | | | Connected to spinal nerves, limited to spinal cord segments btwn T1 and L2 thoracic splanchnic nerves: all three splanchnic nerves are part of abdominopelvic splanchnic nerves b/c supply viscera inferior to diaphragm. |
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http://www.med.unc.edu/wms/firstaid/ga2-Session12b-02.doc
(1288 words)
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| | Early American Manual Therapy |
| | The subclavian muscle may be in a state of tension from a subluxated clavicle or through disturbed innervation of the muscle. | | | The lessening of pectoral muscle tension and correction of costal lesions, as well as cervical and upper thoracic lesions, to insure normal nerve tone, will be the more important. | | | This drooping of the chest not only affects the intercostal lymph vessels but retards the flow of lymph in the thoracic duct and mediastinal nodes. |
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http://www.meridianinstitute.com/eamt/files/millard/millch4.html
(6069 words)
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| | Chylothorax in Dogs and Cats |
| | There does not seem to be a gender predisposition for the development of chylous effusion in cats or dogs. | | | Diagnosis is made based on physical examination, clinical signs, thoracic radiographs, and pleural fluid analysis. | | | Positive contrast mesenteric lymphangiography is useful to determine lymphatic anatomy and post-ligation success. |
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http://www.vet.uga.edu/vpp/CLERK/Rockwell
(2108 words)
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| | SSAT - 1997 Abstract: 79 Bacterial translocation via the thoracic duct in a porcine model of hepatic ... |
| | It is very important that you consult a doctor about any specific medical problem or question. | | | The incidence of positive systemic blood cultures was significantly increased 4 hrs after reperfusion (4/5 pigs compared to 0/5 pigs at preischemia, p< 0.05). | | | Portal and systemic blood endotoxin levels did not increase significantly during the experiment. |
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http://www.ssat.com/cgi-bin/abstracts/97ddw/ddw79.cgi?affiliation=
(563 words)
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| | Chylothorax - PetPlace.com |
| | The thoracic duct is a lymphatic vessel that carries chyle from the intestines and into the chest where it empties into the bloodstream. | | | Chylothorax associated with trauma usually has a good prognosis as the thoracic duct heals fairly quickly on its own without surgery. | | | As with mediastinal masses, new lymphatics form and these new vessels simply leak chyle into the chest cavity. |
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http://www.petplace.com/articles/artShow.asp?artID=120&conID=13363
(577 words)
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| | Veterinary Surgical Specialists - Chylothorax |
| | The surgical procedure entails mesenteric lymphangiography for thoracic duct identification, followed by duct ligation. | | | Medium chain triglycerides actually do not bypass the thoracic duct in dogs, therefore they may not improve medical management. | | | HISTORY: Progressive onset of dyspnea and exercise intolerance for the past 8 weeks. |
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http://www.vssoc.com/chylous.html
(326 words)
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| | CHEST: Thoracoscopic ligation of a thoracic duct leakage |
| | The experience in our patient shows that ligation of a leaking thoracic duct is among them. | | | Pleural effusion has not recurred and the patient is well with an almost normal chest radiograph a pulmonary function at latest follow-up. | | | In accordance with our experience, both report simple identification of the exact site of the leak, and both report success, although the techniques of closure have been different. |
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http://www.findarticles.com/p/articles/mi_m0984/is_n4_v106/ai_15842407
(857 words)
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| | August issue.indd |
| | Chylopericardium is most commonly seen as a consequence of thoracic and cardiac surgery and in association with congenital lymphangiomatosis. | | | A 25 year male was found at a routine preemployment medical assessment to have cardiomegaly on a chest radiograph. | | | The most effective treatment is surgical with ligation of the thoracic duct above the diaphragm and creation of a pericardial window |
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http://www.rcsed.ac.uk/journal/svol1_4/10400007.html
(1439 words)
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| | eMedicine - Chylothorax : Article by Rosemary Kozar, MD, PhD |
| | Lymphangiography is useful when the anatomy of the thoracic duct needs to be defined preoperatively or when the site of the leak is not clinically obvious. | | | Surgical Care: The timing of surgical management is controversial and depends on the etiology of the chylothorax and the patient's overall condition. | | | Medicine is a constantly changing science and not all therapies are clearly established. |
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http://www.emedicine.com/med/topic381.htm
(1396 words)
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| | Thoracic duct - Wikipedia, the free encyclopedia |
| | In human anatomy, the thoracic duct is an important part of the lymphatic system — it is the largest lymphatic vessel in the body. | | | It collects most of the lymph in the body (except that from the right arm and the right side of the chest, neck and head, which is collected by the right lymphatic duct) and drains into the systemic (blood) circulation. | | | It extends vertically in the chest and curves posteriorly to the left carotid artery and left jugular vein to empty into the junction of the left subclavian vein and left jugular vein, near the shoulders. |
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http://en.wikipedia.org/wiki/Thoracic_duct
(289 words)
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| | [No title] |
| | The main lymph duct in the chest is called the thoracic duct. | | | Rupture of the thoracic duct can result in as much as 6 ounces of chyle accumulating in the chest over 24 hours. | | | Rarely will chylothorax clear up with only medical treatment. |
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http://www.waterlooanimalhospital.com/Library/AVSArticles/K6B.txt
(203 words)
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| | Chylothorax - WSAVA 2002 |
| | Additionally, some animals may form collateral lymphatics past the site of the ligature and thus reestablish thoracic duct flow. | | | The advantage of using hemoclips is that they can be used as a reference point on subsequent radiographs if further ligation is necessary. | | | Omentalization has been advocated as a treatment of chylothorax. |
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http://www.vin.com/proceedings/Proceedings.plx?CID=WSAVA2002&PID=2694
(1839 words)
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| | Dictionary explaining the words Lymphangioma, Pleurodesis |
| | The thoracic duct is the channel for the collection of lymph from the portion of the body below the diaphragm and from the left side of the body above the diaphragm. | | | Pull the chest tube once the drainage is less tha 150 ml in 24 hours. | | | Port-A-Cath is a device that is used to make administration of chemotherapy easier. |
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http://www.gorhams.dk/html/dictionary.html
(1105 words)
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| | thoracic duct (anatomy) - General Practice Notebook |
| | The thoracic duct is the main lymphatic channel of the body that drains to the venous system from the whole of the body except the: | | | At this point, the aorta lies anteriorly and posteriorly is the anterior longitudinal ligament of the vertebral bodies. | | | Superiorly, within the neck the thoracic duct passes laterally to arch over the dome of the right pleura. |
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http://www.gpnotebook.co.uk/medwebpage.cfm?ID=-1341784004
(333 words)
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| | Early American Manual Therapy |
| | An increased lymph transudation may produce no lymph oedema as the lymph channel anastomoses may transport the excess of lymph sufficiently rapid to equalize the lymph circulation. | | | Lymphatic vessels arise from intercellular spaces, however, especially from immediately beneath free surfaces as skin serosa, mucosa. | | | The thoracic duct in the region of the neck possesses a dilatation which may be termed the "cervical dilatation" or cisterna lymphatica cervicis. |
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http://www.meridianinstitute.com/eamt/files/robinson/Rob1ch38.htm
(9647 words)
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| | Chylothorax Trial |
| | The purpose of this sponsored clinical trial is to evaluate each of these procedures to determine if they offer an improvement over the current standard of therapy (thoracic duct ligation alone) and if either procedure may be superior and hence provide a new standard of treatment for chylothorax. | | | This study confirmed the hypothesis that CCA would promote new lymphatic drainage channels and provided us with information which has allowed us to further refine the procedure, changes which may enhance its effectiveness even more. | | | After that point, it becomes necessary to examine the impact of the treatment in a controlled rigorous manner in the patient population that presents with the spontaneous disease. |
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http://www.vetmed.wisc.edu/dss/ChyloThoraxTrial/page2.php
(765 words)
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| | CHEST: Mediastinal Thoracic Duct Cyst - ) |
| | Common therapy of thoracic duct cyst is surgical resection. | | | Thoracic duct cyst causing mediastinal compression and acute respiratory insufficiency. | | | The patient was discharged on the 20th postoperative day and had no symptoms 8 months later. |
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http://www.findarticles.com/p/articles/mi_m0984/is_2_115/ai_53979332
(1190 words)
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| | Clinical Case - Posterior Mediastinum |
| | Given the location of the surgical procedure - dissection of the left neck - there is a danger of injuring the thoracic duct or its major tributaries, particularly the jugular trunk found within the neck. | | | The thoracic duct begins at the cisterna chyli in the abdomen and extends cranially on the anterior surface of the vertebral bodies. | | | The plan for management includes contacting the thoracic surgery team and replacing the patient's lost fluid volume. |
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http://www.med.umich.edu/lrc/coursepages/M1/anatomy/html/cardiovascular_system/post_med_case.html
(426 words)
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| | Usmle step 1 pearls |
| | between the esophagus anteriorly and the thoracic vertebral bodies posteriorly | | | on the thoracic surface of the respiratory diaphragm | | | anterolateral thoracic wall and muscles; most of the mammary gland |
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http://www.angelfire.com/md3/surgicalanatomy/Usmlestep1pearls.htm
(4049 words)
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| | [No title] |
| | During surgery on the left side of the neck, the thoracic duct is in the way. | | | (Rare to see in the cadaver) The thoracic duct passes through the diaphragm into the chest, lies between the azygos vein and the descending aorta, and dumps into the left brachiocephalic vein. | | | Thoracic Duct drains everything below diaphragm *exception: The topmost parts of the stomach and topmost parts of the liver send vessels through the diaphragm to eventually reach the Bronchomediastinal Trunk Clinical Sidelights Crisscrossing of lymph nodes occurs between the most medial Axillary Nodes and the most inferior Deep Cervical Node. |
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http://www.uhmc.sunysb.edu/som/students/2003/Lectures/body08.doc
(1274 words)
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| | [No title] |
| | The greater thoracic splanchnic nerve arises from the | | | No, the answer is E. The right lymphatic duct drains lymph from the upper right side of the body while the thoracic duct drains lymph from the rest of the body. | | | All of the above contribute to the esophageal plexus. |
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http://www.kumc.edu/research/medicine/pharmacology/CAI/webCAI/anatomy/tk05.wbc
(352 words)
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| | BIOL 231 Lecture Outline |
| | The RIGHT LYMPHATIC DUCT drains lymph from the right arm and shoulder and the right side of the head, neck, chest, and thoracic cavity (see also the right-hand figure in FIG. | | | The THORACIC DUCT receives lymph from the rest of the body and is much larger than the right lymphatic duct. | | | As the thoracic duct runs up along the anterior surface of the vertebral column, it receives lymphatic drainage from the left side of the thoracic cavity, left arm, and left side of the head and neck. |
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http://people.morehead-st.edu/fs/m.mcmurr/231-L17.html
(1777 words)
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| | Dendritic Cells in Thoracic Duct Lymph: Discovered in 1979 |
| | Characterization of nonlymphoid cells derived from rat peripheral lymph. | | | Effect of immunological adjuvants on the appearance of monocyte and dendritic cell precursors in rat thoracic duct lymph. | | | Presence of lymphoid dendritic cells in thoracic duct lymph from Lewis rats. |
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http://www.geocities.com/artnscience/Dendritic_Cells
(590 words)
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| | Thoracic Duct |
| | Address comments by email to: Dr R.A Smith or Dr S MacKay | | | It is the common trunk of the lymphatic vessels of the body, excepting those of the right side of the head, neck and thorax, and right upper extremity, the right lung, right side of the heart, and the convex surface of the liver. | | | The liver is also shown at the bottom of the image. |
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http://www.hunterian.gla.ac.uk/Archives/OldSite2001/Anatomy/thoracic.htm
(251 words)
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| | Thoracic Duct Medical Supplies and Products |
| | Medical Corporation - Manufacturer and distributor of chest drainage systems, PTFE vascular grafts, thoracic catheters, surgical mesh and related products. | | | Ti Alloy thermal memory stents and their introducer systems for esophagus, bile duct, trachea, bronchus, prostate and colon. | | | Contact Advertise Further Reading Home: Business: Electronics and Electrical: Electromechanical: Hardware: Cable Ducts and Raceways Netfloor - Cable management floor systems by UniPanel to form... |
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http://www.networksols.com/865-Thoracic-Duct.html
(291 words)
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| | Cardiothoracic |
| | Tissue valves (shorter lasting, but no anti-coag needed) used in pt who may become pregnant, has contraindication to coumadin; also used for all tricuspid replacements | | | Thoracic duct enters chest on RIGHT with aorta at T12, crosses to LEFT at T4, joins at IJ/Subclavian junction | | | Thoracic outlet syndrome rarely involves artery or vein (1-3%), generally ulnar nerve paresthesias |
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http://webpages.charter.net/jamieloggins/cardiothoracic.htm
(412 words)
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| | ANNALS May1999: THORACIC DUCT CYST: A CASE REPORT AND REVIEW OF 29 CASES |
| | The symptoms in a patient with a thoracic duct cyst are related to compression of adjacent structures. | | | The mean age of the patients was 47.6 years (range 17 to 86 years). | | | The most profound symptoms are likely to be produced by mediastinal cysts above the aortic arch. |
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http://www.annals.com/abs/annals386.htm
(166 words)
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| | IS-A Hierarchy |
| | Suture of thoracic duct by cervical approach (procedure) | | | Suture of thoracic duct by thoracic approach (procedure) | | | Suture of thoracic duct by abdominal approach (procedure) |
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http://www.cvm.uiuc.edu/rt/ISA.cfm?SRT_ConceptID=57025004
(43 words)
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| | Med-Lib - Medical Online Library - English Articles - Oxford Textbook of Surgery - Chylothorax |
| | Surgical treatments include supradiaphragmatic ligation of the thoracic duct, shunting into the peritoneal cavity or into one hemithorax or the other, and pleurectomy. | | | Traumatic chylothorax: a review of the literature and report of a case treated by mediastinal ligation of the thoracic duct. | | | Conservative management includes control of the encroachment upon the lung by the chylous pleural effusion using intercostal catheter closed drainage. |
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http://med-lib.ru/english/oxford/chylothorax.shtml
(843 words)
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| | Virtual Hospital: Illustrated Encyclopedia of Human Anatomic Variation: Opus II: Cardiovascular System: Lymphatics: ... |
| | A system of anatomical plates of the human body. | | | The thoracic duct has been found in a normal subject, without other vascular variation, to terminate on the right side at the junction of the right subclavian and internal jugular veins. | | | The thoracic duct, which drains most of the body, may end by joining the left internal jugular, the junction of the left internal jugular and left subclavian vein, or the brachiocephalic vein. |
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http://www.vh.org/adult/provider/anatomy/AnatomicVariants/Cardiovascular/Text/Lymphatics/ThoracicDuct.html
(723 words)
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| | CHEST: The management of chylothorax |
| | The decreasing negative intrathoracic pressure increases venous flow, creating a Bernoulli vacuum at the opening of the thoracic duct, which causes lymph to empty into the venous circulation.[2,3,6] Numerous valves within the lymphatic system ensure unidirectional flow from the cisterna chyli to the venous circulation. | | | Its occurrence is so uncommon that most physicians have not cared for patients with a chylothorax. | | | The diverse etiologies and different approaches to management found in the literature can be likened to the numerous anatomic variations of the cisterna chyli and the thoracic duct. |
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http://www.findarticles.com/p/articles/mi_m0984/is_n2_v102/ai_12593870
(1053 words)
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| | The Esophagus - Wikimd |
| | The esophagus also presents antero-posterior flexures corresponding to the curvatures of the cervical and thoracic portions of the vertebral column. | | | The thoracic portion of the esophagus is at first situated in the superior mediastinum between the trachea and the vertebral column, a little to the left of the median line. | | | It is in relation, in front with the trachea, the left bronchus, the pericardium, and the diaphragm; behind it rests upon the vertebral column, the Longus colli muscles, the right aortic intercostal arteries, the thoracic duct, and the hemiazygos veins; and below, near the diaphragm, upon the front of the aorta. |
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http://www.wikimd.org/index.php?title=The_Esophagus
(948 words)
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| | VIII. The Lymphatic System. 2. The Thoractic Duct. Gray, Henry. 1918. Anatomy of the Human Body. |
| | The thoracic duct has several valves; at its termination it is provided with a pair, the free borders of which are turned toward the vein, so as to prevent the passage of venous blood into the duct. | | | Its orifice is guarded by two semilunar valves, which prevent the passage of venous blood into the duct. | | | In front of it are the left common carotid artery, vagus nerve, and internal jugular vein; it ends by opening into the angle of junction of the left subclavian vein with the left internal jugular vein. |
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http://www.bartleby.com/107/176.html
(867 words)
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| | Anatomy - Upper Extremity |
| | The right lymphatic duct drains mostly the upper right quadrant of the body while the rest of the body is drained by the thoracic duct. | | | The thoracic duct arises from the cisterna chyli, an elongated lymphatic sac which lies on the 1st and 2nd lumbar vertebrae between the aorta and the right crus of the diaphragm. | | | Lymphatics absorb fat droplets from the intestine causing the lymph in the thoracic duct to have a milky appearance. |
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http://cats.med.uvm.edu/cats_teachingmod/gross_anatomy/thorax/pages/drainage.html
(695 words)
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| | Plan of Lymphatic system |
| | The lumph vessel of the right side of the chest, the right arm and the right side of the head and neck drain into the right lymphatic duct. | | | All the lymph vessels of the lower limbs, the internal organs, the left side of the chest, the left arm and the left side of the head and neck, drain into the large thoriac duct. | | | The lymph flows slowly through the lymph capillaries into small lymph veins which unite to form larger lymph vessels until they finally open into the two very large lymphatic ducts, viz. |
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http://www.botany.uwc.ac.za/SCI_ED/grade10/manphys/plan.htm
(759 words)
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| | Written Quiz - Session 9 |
| | A cancerous growth from the body of the 9th thoracic vertebra exerts pressure anterolaterally. | | | During a procedure to harvest lymph nodes in the posterior mediastinum, the thoracic duct is accidentally cut. | | | Gray rami communicantes contain postganglionic sympathetic fibers that innervate which of the following structures in the thoracic region? |
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http://www.med.umich.edu/lrc/coursepages/M1/anatomy/html/quizzes/written/session9.html
(588 words)
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