Student’s name: ………………………………………………………

No.: Upper Limb – 04

Instructions:
 Read the following carefully and try to understand every word.
 You are free to go to the library to find out the possible answers for the questions.

Teaching round
Ibraheem is a resident doctor in Omdurman military hospital, while he was reading a
medical file of a 40 years old lady written by his junior doctor, the patient was presented with
a breast lump , but he noticed that the report about examination of important group of lymph
nodes was missed, for a teaching purpose, he ask the junior doctor the following questions:
Questions:
1. Mention the lymphatic drainage of the breast.
…………………………………………………………………………………………………..
2. Mention the five groups of the axillary lymph nodes.
a. …………………………………………………………………………………
b. …………………………………………………………………………………
c. …………………………………………………………………………………
d. …………………………………………………………………………………
e. …………………………………………………………………………………
3. Mention the anatomical relations for each group.
a. …………………………………………………………………………………
b. …………………………………………………………………………………
c. …………………………………………………………………………………
d. …………………………………………………………………………………
e. …………………………………………………………………………………

References:
 Harold Ellis, Clinical Anatomy,Applied anatomy for students and junior doctors, 11 th
Ed, Blackwell Publishing Ltd, 2006
 Richard S.Snell, Clinical Anatomy by Regions, 8th Ed. Lippincott Williams &
Wilkins.
 Moore, Keith L.; Dalley, Arthur F, Clinically Oriented Anatomy, 5 th Ed. Lippincott
Williams & Wilkins; 2006.

Hosam Eldeen Elsadig MBBS, M.Sc