Lymphedema Flashcards

1
Q

The Lymphatic System is a ____ - way system, originating from where?

A

One-Way, originating from peripheral tissues.

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2
Q

How much fluid does the lymphatic system take on?

A

10% (transports 2-3 liters of fluid each day)

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3
Q

Where are lymph capillaries found?

A

Throughout the tissues in the body.

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4
Q

What is the primary function of the Lymph Nodes?

A

To filer lymph & house immune cells.

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5
Q

Where are lymph nodes found?

A

Found in all tissues in your body except the CNS.

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6
Q

What are the collecting ducts of the lymphatic system?

A

Right Collecting Duct & Thoracic Collecting Duct

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7
Q

Where does the right collecting duct collect fluid from?

A

(R) arm, (R) trunk, and (R) side of the head and neck.

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8
Q

Where does the thoracic collecting duct collect fluid from?

A

Collects fluid from both lower extremities, (L) arm, (L) trunk, (L) side of the head and neck.

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9
Q

What are some immune cells housed in Lymph nodes?

A

B and T lymphocytes, macrophages, and other white blood cells.

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10
Q

How does the lymphatic system move fluid?

A

Smooth Muscle Contractions, One-Way Valves, Skeletal Muscle Pump, Diaphragmatic Breathing, Gravity

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11
Q

What are some symptoms of lymphatic system trauma or injury?

A
  • Localized swelling causing lymphatic congestion.
  • One-way valve fail causing backflow
  • Lymph vessels dilate due to the excess fluid.
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12
Q

What is Lymphedema?

A

The onset of swelling due to the breakdown of the normal lymphatic transport mechanism.

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13
Q

What is the result of Lymphedema?

A

The chronic accumulation of protein-rich fluid in the interstitial spaces.

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14
Q

When does primary lymphedema develop?

A

Inherited/Congenital dysfunction in the development of the lymphatic system.

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15
Q

When does secondary lymphedema develop?

A

Develops in response to injury/trauma/surgery/radiation/lymph node removal or parasitic infection.

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16
Q

What is stage 0 of lymphedema?

A

Latent, patient may feel heaviness or pressure, but no actual swelling.

17
Q

What is stage 1 of lymphedema?

A

Edema is pitting but reversible

18
Q

What is stage 2 of lymphedema?

A

Edema is non-pitting, tissue becomes “spongy” in texture and early soft tissue fibrosis occurs.

19
Q

What is stage 3 of lymphedema?

A

Lymphostatic elephantiasis (soft-tissue fibrosis, hyperkeratosis, and dermal hardening)

20
Q

How do you clinically assess lymphedema?

A

Circumferential Measurements (5% difference when compared to unaffected limb)

21
Q

What are some additional diagnostic tools for lymphedema?

A

MRI Scan, CT Scan, Doppler Ultrasound, Lymphoscintigraphy Imaging

22
Q

What are some complications associated with lymphedema?

A

Cellulitis
Fungal Infections
Ulcers
Lymphangitis
Lymphorhea
Lymphangiosarcoma

23
Q

What are some treatment options for lymphedema?

A

Medications (Diuretics)
Compression
Fluid Extraction
Surgical Interventions
Manual Lymphatic Drainage
Complete Decongestive Therapy