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Flashcards in Lymphedema Deck (22):
1

Superficial layer of lymphatics have_______ where they only drain to certain areas.

water shed

2

What makes up lymphatic fluid?

Proteins
75-100 g of proteins are transported by the lymph vessels per day
Water
Cells (RBC, WBC, Lymphocytes)
Waste products and other foreign substances
Fat (intestinal lymph, chyle)

3

Filtration = _____ + ______

resorption + lymph flow

4

How much water, proteins, cells, etc your body creates in one day

lymphatic load

5

How much your lymphatic system can pick up per day (intrinsic contractility)

Lymph time volume

6

Max lymph time volume. The max amount of lymphatic load that your body could handle in a day.

total capacity

7

Difference between total capacity and lymphatic load

functional reserve

8

lymphatic load increases and is above the total capacity. Lymphatic system is still functioning normally. Low protein swelling.

dynamic insufficiency

9

Total capacity decreases. Lymphatic system is damaged. High protein swelling.

mechanical insufficiency

10

Lymphedema always includes ______ insufficiency

mechanical

11

Type of insufficiency where you have a damaged system and overload

combined insufficiency

12

risk factors of lymphedema

Axillary, inguinal, etc surgery
Radiation therapy
Partial or total mastectomy
Node dissection
Obese or overweight
Lipedema
History of infection in at-risk limb
Cellulitis
Constriction
Tumor causing lymphatic obstruction
Scarring lymphatic ducts by either surgery or radiation
Intra-pelvic or intra-abdominal tumors
Chronic venous insufficiency
Drain complications

13

Early s/s of lymphedema

Limb feels heavy
Skin feels tight
Limb is achy (not painful)
Clothing or jewelry is tight
Can’t see wrinkles in skin

14

stage of lymphedema where there is no visible/palpable edema, subjective complaints possible

latency

15

stage of lymphedema that is reversible (elevation), pitting edema often present, increased limb girth and heaviness, no fibrosis

Stage 1

16

stage of lymphedema with consistent swelling- does not change with elevation, spongy tissue feeling and often fibrotic changes, pitting becomes progressively more difficult. Feels thicker.

Stage 2

17

Stage of lymphedema: lymphostatic elephantiasis, non-pitting, fibrosis and sclerosis, skin changes (hyperkeratosis

Stage 3

18

What is one of the primary discerning symtpoms between lipedema compared to lymphedema

Dorsum of feet not involved

19

thickening of skin on the dorsal hand/foot; inability to pinch skin in these areas

Stemmer's sign

20

Treatment of lymphedema includes:

Complete Decongestive Therapy (CDT)
Manual Lymphatic Drainage (MLD)
Compression Bandaging (multi-layer, short-
stretch)
Exercise
Skin Care
Self Care & Risk Reduction / Education

21

Effects of complete decongestive therapy

Decrease swelling (>50%)
Increase lymph drainage from the congested areas
Improve skin condition
Improve patient’s function, quality of life
Reduce risk of infection

22

CDT precautions/contraindications

Careful techniques, do not cause genital lymphedema
Do not use long-stretch bandages/ACE wraps
Can create more restriction and damage lymphatic vessels
Skin irritation
Infection
Cognition/communication
Wounds