Lymphedema Flashcards

1
Q

Division of primary lymphedema

A
  1. congenital
    - non-familial
    - familial (Milroy)
  2. praecox (1-35yo)
    - non-familial
    - familial (Meig)
  3. tarda >35 yo
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2
Q

what is Milroy’s disease?

A

primary congenital familial lymphedema

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3
Q

What is Meig’s disease?

A

primary familial lymphedema praecox

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4
Q

anatomic classification of lymphedema?

A
1. distal hypoplastic (80%), 
in females, 
bilateral, 
starts at puberty
benign slow course
2. proximal hypoplastic (10%)
both genders
unilateral
at any age
fast progression
3. hyperplastic (10%)
both genders
bilateral
congenital
progressive
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5
Q

what anatomic type of lymphedema is most common

A

distal hypoplastic

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6
Q

Stemmer’s test

A

inability to pinch and lift a skinfold at the base of second toe
indicates lymphedema

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7
Q

Klippel - Trewnany syndrome

A
slow flow AVF
capillary - lymphaticovenous malformation,
lymphedema, 
limb hyperthrophy,
splenic lymphatic cyst
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8
Q

Lymphedema characteristics:

A
  1. acral foot swelling (buffalo hump on the dorsum of the foot)
  2. deep transverse digital sulci
  3. hypoplastic toenails
  4. squaring of toes
  5. Concave toes with “ski - jump” nails
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9
Q

Lymphedema staging

A
0 - occult, no swelling,
1 - completely relieved by elevation and pitting,
2 - not relieved by elevation
  a) pitting
  b) nonpitting
3 - elephantiasis
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