Chapter 16 Beck Test Flashcards
A combination of lymph, massage compression bandaging, exercise, and skin care
Has evolved over the decades into the standard treatment for lymphedema disease
Comprehensive decongestive therapy (CDT)
Is hydrotherapy a component for CDT?
No
System of vessels and nodes supplementary to the blood, vascular system, and provides a pathway for fluids of the circulatory system to return to the heart
Lymphatic system
The lymphatic system is a
One way system
How does the lymphatic system begin?
When interstitial fluid enters the closed end lymph capillaries
How does the lymphatic system end?
When lymph re-enters the venous blood flow in the subclavian vein at the junction of the internal jugular vein (called angulus venosus), just before the blood returns to the heart
After traveling through the lymph nodes, where is lymph transported?
To the lymph trunks, larger lymph vessels that empty into the right lymphatic duct and the thoracic duct
A cloudy liquid consisting mostly a fats that passes from the small intestines through the lacteals and into the lymph system
Chyle
What is lymph derived from?
Interstitial fluid that is itself derived from blood plasma found in the spaces between tissues
How much of our fluid is absorbed into the lymphatic system to become lymph?
10%
Transports fluid out of lymph nodes toward the lymph trunks and ducts
Efferent vessels
Lymph from lower extremities flows toward
The intestinal and lumbar trunks at the base of the thoracic duct (cysterna chili)
It is estimated that superficial lymph vessels account for approximately ___ of the lymph circulation
70%
Superficial lymph circulation is divided into __ drainage area areas called lymphocytes
Five
The margins of the lymphotomes are called
Watersheds
Condition of excess fluid retained in tissues
Edema
Lymphocytes play a critical role in what?
Wound healing and fighting infection
Bead/bean shaped compact structures that lie in groups along the course of lymphatic vessels
Lymph nodes
Where do the Inguinal Nodes receive fluid from?
Lower limb, external genitalia, abdominal wall and buttocks
Cervical Nodes (superficial, and deep) drain toward
The Jugular trunk
Lymph massage stimulates the immune system by
Bringing antigens in closer contact with lymphocytes in the lymph nodes
Is pregnancy a contraindication for lymph massage?
No
What does pitting edema require?
Very sensitive touch
The more delicate the tissue or severe the edema
The lighter the pressure used
What do you use during lymph massage?
Soft pads of the fingers, thumbs and palm of the hand
Rhythm is slow with ____ repetitions per minute
6-10
How to start a lymph massage
Rest your fingers on the area just superior to the medial clavicle on both sides of the neck
Step number two of upper quadrant massage
Work in increments toward the bottom of the rib cage, moving lymph towards the axilla
Last step of upper quadrant massage
Massage upper back beginning proximal to the axilla and moving distally toward the spine and the bottom of the rib cage
Massaging Anterior Legs
Massage area of the lymph nodes for at least one minute until the tissue in the area is softer warmer and stretches more easily