Clinical care of the lymphatic system Flashcards
normal lymoh nodes are generally less than how many cm
1cm
generalized lymphadenopathy is defined as
more than one region (i.e. groin and axilla)
localized lymphadenopathy is defined as
only one region (i.e. axilla )
Common Dx causes of lymphadenopathy
HIV
TB
Lupus
infectious mono
common exposure causes of lymphadenopathy
infection
I.e. cat scratches / tick bite / under cooked food / travel
if lymphadenopathy is expected what should be included in the exam
locaction
size
consistency ( hard= cancer / firm, rubbery are found in lymphomas
fixation vs. mobile (normal lymph nodes are freely moveable / abnomal nodes become fixed
tenderness
when is a biopsy appropriate for lymphadenopathy
node has not resolved after 4 weeks
what is lymphedema
painless persistent edema in one or both lower extremities
what are s/s of lymphedema
aching discomfort with sensation of heaviness or fullness
pitting edema
what is the treatment for lymphedema
furosemide (lasix) 40mg daily
whats a adverse reaction of furosemide (lasix) 40mg daily
hypokalemia,
metabolic alkalosis,
ototocity
hypomagnesmia
hypotension
musscle cramps
tinnitus
rash
what are contraindications of furosemide (lasix) 40mg daily
hypokalemia,
caution if in shock or sever reanal disease
whats a complication of lymphedema and what is the suggested treatment plan
cellulitis
avoided by good hygiene and treatment of trichophytosis of toes
