Day Four - Complications in Lymphedema

Question 1

Name signs/characteristics of skin fungal infections.

Answer 1

• itching
• crusting skin
• scaling skin
• maceration between toes
• sweet odor

Question 2

Why are fungal infections common in lymphedema?

Answer 2

increased diffusion distance

Question 3

What are the implications for treatment of patients with fungal infections?

Answer 3

• do no work directly over fungal infection
• skin care, and patient education on skin care are important
• compression will help decrease infection because increased TP

Question 4

What is Stewart-Treves syndrome?

Answer 4

• a highly malignant form of malignant lymphedema
• complication from long-standing lymphedema
• occurs in untreated Ly more than treated Ly

Question 5

True or false. Sharp pain is common with malignant Ly, and typically experienced during the day.

Answer 5

False. Sharp pain is common, but typically worse at night.

Question 6

Name treatment considerations for those with cellulitis.

Answer 6

• CDT/MLD/compression are contra-indicated during active infection
• infection should be medically managed with abx before treatment