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integumentary > final > Flashcards

final Flashcards

1
Q

gold standard for lymphedema measurement?

A

volumetric measurements

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2
Q

Unilateral or bilateral

Lymphedema vs lipedema

A

lymphedema - unilateral

lipedema - bilateral

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3
Q

earliest stage of lymphedema for positive stemmer’s sign

A

stage 2

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4
Q

gold standard for lymphedema treatment

A

CDT complete decongestive therapy

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5
Q

2 phases of complete decongestive therapy for lymphedema

A

1 - active/decongestive phase

2 - maintenance phase

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6
Q

what type of bandaging should be used for compression of a limb with lymphedema?

A

short-stretch

*low resting pressure, high working pressure

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7
Q

progression of manual lymphatic drainage

A

healthy lymph nodes -> proximal + contralateral areas -> ipsilateral and affected areas

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8
Q

__________ compression with short stretch compression
bandages is one of the MOST important methods of reducing
edema

A

multilayered

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9
Q

4 Stage System of lymphedema

A
  • Stage 0 – latent
  • Stage 1 – spontaneously reversible
  • Stage 2 - spontaneously irreversible
  • Stage 3 – Lymphostatic elephantiasis
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10
Q

weeping edema AKA

A

lymphorrhea

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11
Q

bite of a mosquito that is infected with a parasitic worm, causing lymphedema

A

filariasis

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12
Q

Clinical sign for lymphedema, indicated by the presence of a thickened fold of the skin at the base of the 2nd toe or 2nd finger

A

stemmer’s sign

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13
Q

epidermis thickness

A

.06-.6mm

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14
Q

epidermal layers

A

come lets get sun burned

corneum lucidum granulosum spinosum basale

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15
Q

produce melanin, located in stratum basale

A

melnocytes

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16
Q

mechanoreceptors that detect light touch sensation

A

merkel cells

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17
Q

cells that fight infection by engulfing foreign materials

A

langerhans

18
Q

secrete histamines that regulate inflammation

A

mast cells

19
Q

dermis thickness

A

2-4 mm

20
Q

initial fluid leaking from vessels immediately following an injury…..

After 30 mins, vessels vasodilate and interstitial fluid leaking is now….

A

transudate

exudate

21
Q

1st cells to arrive during the inflammatory phase

A

PMNs

22
Q

during inflammatory phase:

direct the repair process =

produce histamine =

A

macrophages

mast cells

23
Q

proliferation can begin within _____ hours in healthy people

A

48 hours

24
Q

4 steps in proliferation AGCE

A

angiogenesis
granulation tissue formation
contraction of wound
epithelialization

25
Q

functioning as smooth muscle and fibroblasts, these are the driving force behind wound contraction

A

myofibroblasts

26
Q

color of scars still in the maturation and remodeling phase

A

pink (not the same color as surrounding skin)

27
Q

initial immature type of collagen in scars =

mature collagen in scars =

A

type III

type I

28
Q

strength of a wound/scar compared to surrounding tissue

A

80%

29
Q

length of time for secondary closure

acute vs chronic

A

acute 14 days

chronic 30 days

30
Q

separation of wound margins

A

dehiscence

31
Q

good indicator that the wound is responding to management intervetions

A

20-40% decrease in 2-4 weeks

32
Q

how quickly will wounds dry when exposed to air?

A

2-3 hours

33
Q

this can facilitate activation of the healing process in a non-healing chronic wound

A

serial debridement

34
Q

amount of steroids required to impair all phases of wound healing

A

> 30-40 mg

35
Q

amount of steroids required to get Trace jacked

A

Red light intervention, jackedness limited by cognitive impairment

36
Q

3 types of burns

A

thermal, chemical, electrical

37
Q

most common burn

A

thermal

38
Q

most-likely to cause a full-thickness burn

A

chemical burn

39
Q 
may result from disruption or damage to the
lymphatic system  (lymph node removal, trauma, VI, radiation therapy)
A

secondary lymphedema (acquired)

40
Q

is usually the result of congenital malformation or impairment of the
Lymphatics

A

primary lymphedema

integumentary (6 decks)

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