Lymphatic

Question 1

common spots of lymph nodes drain

Answer 1

which are commonly found near the groin, armpits, neck, chest and abdomen

Question 2

R lymph gets what and goes into where

Answer 2

R upper chest and R hand and R face

drains into R subclavian

Question 3

L lymph system drains what and dumps where

Answer 3

driains all L side of body and R LE

into L subclavian

Question 4

stemmers sign

Answer 4

can pick up the skin over the toes is a negative

cant pick up the skin over the toes is a positive

Question 5

eval of vascular
auscultation
palpation
tests

Answer 5

1. wushing sound abnormal
2. 0-4 scale 3 is normal
3. ABI - below .75 bad, below .5 ischemic crisis

Question 6

elevation of pallor

Answer 6

when leg is elevated blood rushes out

Question 7

rubor of dependency

Answer 7

when leg is dependent blood floods their foot

Question 8

DVT clinical decision rule number DVT likely

Answer 8

2+ dvt likely

Question 9

raynaud’s disease vs phenomenon

Answer 9

vaso spams of small arteries

disease - less serious

phenomenon - higher risk of ischemia

Question 10

compartment syndrome

Answer 10

increased pressure within.a compartment

Question 11

wegeners granulamatosis

Answer 11

necrotizing blood vessels in upper respiratory tract, lungs and kidneys

Question 12

systemic vasculitis

Answer 12

inflammation, necrosis, narrowing of arteries`

Question 13

V/Q mismatch

Answer 13

ventilation - perfusion mismatch

Question 14

Chronic venous insufficiency/post-phlebitic syndrome

Answer 14

Similar disorders that result from venous outflow obstruction, valvular dysfunction

Question 15

Embolization therapy

Answer 15

Purposely occluding a vessel

Used to treat inappropriate blood flow, such as AVMs

Question 16

Transcatheter Thrombolysis

Answer 16

Directly infusing thrombolytic agents into occluded vessels

Question 17

Endarterectomy

Answer 17

Stenotic area of an artery wall is excised and the noninvolved ends of the artery are reanastomosed

Question 18

Peripheral Vascular Bypass Grafting

Answer 18

Used to reperfuse ischemic areas

Question 19

axillary vs inguinal nodes

Answer 19

Axillary nodes drain arm, chest and upper back while inguinal nodes drain leg, buttock, lower abdomen and genitals.

Question 20

lymph organs
bone marrow
thymus
adenoids
tonsils
spleen

Answer 20

Bone marrow: where T-lymphocyte cells mature
Thymus gland: where T-cells develop and mature
Adenoids: produce antibodies to fight infection and trap germs entering nose/mouth.
Tonsils: are important in helping kid’s bodies recognize, destroy and develop immunity to common environmental pathogens, for later protection
Spleen: called “filter of the blood” because its extensive vascularization and it removes blood debris, including dying red blood cells

Question 21

stages of lyphedema
0
1
2
3

Answer 21

0 - The absence of clinical swelling.
1 - Visible swelling is present and described as soft or pitting edema. It may be reversed by elevating or compressing the limb.
2- Evident by increased swelling that is non-reversible. This tissue is thickened or hardened (also known as fibrotic).
3- This stage is called lymphostatic elephantiasis and is characterized by extensive fibrosis that can affect the lymph vessels, veins, and arteries. The limb is often very large and swollen with visible skin changes

Question 22

lymphedema Dx

Answer 22

lymphoscintigraphy*
MRI/CT
indocyanine green lymphograhy

Question 23

s/s of lymphedema

Answer 23

• Swelling
• Feelings of heaviness or tightness
• Skin changes/fibrosis
• Restricted range of motion
• Recurring infections

Question 24

complications of lymphedema

Answer 24

• Recurrent infections
• Chronic skin changes
• Wounds
• Pain/Discomfort
• Limited flexibility/mobility

Question 25

PT role in lymphedema
EDU
Tx

Answer 25

PT EDU
•Diagnosis
•Risk Factors/Precautions
•Skin Care
•Compression Needs
•Self-Management Techniques

Tx
Manual Lymph Drainage (MLD) – use of a specialized massage technique that reduces swelling, pain and promotes tissue healing
compression bandaging
kinesiotaping

Question 26

managing lymphedema

Answer 26

MLD
bandaging
exercise
diet

Question 27

intermittent claudication

Answer 27

pain w/ exercise in the vasculature

Question 28

petechiae

Answer 28

red dots on the skin - usually present w/ DVT