Lymphatic and Integumentary Flashcards
flow of lymph
capillaries
vessels
nodes
trunks
ducts
lymphatic load
amount of lymphatic fluid transported
transport capacity
maximum amount of fluid that lymphatic system can transport
milroy disease
congenital lymphedema (0-2yo)
meige disease
lymphedema praecox (adolescent-35 yo)
lymphedema tarda
primary lymphedema after 35 yo
stage 0 lymphedema
- no clinical edema, occassional reports of heaviness
- stemmer (-)
- tissue and skin appear normal
stage 1 lymphedema
- edema present (soft and pitting)
- edema increases with activity but reduces with elevation
- stemmer (-)
stage 2 lymphedema
- hard swelling present; progresses to non-pitting brawny edema
- stemmer (+)
- tissue appears fibrosclerotic, proliferation of adipose tissue
stage 3 lymphedema
- edema present; severe brawny edema
- stemmer (+)
- skin changes (hyperkeratosis)
- repeated bacterial and viral infections common
1+ pitting edema
mild, <1/4 inch
2+ pitting edema
<15 seconds, 1/4-1/2 inch
3+ pitting edema
15-30 seconds, 1/2-1 inch
4+ pitting edema
> 30 seconds, 1+ inch
lipedema
bilateral, spares ankles, sensitive to pressure and touch, bruise easily
proximal measurement
girth
distal measurement
volumetric
pre-post-surgery measurement
bioelectric impedance
lymphatic insufficiency measurement
lymphoscintigraphy
MLD direction
proximal to distal