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NPTE > Lymphatic and Integumentary > Flashcards

Lymphatic and Integumentary Flashcards

1
Q

flow of lymph

A

capillaries
vessels
nodes
trunks
ducts

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2
Q

lymphatic load

A

amount of lymphatic fluid transported

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3
Q

transport capacity

A

maximum amount of fluid that lymphatic system can transport

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4
Q

milroy disease

A

congenital lymphedema (0-2yo)

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5
Q

meige disease

A

lymphedema praecox (adolescent-35 yo)

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6
Q

lymphedema tarda

A

primary lymphedema after 35 yo

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7
Q

stage 0 lymphedema

A
  • no clinical edema, occassional reports of heaviness
  • stemmer (-)
  • tissue and skin appear normal
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8
Q

stage 1 lymphedema

A
  • edema present (soft and pitting)
  • edema increases with activity but reduces with elevation
  • stemmer (-)
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9
Q

stage 2 lymphedema

A
  • hard swelling present; progresses to non-pitting brawny edema
  • stemmer (+)
  • tissue appears fibrosclerotic, proliferation of adipose tissue
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10
Q

stage 3 lymphedema

A
  • edema present; severe brawny edema
  • stemmer (+)
  • skin changes (hyperkeratosis)
  • repeated bacterial and viral infections common
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11
Q

1+ pitting edema

A

mild, <1/4 inch

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12
Q

2+ pitting edema

A

<15 seconds, 1/4-1/2 inch

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13
Q

3+ pitting edema

A

15-30 seconds, 1/2-1 inch

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14
Q

4+ pitting edema

A

> 30 seconds, 1+ inch

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15
Q

lipedema

A

bilateral, spares ankles, sensitive to pressure and touch, bruise easily

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16
Q

proximal measurement

A

girth

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17
Q

distal measurement

A

volumetric

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18
Q

pre-post-surgery measurement

A

bioelectric impedance

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19
Q

lymphatic insufficiency measurement

A

lymphoscintigraphy

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20
Q

MLD direction

A

proximal to distal

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21
Q

stroking direction

A

distal to proximal

22
Q

compression application direction

A

distal to proximal

23
Q

exercises directin

A

proxima to distal

24
Q

meissner’s corpuscles

A

light touch and temp

25
Q

merkel disks

A

light touch, texture, and pressure

26
Q

pacinian corpuscles

A

deep pressure and vibration

27
Q

ruffini endings

A

warmth, stretch, deformation within joints

28
Q

free nerve endings

A

pain, temp, touch, pressure, tickle, itch

29
Q

krause end bulbs

A

cold temperatures

30
Q

venous ulcers

A
  • medial malleolus
  • irregular shape
  • hemosiderin staining
  • mild to moderate pain
  • elevation decreases pain
31
Q

arterial ulcers

A
  • lateral malleolus, dorsum
  • smooth edges
  • thin and shiny, yellow
  • severe pain
  • elevation increases pain
32
Q

grade I intermittent claudication scale

A

discomfort or pain at initial or modest levels

33
Q

grade II intermittent claudication scale

A

moderate discomfort or pain, attention can be diverted

34
Q

grade III intermittent claudication scale

A

intense pain, attention cannot be diverted

35
Q

grade IV intermittent claudication scale

A

excrutiating and unbearable pain

36
Q

stage 1 pressure ulcer

A

intact skin with non-blanchable redness

37
Q

stage 2 pressure ulcer

A

partial thickness wound
pink/red wound bed

38
Q

stage 3 pressure ulcer

A

full thickness wound
subcutaneous FAT tissue visible

39
Q

stage 4 pressure ulcer

A

full thcikness with exposed BONE, muscle, or tendon
undermining and tunneling with slough/eschar present

40
Q

unstageable

A

wound bed covered in slough/eschar

41
Q

very mild exudate dressing

A

transparent films

42
Q

minimal exudate dressing

A

hydrogel, hydrocolloid

43
Q

infected wounds dressing

A

“HgAG”
hydrofiber, hydrogels, calcium alginates, gauze

43
Q

moderate exudate dressing

43
Q

heavy exudate dressing

A

calcium alginates, hydrofiber

44
Q

dressings mneumonic from WET to DRY

A

Amazing
Fan
Had
Heart
Failure

45
Q

superficial burn

A

dry, red skin, without open areas

46
Q

superficial partial thickness burn

A
  • intact, weeping blister
  • blanches with quick refill
  • extremely painful
47
Q

deep partial thickness burn

A
  • mottled red and white areas
  • blanches to pressure with slow refill
  • decreased pinprick sensation
48
Q

full thickness burn

A
  • dry, rigid, leathery eschar
  • lack of pain, pressure, and temp sensation
49
Q

subdermal burn

A

charred, dry and exposed deep tissue

NPTE (23 decks)

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