Lymphatic System

Question 1

Right Lymphatic Duct

Answer 1

Drains the R arm, R side of head, and R thorax into the R SUBCLAVIAN VEIN

Question 2

Thoracic Duct

Answer 2

Drains the rest of the body into the L SUBCLAVIAN VEIN

Question 3

Lymphedema Management

Phase 1

Answer 3

1. short stretch compression bandages
2. manual lymph drainage
3. functional activities
4. meticulous skin care
5. contraindications to modalities
6. compression garments (at end of phase 1)
7. Red flags
   
   1. strenous actvities
   2. lymph overload
   3. electric modalities >30 Hz
   4. excessively high pressures

Question 4

Manual Lymph Drainage (MLD)

Answer 4

• massage and PROM to assist lymphatic flow
• emphasis on decongesting proximal segments first (trunk quadrant) then extremities, always distal to proximal
• Compression using layered padding
  
  • bandages maintain limb after techniques
  • decongestive exercises

Question 5

Contraindications to Functional Activities w. Lymphedema

Answer 5

Red Flags:

strenuous activities

jogging and ballistic movements

high pressures will occlude superficial lymph

no modalities, or electric therapy >30 Hz

SIgns of Lymph Overload

discomfort, aching or pain in proximal lymph areas, change in skin color

Question 6

Lymphedema Management Phase 2

Answer 6

1. skin care
2. compression garments
3. exercise
4. lymphedema bandaging at night
5. MLD as needed
6. compression pumps: use with caution
7. Red Flags
   
   1. pressures >45 mmHg are contraindicated as they cause lymphatic collapse