Lymphatics Flashcards

1
Q

Head and neck,, and arm lymphatics drain into the

A

Right internal jugular vein

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2
Q

What is the most common site for cystic hygroma?

A

Posterior triangle of neck

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3
Q

Name some of the transilluminate swelling

A

Cystic hygroma
Ranula
Hydrocele
Epididymal cyst

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4
Q

Diagnosis of cystic hygroma can be made by

A

FNAC

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5
Q

Which clinical classification is used for lymphedema

A

Bruners classification

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6
Q

What is stemmer’s sign

A

Lymphedema on the dorsum of foot skin becomes fibrous, and cannot be pinched

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7
Q

Loss of ankle contour sign is known as

A

Buffalo hump

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8
Q

What is the gold standard for quantification of lymphedema

A

Water plethysmography
Mild <20%
Moderate 20-40%
Severe >40%

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9
Q

Gold standard, to identify the type of lymph edema

A

Direct lymphangiography

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10
Q

Most common primary lymphedema is

A

Lymph edema praecox

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11
Q

Familial syndrome associated with lymphedema congenita

A

Nonne milroy syndrome
It is causes due to mutation of FLT-4 gene , VEGF gene

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12
Q

Most common type of primary lymphedema is

A

Lymphedema Praecox

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13
Q

Familial relationship of
Lymphedema Praecox

A

Meig’s disease. Due to mutation of GJC gene

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14
Q

Most common cause of lymph edema, overall, and in lower limb is

A

Filariasis

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15
Q

MCC of lymphedema in the upper limb is

A

Postmastectomy lymphedema

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16
Q

Stewart’s Treve’s syndrome

A

Development of angiosarcoma in long standing lymphedema(8-10) years

17
Q

What is lymphangioma?

A

Lymphatic Channel can thrombose in the long run and fibrous and form nodules

18
Q

ABPI should be how much for multilayer lymphedema bandaging

A

> 0.8-0.9

19
Q

Name reconstructive surgery

A

Kinmoth procedure: ileal mucosal patch anastomosis
Nebulowitz : Anastomosis of nodes and lymphatic with veins

20
Q

Resective surgeries are

A

Homan’s procedure
Thompson procedure
Sis trunk procedure ( MC DONE)
Charles procedure (worst cosmetic)

21
Q

Lymphangioma circumscription

A

<5 cm

22
Q

Lymphangioma diffusum

A

> 5 cm

23
Q

Lymphangioma ab igne

A

Arranged in reticular pattern