Lymphedema

Question 1

What are risk factors to lymphatic insufficiency

Answer 1

congenital lymphatic malformation
infection or inflammation
obstruction or fibrosis
dissection of lymph nodes
CHRONIC VENOUS INSUFFICIENCY.

Question 2

How many stages are there to lymphedema and which is the worst

Answer 2

there are 4 stages. the worst one is stage 4

Question 3

What is the data collection for lymphatic diseases

Answer 3

similar to venous disease
infection,trauma, surgery,radiation (any hx of it)
exam skin
girth or volumetric measuremtns
determine the stage (1 - 4)

Question 4

what is the clinical presentation of lymphedema.

Answer 4

Depends on location and severity
- increase in limb size
- MSK repercussions
- sensory disturbances
- increase risk of infection

Question 5

What is the prevention of lymphedema

Answer 5

lymph sparing.
missing lymph nodes leads to an increase in lymphedema

Question 6

What are precautions when dealing with patients that have missing lymph nodes?

Answer 6

No modalities, minor trauma, excessive exercise or massage.

Question 7

What are some management options for lymphedema

Answer 7

Intermittent pneumatic compressions

Comprehensive decongestive therapy

Hydrostatic pressure (pool)

Question 8

What is comprehensive decongestive therapy

Answer 8

1. lymphatic drainage
2. compression
3. exercise
4. elevation
5. skin care hygiene.