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Ther Ex III > Lymphedema > Flashcards

Lymphedema Flashcards

1
Q

lymph vessels rely on _________ to pump fluid

A

external forces

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2
Q

substances not drained or reabsorbed by the blood stream. Lymph content

A

lymphatic loads LL

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3
Q

Lymphatic loads LL is made mostly of… (4)

A

protein, water, fat, cell fragments

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4
Q

the average person is born w/ ______ lymph nodes

A

600-700

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5
Q

first line of defense for the body

A

regional nodes

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6
Q

3 regional nodes areas

A
  1. axillary
  2. inguinal
  3. cervical
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7
Q

the abnormal accumulation of protein and water in the interstitial spaces, causing swelling of soft tissues

A

lymphedema

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8
Q

TF lymphedema is not a disease and has no cure

A

true

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9
Q

2 ways lymphedema develops through inadequate transport

A
  1. mechanical insufficiency

2. dynamic insufficiency

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10
Q

impairment of the lymph transport system; limb is “at risk”

A

mechanical insufficiency

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11
Q

lymph load exceeds transportation capacity TC

A

dynamic insufficiency

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12
Q

hypertrophied mm walls in lymphatic system decreases effectiveness of pumping ability

A

chronic lymphedema

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13
Q

LL < transport capacity TC =

A

fluid balance, no edema

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14
Q

difference between edema and lymphedema

A 
edema= water. can go away
lymphedema= protein and water. lifelong
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15
Q

movement of lymph and activation of vessels

A

lymphangiomotoricity

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16
Q

transportation vessels adjacent to each other. Drains area toward same REGIONAL LYMPH NODES

A

territories

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17
Q

linear areas separating territories. Upper/lower horizontal, sagittal/median, gluteal

A

watersheds

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18
Q

connections that re-route LL from impaired quadrants towards healthy quadrants

A

anastomoses

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19
Q

anastomoses btwn lymph collectors in same territory

A

intra-territorial (w/in)

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20
Q

anastomoses connections btwn 2 adjacent territories

A

inter-territorial (btwn)

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21
Q

anastomoses (5)

A
  1. AAA
  2. PAA
  3. AI/IA
  4. AII
  5. PII
22
Q

“hidden” lymphedema. Does not develop visible symptoms

A

stage 0

23
Q

spontaneously reversible. Pitting edema present

A

stage 1

24
Q

spontaneously irreversible. Not reversible w/ elevation. Non pitting edema

A

stage 2

25
Q

lymphostatic elephantiasis.

A

stage 3

26
Q

lymphedema developed due to malformation of lymphatic system. Idiopathic. Typically LE

A

primary

27
Q

lymphedema present following a known insult to lymphatic system. Surgery, radiation, infection, trauma. Typically UE

A

secondary

28
Q

Lymphedema s/s (2)

A
  1. pitting in early stages

2. not relieved by elevation

29
Q

shows lymph flow, lymph node uptake, and backflow

A

lymphangiography

30
Q

size of indention and the time it takes to go back to normal

A

1t-4t pitting assessment

31
Q

effective treatment only if edema is due to sodium retention

A

diuretics

32
Q

4 components of Complete Decongestive Therapy CDT. Gold standard

A
  1. skin care
  2. manual lymph drainage MLD
  3. Compression garments/bandage
  4. decongestive exercise
33
Q

PT goal for lymphedema

A

reduce swelling and maintain reduction

34
Q

absolute contraindications for CDT (4)

A
  1. acute infection
  2. cardiac edema
  3. acute DVT
  4. acute bronchitis
35
Q

precautions for CDT (3)

A
  1. malignancies
  2. bronchial asthma
  3. hypertension
36
Q

CDT goal to decongest involved extremity. Ends when measurements plateau or pt is I w/ self management

A

phase 1- intensive

37
Q

CDT goal to improve and/or maintain phase 1 accomplishments

A

phase 2- improvement

38
Q

TF you do not need to be certified to perform manual lymph drainage MLD

A

false

39
Q

w/ MLD strokes are…

A

dist-prox strokes moving prox-dist (clear the traffic jam)

40
Q

MLD 4 stroke techniques

A
  1. stationary circle
  2. pump
  3. rotary
  4. scoop
41
Q

MLD parameters

A

1 sec during working phase, 5-7 reps in one area

42
Q

TF you do not have to be certified for compression and bandaging

A

true

43
Q

first goal w/ bandaging

A

get pt I w/ bandaging in first week

44
Q

compression phase w/ stockinette and short-stretch bandages

A

phase 1

45
Q

compression phase w/ compression garments during the day and bandages as needed at night

A

phase 2

46
Q

long stretch bandages that has low working pressure and does not counteract mm pump

A

ACE bandages

47
Q

decongestive ex must be performed w/ compression to counter….

A

pressure mm pump

48
Q

decongestive ex schedule

A

20-30min, 2x/day. Elevate limb x30 min post-ex

49
Q

Pt education (4)

A
  1. avoid skin injury
  2. avoid mosquito bites
  3. avoid heat
  4. know s/s
50
Q

lymphedema measurements should be made…

A

at least 1x/week

Ther Ex III (14 decks)

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