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Integumentary 1 - Final > Lymphedema - Intro > Flashcards

Lymphedema - Intro Flashcards

1
Q

Lymphedema

A

abnormal accumulation of protein rich fluid in the interstitium

causes chronic inflammation and reactive fibrosis of the affected tissues

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2
Q

what is full body lymphedema caused by

A

damage to lymphatic duct

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3
Q

lymph fluid consists of

A

proteins

water

cells

waste products and other foreign substances

fat

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4
Q

cells –> lymph fluid

A

RBC

WBC

lymphocytes

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5
Q

w/ waste products and other foreign substances –> lymph fluid

A

risk of cellulitis and open wound infection

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6
Q

fat –> lymph fluid

A

intestinal lymph

chyle

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7
Q

lymph nodes are a

A

filtering station for noxious matter

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8
Q

noxious matter

A

bacteria

toxins

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9
Q

lymph nodes will produce

A

lymphocytes (WBCs)

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10
Q

lymph nodes will regulate

A

the concentration of protein in the lymph

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11
Q

how many nodes are in the human body

A

600-700

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12
Q

where are a majority of lymph nodes found

A

in the abdomen (intestines)

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13
Q

what are watersheds

A

divide the lymphatic regions into root areas

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14
Q

how do watersheds run

A

distal to proximal

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15
Q

where are watersheds

A

vertical watershed

horizontal watershed

clavicle

spine of scapula

chaps (gluteal)

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16
Q

vertical watershed

A

median-sagittal

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17
Q

horizontal watershed

A

transverse

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18
Q

lymph node groups

A

head and neck region

upper body

lower body

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19
Q

head and neck region

A

most of these pts have lymphedema secondary to cancer

20
Q

where in the head and neck region are the lymph nodes

A

submental

submandibular

preauricular

retroarticular

occipital

cervical

21
Q

submental

A

2-3 nodes below the chin

drains the lower lip, gums, tip of tongue and chin

22
Q

submandibular

A

5-8 nodes on the underside of the mandible in the area of the submandibular glands

23
Q

what do the submandibular nodes drain

A

lips

external cheeks

medial eye lids

teeth

gums

tongue

floor of mouth

cheek mucosa

24
Q

preauricular

A

2-4 nodes in the front of the ear at the parotid gland

25
Q

preauricular node drains

A

front of the auricle

nasal root

lateral eye lids

parotid glands

26
Q

retroarticular

A

1-2 nodes behind the ear

27
Q

what do retroauricular nodes drain

A

auricle

posterior surface

neighboring scalp

middle ear

28
Q

occipital

A

2-3 nodes above the insertion of the traps muscle

29
Q

occipital drains

A

skin of the posterior head

base of head

30
Q

cervical

A

in the same area of the SCM near the jaw angle

along the internal jugular vein and supraclavicular fossa

31
Q

what does the cervical drain

A

ear

parotid gland

jaw angle

neck

back of head

tonsils

32
Q

upper body node group

A

axillary

pectoral

cubital

33
Q

axillary

A

25-30 nodes in the armpit

34
Q

what does axillary drain

A

UEs

upper trunk quadrant

mammary glands

35
Q

pectoral

A

next to the major pectoral muscles

36
Q

what does pectoral drain

A

mammary glands esp the lateral quadrants

37
Q

cubital

A

cubital fossa

drains the forearm and hand

38
Q

lower body node group

A

lumbar

iliac

superficial inguinal

popliteal

39
Q

lumbar drains

A

testicles

ovaries

uterus

kidneys

adrenal glands

40
Q

iliac

A

pelvis

41
Q

iliac drains

A

lymph from inguinal lymph nodes bladder, prostate, uterus, upper portion of the vagina

42
Q

superficial inguinal

A

approx 10 nodes in the groin

43
Q

what does superficial inguinal drain

A

trunk wall below the naval line

lumbar and gluteal regions

perineum

external genital

LEs

44
Q

popliteal

A

popliteal fossa

drains the lower leg

45
Q

what could bypass surgery cause in the popliteal region

A

post bypass w/ saphenous vein graft

can lead to lymphedema distal to the knee

46
Q

how is lymph transported

A

intrinsic contraction

respiration

skeletal movement

arterial/venous pulsation

Integumentary 1 - Final (20 decks)

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