Lymphodema and Edema ☺️

Question 1

Exudate

• what is it
• appearance
• protein content and LDH ratios
• glucose and pH
• contents

Answer 1

Edema from inflammed tissue from increased vascular permeability/serous membrane damage

• cloudy, yellow, bloody
• high protein, quick coagulation
• low glucose, pH
• high effusion/serum LDH ratio
• many inflammatory cells

Question 2

Transudate

• what is it
• appearance
• protein content and LDH ratio
• glucose and pH
• cells

Answer 2

Filtrate of plasma, no changes in endothelial permeability
Not associated with inflammation
-clear, pale
-low protein
-normal glucose
-high pH
-low effusion/serum LDH
-few cells

Question 3

Causes of leg edema

Answer 3

IMBALANCE BETWEEN HYDROSTATIC AND ONCOTIC PRESSURE

Immobility
Pregnancy
High protein
HF
Chronic venous/renal/lymphatic insufficiency
DVT
Lymphatic insufficiency

Question 4

Causes of lymphodema

• primary
• secondary

Answer 4

Turner’s, Noonans, Prader Willi

Radiotherapy - MOST COMMON
Surgery - MOST COMMON
Cellulitis
Filiarisis

Question 5

Management of lymphoedema

Answer 5

Treat underlying cause

Elevation, compression, massage

Good skin care - increased risk of infection