Pathology 1.5 Lymphatic system

Question 0

Edema

Lymph symptom condition

Answer 0

Accumulation of fluid between cells in the tissues
Many different causes but frequently a weakened heart or other major organ failure
S&S: puffy, baggy skin, sometimes hot, sometimes cold. If chronic, may leave indentation “pitting edema”
All pitting edema contraindicated for massage, need doctor note
Can do with musculoskeletal injury

Question 1

Lymph symptom condition

4

Answer 1

Edema
Lymphangitis
Lymphoma
Mononucleosis

Question 2

Lymphangitis

Lymph symptom condition

Answer 2

Inflammation of lymphatic vessels usually due to infection

S&S: may begin with a simple cut or hangnail. But progresses into red streak along vessel, fever, chills, body aches and pains.
THIS INFECTION COULD DEVELOP INTO SEPTICEMIA OR “BLOOD POISONING”
OCCUPATIONAL HAZARD FOR MASSAGE THERAPISTS

Question 3

Lymphoma

Lymph symptom condition

Answer 3

Cancer of the lymph nodes

S&S: NONTENDER SWOLLEN LYMPH NODES

NEED DOCTORS ORDER FOR MASSAGE

Question 4

Mononucleosis

Lymph symptom condition

Answer 4

VIRAL INFECTION, attacks salivary glands and throat first, then moves into lymph nodes. May eventually affect liver and spleen.

S&S: initially fatigue (long incubation period when highly contagious). Then fever, sore throat, swollen lymph nodes.

Acute: contraindicated
Chronic: with doctor’s note

Question 5

Immune system disorders

6

Answer 5

Allergies
Chronic fatigue syndrome 
Fever
Inflammation 
Lupus
HIV/AIDS

Question 6

Immune system

General

Answer 6

Specialized cells and chemicals throughout the body, rather than organs

Distinguish “self” from “non self” and eradicate anything that is “non self”

Question 7

Allergies

Answer 7

Immune response overreacts inappropriately to a variety of triggers that are usually considered harmless

S&S: redness, itching. May be rapid onset. May progress to anaphylactic shock (emergency condition)

May need to adapt/change tools (lotions, sheets, etc)

Question 8

Chronic fatigue syndrome

CFS

Answer 8

Collection of S&S that affect many systems of the body.

S&S: nonrestorative/debilitating fatigue amongst many other S&S

Massage indicated, careful with deep work

Question 9

Fever

Answer 9

Abnormally high body temperature greater than 101

Usually response to viral or bacterial infection, but can also be caused by other types of tissue damage

MORE DATA IN HANDOUT

Massage is contraindicated

Question 10

Inflammation

Answer 10

Body’s natural response to trauma to heal body

S&S: redness, swelling, pain, heat, loss of function

A protective response to injury or infection

Involves localized vascular, cellular and chemical reactions to isolate the area and resolve damage

Question 11

Lupus

Answer 11

Autoimmune disease in which various types of tissues are attacked by the bodies own cells. Active flares usually brought on by triggers.

S&S: 11 different criteria spanning virtually every system of the body (need to have 4 to get diagnosis). Characteristic malar rash on face (unique to lupus)

Massage depends on severity DOCTOR’S NOTE REQUIRED

Question 12

HIV/AIDS

THERAPISTS CAN POSE THREAT TO CLIENT IF SICK

Answer 12

Virus that targets and disables helper T cells
Body then becomes vulnerable to opportunistic diseases that are normally not a threat to healthy individuals
Spread via body fluids: blood, semen, vaginal secretions and breast milk

S&S: initially flu-like symptoms, followed by a period of being a symptomatic until immune system has been inactivated, then followed by opportunistic infections

All stages indicate massage unless either client or therapist ill
MASSAGE CONTRAINDICATED IF EITHER CLIENT OR THERAPIST SICK

Question 13

HIV

Answer 13

Human immunodeficiency virus

Get first and then AIDS

Question 14

AIDS

Answer 14

Acquired immune deficiency syndrome