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Integumentary 1 - Final > Sxs and Complications - Lymphedema > Flashcards

Sxs and Complications - Lymphedema Flashcards

1
Q

onset of lymphedema

A

slow

progressive

pitting in early stages

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2
Q

edema is

A

not detectable clinically until interstitial volume reaches 30% above normal

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3
Q

stages of pitting

A

1+-4+

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4
Q

1+

A

barley detectable

tissue returns to normal almost immediately

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5
Q

2+

A

slight indentation is visible when skin is depressed

returns after 15-30 s

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6
Q

3+

A

deeper indentation

returns after 60-90s

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7
Q

4+

A

returns after 2-3 min

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8
Q

general sxs start

A

distally

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9
Q

general sxs

A

squaring of the toes

dorsum of foot

loss of ankle contour

asymmetric (if bilateral)

full sensation in the limb w/ tightness of the skin

rarely painful

skin changes

increase risk of infection

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10
Q

squaring of the toes

A

stemmers sign positive

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11
Q

dorsum of foot

A

buffalo hemp

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12
Q

rarely painful

A

c/o of discomfort and heaviness

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13
Q

skin changes

A

hyperkeratosis

papillomas

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14
Q

connective tissue changes

A

fibroblasts proliferate

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15
Q

collagen fibers

A

are produced

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16
Q

fatty tisse

A

increases

17
Q

tissue changes

A

fibrotic changes and induration

18
Q

stages

A

0-3

19
Q

stage 0

A

latent stage

no visible/palpable edema

only subjective c/o’s

20
Q

stage 1

A

reversible lymphedema

pitting edema

reduced with elevation (no fibrosis)

21
Q

stage 2

A

spontaneously irreversible lymphedema

pitting becomes progressively more difficult

fibrosis sets in

22
Q

stage 3

A

lymphostatis elephantiasis

non-pitting

significant skin changes

severe fibrosis/induration

23
Q

significant skin changes –> 4

A

papillomas

hyperkeratosis

24
Q

complications

A

progressive

no cure

increased risk of infection

increased risk of open wound

25
Q

no cure –> complications

A

appropriate tx can contral sxs

26
Q

increased risk of infection –> complications

A

cellulitis

bacterial

fungal

etc.

27
Q

increased risk of open wounds –> complications

A

ability for body to heal wounds

28
Q

possible complications

A

hyperkeratosis

fungal infections

lymph fistulas

lymph cysts

lymph varicosity

radiation fibrosis

29
Q

hyperkeratosis

A

overabundant skin thickening

callus formation

wart like papillomas (toe creases)

30
Q

fungal infections

A

itchy

grayish white film

moisture and maceration b/w the toes

peeling off of the skin

31
Q

lymph fistulas

A

abnormal connections b/w the lymph vessels and the skin

32
Q

lymph cysts

A

abnormally wide lymph vessels that cause tiny visible vesicles or blisters

that have the danger of rupturing and causing infection

33
Q

lymph varicosity

A

superficial

dilated lymph vessels

34
Q

radiation fibrosis

A

appears as a reddish-brown discoloration in the irradiated area

Integumentary 1 - Final (20 decks)

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