Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Integ Final Review:Lyphedema and Misc Wounds > the end. > Flashcards

the end. Flashcards

1
Q

What are the 3 main functions of the lymphatic system?

A
  1. Drainage of the interstitial fluid from tissues
  2. Absorbs and transports proteins and long chain fatty acids
  3. Immune system response against infection, removes foreign organisms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Lymph Fluid carries 4 Major things

A
  1. Protein macromolecules
  2. Excess water
  3. Long chain fatty acids
  4. Cell load-cell fragments
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

This type of lymphatic vessel makes up 40% of the lymph system and absorbs fluid from the interstitium.

A

Superificial/initial lymphatics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

This type of lympatic vessel is considered the absorber and transporter and has unidirectional valves to direct lymph flow

A

Precollectors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

This type of lymphatic vessel is considered the transporting vessel, have one way valves toward the heart. it’s valves divide the lymph system into functional units called lymphangions

A

Collectors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

This type of lymphatic vessel is considered filter sites where lymphoctyes identify and destroy foreign material

A

Nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Average axillary nodes are____ and aveage inguinal nodes are ____

A

10-24, 8-15

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Largest lymphatic trunk in the body, picks up L subclavian trunk and plugs into L subclavian Vein 75% of lymph drains here

A

Thoracic duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

This lymphatic structure is very short and manages fluid of the right arm and torso above the waist, plugs into the R subclavain

A

R lymphatic duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

This lymphatic structure you can find around L2, L lumbar trunk, R lumbar turnk and intestinal trunk collect here and then proceed to the thoracic duct

A

Cisterna Chyli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which nodes do most of the fluid of the lower body drain into

A

inguinal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Skin of the abdomen, skin of the buttocks and most organs of the lower body with the exception of portions of the liver drain where?

A

right terminus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Whole arm, skin of chest and skin of back drain in what type of node

A

axillary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Intercostals drain to ____

A

thoracic duct and cisterna chyi directly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Occurs when a fluid is forced through a membrane and as a result of the hydrostatic and osmotic pressure differences

A

Filtration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

List the 4 factors that lead to increased filtration

A
  1. Heat
  2. Exercise
  3. Venous Congestion
  4. Other (meds, hormones, ANS_
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Accumulation of lymphatic fluid that causes swelling in the tissues of an extremity or other body part. Occurs when lymphatic system is damaged causing flow to interrupt

A

Lymphedema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

This type of lymphedema is rare and is usually due to congenital malformation or impairment of lymphatics, Le affected most often

A

Primary lymphedema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

This type of lymphedma is acquired and more common caused by filiararsis, cancer tx, chronic VIs

A

Secondary Lymphedema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the most common reason for lymphedema

A

Filiariasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

This type of lympatic insufficiency occurs when normal lympatic vessels are overwhelmed by lympatic load. Usually due to CHF, Kidney dysfunction, hunger edema, burns, varicose veins.

A

Dynamic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

This type of lymphatic insufficiency has a normal lymphatic load but there is some type of impairment to the lymphatic system. Results in low flow, high protein edema.

A

Lyphostatic edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

T/F functional lymphostatic edema is potentially reversivable but organic is not

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

T/F organic scondary lymphostatic edema is most common

A

t

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

____% of patients after breast cancer acquire lymphedema and ____% with prostate

A

23-45 and 70

26
Q

List the chief complaints in lymphedema

A
  1. Limb heaviness
  2. Paresthesia
  3. Achiness
  4. Skin tightness
  5. Altered cosmesis
  6. Decreasaed ADls/ROM
27
Q

Name the condition. Bilateral symmetrical increase in adipose tissue deposition in the abdomen, buttocks and LE, note in Feet. effect mostly women, triggered by puberty, preg, menopause

A

Lipedema

28
Q

Increase compliance of fat allows interstitial fluid to accumulate and leads to

A

lipolymphedema

29
Q

Stages of Lymphedema

  1. Stage 0
  2. Stage 1
  3. Stage 2
  4. Stage 3
A

Latent: no edema present, commonly due to radiation or surgery
Reversible: edema that pits when digital pressure is applied
Spontaneously Irreversible: does not pit when digital
Lymphostatic elephatiatis: extreme increase in limb volume

30
Q

Unilateral Lyphedema
Mild
Moderate
severe

A

Mild: <3cm
Moderate 3-5
Severe: greater than 5 cm difference

(circumf.)

31
Q

Describe a postive stemmer sign

A

fold of skin pinched and lifted up at the base of the second toe. Positive when skin fold is THICKER THAN 2 mm

32
Q

What is the gold standard for diagnosing lymphedema

A

Volumtry

33
Q

What are absolute contras to MLD

A
  1. Acute infection
  2. Untreated cancer
  3. Thrombo
34
Q

Wound caused by friction to skin surface can be superficial or partial thickness

A

abrasion

35
Q

With a clean abrasion what type of dressing should be used

A

Moisture-rententive

36
Q

With a contaminated abrasion what type of dressing should be used

A

broad-spectrum antimicrobial and gauze dressing

37
Q

Traumatic wounds resulting from shear or friction forces that separate the epidermis from the dermis, partial thickness wound

A

Skin tears (if there is a skin flap remove it)

38
Q

Payne Martin Classification for Skin Tears

IA
IB
IIA
IIB
III
A 
IA: Linear (Epidermis and dermis pulled apart)
IB: Flap (epidermal flap covers dermis) 
IIA: Scant tissue loss
IIB: Moderate to Large tissue loss
III: Skin tear with complete tissue loss
39
Q

Surgical wounds should be kept clean and dry for _____hours

A

24-48 hours

40
Q

Infection is 4x more likely with ____-

A

staples

41
Q

Epitheliazation in surgical wounds occur in

A

7-10 days

42
Q

Factors influencing Dehiscence wounds

A
  1. Malnutrition
  2. Diabetes
  3. Steriods
  4. Smoking
43
Q

80-90% of all bite wounds are caused by

A

Dogs

44
Q

Most bite wounds are polymicrobial and you should consider

A

the use of short term antiseptics

45
Q

Only 2 types of spider bites require medical intervention what are they

A
  1. Black widow

2. Brown Recluse

46
Q

Black widow bite how will patient present

A

Patient will be ill within 1-3 hours, will be weak, headache, naseous, hyperreflexia, SOB, diaphoresiss, HTN, tachycardia

47
Q

Treatment for Black widow bite

A

antivenom, NSAID, and muscle relaxer

48
Q

Brown Recluse exist in what parts of the country

A

SW, SE, MDW

49
Q

Majority of brown recluse bites heal without complication in

A

3-5 days

50
Q

If bitten by a brown recluse patient will present how?

A

Within 24 hours, red inflammed, blue thrombosis, white ischemia with possible necrostic center. Fever, nausea malaise and joint pain.

51
Q

How is Brown recluse bite treated

A

treat with debridement of necrotic tissue, avoid heat, antihistamines, steriods.

52
Q

Damage from radiation depends on what 4 factors

A
  1. Dose
  2. Type
  3. Location
  4. SA
53
Q

What are the patient variables that could contribute to skin damage from radiation

A
  1. Age
  2. Co-morbitideis
  3. Meds
  4. Nurtrition
  5. Immune function
54
Q 
Skin Reaction due to Radiation Treatment
Grade 1
Grade 2
Grade 3
Grade 4
A
  1. Faint erythema, dry desquarrriation, decrease sweating response
  2. Bright erythema, tenderness, moderate edema, moist des.
  3. Moist desqu. with pitting edema
  4. Ulceration or necrosis
55
Q

Intervention for radiation damage

A

silvadine cream, decrease bathing frequency, oatmeal baths

56
Q

What condition is non-infectious progressive necrotizing skin condition, thought to be due to neutrophil dysfunction

A

Pyoderma Gangrenosum

57
Q

Pyoderma Gangrenosum presentation

A

small, painful papule, vesicle or postuel on LE/Trunk may have fever mailaise, myalgia.

58
Q

When should a practioner suspect Pyoderma Gangrenosum

A
  1. Positive wound cultures without response to antibiotics

2. Wound not responding to standard care for presume wound etiology

59
Q

Interventions for Pyoderma Gangrenosum

A
  1. Systemic, topical and locally injjected corticosteriods
60
Q

What is contraindicated when treating pyoderma gangrenosum

A

extensive debridement

61
Q

T/F wound healing is slow and recurrence is common in Pyoderma gangrenosum and PCP will typically rx meds 6-12 months after wound closure

A

T

Integ Final Review:Lyphedema and Misc Wounds (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions