Lymphedema Exam Questions With 100% Correct Answers

Lymphedema Exam Questions With 100% Correct Answers Definition lymphedema - answer-build up of lymph fluid because of a blockage therefore fluid stays in the interstitial space Lymphedema - answer-swelling in one or more of the extremities due to impaired movement of fluid in the lymphatic system -impairment in the reabsorption/transport of protein molecules within lymph vessels Lymph fluid contains: - answer-fluid -proteins -cellular debris Classification of lymphedema - answerPrimary (hereditary), Secondary (acquired) Primary (Hereditary) - answer-malformation of lymph nodes and vessels -anaplasia, hyperplasia or hypopasia of lymph vessels and/or valves -results in impaired reabsorption and transport of lymph fluid Secondary (acquired) - answer-obstruction/damage to vessels or nodes -results in impaired reabsorption and transport of lymph fluid Primary Lymphedema - answer-inherited condition caused by abnormality in development of lymphatic vessels -rare condition: 1.15/100,000 people 20 years -Based upon age of onset: -congenital (Milroy's disease) birth -Preacox (Meige's disease) 35 y/o -Tarda (Late-onset) 35 y/o Milroy's disease - answer-starts in infancy - results in abnormal development of lymph nodes Meige's disease - answer-often causes lymphedema around puberty or during pregnancy up to age 35 Tarda - answer-rare occurrence and begins after age 35 Secondary Lymphedema - answer-vessels and nodes develop normally -Acquired impairment: -surgery: removal or damage to lymph nodes or vessels -Radiation treatment: can cause scarring and inflammation to nodes and vessels -infection: can restrict lymph flow -Cancer: cells or tumor may block lymph vessels Risk Factors - answer-Cancer/malignancies -compromised cardiovascular system -chronic heart disease -venous insufficiency Early signs and symptoms - answerChief complaints: -sensory changes - tingling or numbness that lasts a few days then goes away -puffiness or swelling -jewelry feels tight -veins/tendons in the hand harder to see -knuckles less pronounced -trouble fitting arm in shirt sleeve -bra feels tighter, does not fit the same Stages of Lymphedema - answer-stage 0 -stage 1 -stage 2 -stage 3 Stage 0 - answer-sub-clinical -no clinical signs or symptoms