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CLT LANA EXAM PREP
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CLT LANA EXAM PREP 2024-2025Stage 1 Lipedema: ANSWER FAT
Rest and elevation help to reduce swelling.
Stage 2 Lipedema - ANSWER Peau d'Orange
Easy bruising.
Reduced resolution with rest and elevation.
Fibrosclerosis, or hard connective tissue, is the answer to stage 3 lipedema.
Large quantity of skin
T does not subside.
Stage 4 Lipedema: Fibrosclerosis/Elephantitis
Larger areas of skin overhang
LIPO-LYMPHEDEMA (which develops into lymphoedema at this stage)
Columnar trousers - A column-like swelling accompanies lipedema.
Harem pants (pantaloons) - ANSWER: like Princess Jazmine pants in Aladdin
Lipedema
Jodhpurs (riding breeches) - ANSWER: large hips and smaller calfs lipedema.
Lymphoedema Stage 0 (also known as subclinical or latent)
,Lymphoedema Stage 0 Characteristics - ANSWER: No swelling.
-Reduced thermal capacity and functional reserve
-Tissue consistency is normal, although ultrasound can indicate alterations.
-There may be heaviness, achiness, and warmth (transient symptoms).
-Education/Prevention
Lymphoedema Stage 1 AKA - Answer: Reversible Stage
Lymphoedema Stage 1 Characteristics - ANSWER -Pitting oedema that decreases
with elevation or treatment
Heavy, hurting, and exhausted
-Puffy
Goal: decrease oedema
- Negative or borderline stemmer sign
Lymphoedema Stage 2 AKA: Spontaneously Irreversible Stage.
Lymphoedema Stage 2 Characteristics: FIBROSIS
-Hard, lumpy, thickened, and sludgy tissue
-Non-pitting.
-Oedema that can be partially reduced or irreversible
-prone to infections.
, Lymphoedema Stage 3 (also known as elephantiasis)
Sclerotic lymphoedema.
Lymphoedema Stage 3 Characteristics - Answer: Secondary Skin Changes
-The trigger is infection/cellulitis.
-Skin folds or deformed forms.
-Severe skin alterations include papillomatosis, hyperkeratosis, lichenification, and
hyperpigmentation.
Initial lymphatics, also known as Lymph Plexus
Initial lymph collectors
The earliest lymph vessels
Initial Lymphatic Characteristics - ANSWER LOCATED: Just under the epidermal
layer and in the subendothelial lining of mucous membranes
-Larger than BCs.
-Pick up LLs.
- Irregular lumen with a discontinuous foundation membrane of a single layer of
flat oak leaf-shaped LECs
PRE-COLLECTORS - ANSWER -FOUND in superficial sections of the dermis
and end at the collectors in the subcutaneous tissue.
-Connect the early lymphatics to collectors.
-Has smooth muscle and valves.
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