Term
| Functions of the Lymphatic System: 1 |
|
Definition
| maintain fluid balance in the tissues |
|
|
Term
| Functions of the Lymphatic System: 2 |
|
Definition
|
|
Term
| Functions of the Lymphatic System: 3 |
|
Definition
| assist in the removal of cellular debris and waste products from the extracellular spaces within tissues |
|
|
Term
| Normal Lymphatic Functioning: 1 |
|
Definition
| fluid that leaves the arteriole and capillaries nourishes the tissues and cells |
|
|
Term
| Normal Lymphatic Functioning: 2 |
|
Definition
| Approximately 90% of this tissue fluid volume reenters the circulation via the venous capillary network |
|
|
Term
| Normal Lymphatic Functioning: 3 |
|
Definition
| Remaining 10% of this extra-cellular fluid and plasma proteins is returned to the heart via the lymphatic system |
|
|
Term
| If this normal tranpsort system is disrupted, significant accumulations of water and plasma proteins can remain in the tissue spaces and result in |
|
Definition
|
|
Term
| One way vessel system that serves to drain the 10% tissue fluid volume and plasma proteins that remain in the interstitila space after the normla perfusion takes palce |
|
Definition
|
|
Term
| The smallest of lymphatic vessels |
|
Definition
|
|
Term
| Where are lymphatic capillaries found? |
|
Definition
| close to venous and arterial capillaries |
|
|
Term
| GLands that play an important part in the body's defense against infection? |
|
Definition
|
|
Term
| Travels through the body and filters impurities from the body |
|
Definition
|
|
Term
| Trap and filter foreign particles |
|
Definition
|
|
Term
| Approximately how many lymph nodes exist within the body? |
|
Definition
|
|
Term
| How many lyph nodes are in the head? |
|
Definition
|
|
Term
| Inguinal, axillary, supraclavicular, cervical, behind teh ears, and occiptal are locations for what |
|
Definition
| palpable superficial lymph nodes |
|
|
Term
| How can lymph nodes become enlarged? |
|
Definition
|
|
Term
| Why do lymph nodes become enlarged primarily |
|
Definition
| elevated rate of trafficking of lymphocytes into the node from the blood, exceed the rate of outflow from the node |
|
|
Term
| Why do lymph nodes become activated secondarily? |
|
Definition
| activation and proliferation of antigen-specific T and B cells |
|
|
Term
|
Definition
| lymph drainage territotires |
|
|
Term
| Where does the Left thoracic lymphotome drain into? |
|
Definition
| L axilla and upper extremity |
|
|
Term
| Where does the right thoracic lymphotome drain into? |
|
Definition
| right axilla and upper extremity |
|
|
Term
| WHere does the left abdominal lymphotome drain into? |
|
Definition
| L inguinal nodes, thoracic duct, left subclavian vein. L eg, lumbar, gluteal, genital regions |
|
|
Term
| Where does the Right abdominal lymphotomes drain into? |
|
Definition
| R inguinal nodes, thoracic duct, and L subclavian vein. R leg, lumbar, gluteal, genital regions |
|
|
Term
| The right upper extremity, R side of the head and neck, heart and lungs drain into the ___ lymphatic duct |
|
Definition
|
|
Term
| THe L UE, thoracic lymphotome, both LE's, both abdominal lymphotomes, and external genital regions drain into the ___ subclavian vein via the ____ duct |
|
Definition
|
|
Term
|
Definition
| identification of suspicious, palpable nodes ina patient with h/o of CA |
|
|
Term
| PT and identifying suspicious, palpable nodes |
|
Definition
| consider referring back to the physician |
|
|
Term
| Which nodes are common sites for metastatic cancer? |
|
Definition
| inguinal, supraclavicular |
|
|
Term
|
Definition
| colorlles fluid containing oxygen, proteins, glucose, lymphocytes |
|
|
Term
| WHat occurs when the lymph transport capacity is inadequate to transport the normal volume of lymph? |
|
Definition
|
|
Term
| WHat is characterized by swellign of soft tissues, usually in the extremities, due to accumulation of lymphatic fluid in the extracellular spaces |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Occurs after disruption or damage to the lymphatic system |
|
|
Term
|
Definition
| 'pit' remains in affected extremity after contact is made |
|
|
Term
|
Definition
| soft, pitting edma which will diminish with elevation |
|
|
Term
| How does Stage 1 lymphedema occur? |
|
Definition
| accumulation of proteins in the interstitial space |
|
|
Term
|
Definition
| non-pitting, does not reduce with elevation, mild fibrosis of teh tissue. Eczema, warts, papillomas may develop |
|
|
Term
| How does stage 2 lymphedema occur? |
|
Definition
| as chronic inflammatory response mounts |
|
|
Term
|
Definition
| severe, non pitting fibrotic edema with skin changes such as thickened, leathery keratotic skin |
|
|
Term
| Primary Lymphedema etiology |
|
Definition
| associated with malformation of lymphatic vessels |
|
|
Term
| Malformations of the lymphatic vessels |
|
Definition
| aplastic, hypoplatic, hyperplastic |
|
|
Term
|
Definition
| lymphatic collectors can be absent |
|
|
Term
|
Definition
|
|
Term
|
Definition
| enlarged, dilated, varicose collectors |
|
|
Term
| Which lymphedema may be inherited? |
|
Definition
|
|
Term
| Secondary Lymphedema etiology |
|
Definition
| damage to or obstruction to an otherwise normal strcuture |
|
|
Term
| Causes for secondary lymphedema: 1 |
|
Definition
| invasive procedures used in the diagnosis and treatment of cancer |
|
|
Term
| Causes for secondary lymphedema: 2 |
|
Definition
| bacterial, viral infections |
|
|
Term
| Causes for secondary lymphedema: 3 |
|
Definition
| chronic venous insufficiency |
|
|
Term
| Causes for secondary lymphedema: 4 |
|
Definition
| multiple abdominal surgeries |
|
|
Term
| Causes for secondary lymphedema: 5 |
|
Definition
| surgeries/traufa that interfere with normal lymphatic flow |
|
|
Term
|
Definition
|
|
Term
| Differences between lipedema and lymphedema |
|
Definition
| does it affect the feet too? |
|
|
Term
|
Definition
| transport capacity is greater the the volume of the lymph |
|
|
Term
| Lymphedema pathophysiology: 1 |
|
Definition
| transport capacity can be diminished causing decreased absorption of lymph in the lymph nodes |
|
|
Term
| Lymphedema pathophysiology: 2 |
|
Definition
| volume of lymph is greater than normal |
|
|
Term
| Lymphedema pathophysiology: 3 |
|
Definition
| 10% tissue volume that is not transported by the venous system has no alternative transport pathway except for lymphatics |
|
|
Term
| Lymphedema pathophysiology: 4 |
|
Definition
| if lymphatic transport is impaired, a back up of lymphatic fluid develops |
|
|
Term
| Lymphedema causes _____ of the lymphatic vessels |
|
Definition
|
|
Term
| Dilation of the lymphatic results in waht? |
|
Definition
| incompetence of the valves resulting in reflux of lymphatic fluid into tissue spaces |
|
|
Term
| THe body attempts to compesnate with lymphedema by creating what? |
|
Definition
| initial lymphatic vessels |
|
|
Term
| Formation of collateral vessels (called collateralization) is the body's way of trying to ____ the lymphedema |
|
Definition
|
|
Term
| Chronic inflammation at this lymphedematous tissue now casues fibrosis which leads to |
|
Definition
| hypxoia, continuation of inflammation, increased risk of infection and delayed wound healing |
|
|
Term
|
Definition
|
|
Term
|
Definition
| infection in the lymph vessels |
|
|
Term
|
Definition
| tissue fibrosis and scarring |
|
|
Term
| Gas exchange and metabolism remians impaired despite attempts at |
|
Definition
|
|
Term
| Lack of _____ and ____ leads to inefficiency of macrophages |
|
Definition
|
|
Term
| Lymph pump becomes ineffective due to the _____ of the muscle wall within the lymphatics |
|
Definition
|
|
Term
| Potential complications with chronic lymphedema: 1 |
|
Definition
|
|
Term
| Potential complications with chronic lymphedema: 2 |
|
Definition
|
|
Term
| Potential complications with chronic lymphedema: 3 |
|
Definition
|
|
Term
| Potential complications with chronic lymphedema: 4 |
|
Definition
| loss of strength in involved area |
|
|
Term
| Potential complications with chronic lymphedema: 5 |
|
Definition
|
|
Term
| Potential complications with chronic lymphedema: 6 |
|
Definition
|
|
Term
|
Definition
| involvement of teh intestines |
|
|
Term
|
Definition
| fullness of the affected body part |
|
|
Term
|
Definition
| sensation of skin tightness |
|
|
Term
|
Definition
|
|
Term
|
Definition
| difficulty with dressing the involved limb |
|
|
Term
| Lymphedema physical impairments: 1 |
|
Definition
| increased circumferential girth |
|
|
Term
| Lymphedema physical impairments: 2 |
|
Definition
|
|
Term
| Lymphedema physical impairments: 3 |
|
Definition
| neuromuscular deficits (ie weakness) |
|
|
Term
| Lymphedema physical impairments: 4 |
|
Definition
| integumentary complications due to hypoxia |
|
|
Term
| integumentary complicatoins |
|
Definition
| loss of hair and sweat glands, formation of keratotic patches, formation of blisters on the skin |
|
|
Term
| Lymphedema physical impairments: 5 |
|
Definition
| depression due to dysmorphia |
|
|
Term
| Major caution with lymphedema |
|
Definition
| healing time is dealyed. clumsy enlarged limbs at greater risk for injury |
|
|
Term
| Comprehensive Lymphedema Management |
|
Definition
|
|
Term
|
Definition
| manual lymphatic drainage |
|
|
Term
| manual lymphatic drainage |
|
Definition
| gentle massge done to increase circulation |
|
|
Term
|
Definition
| short stretch compression bandaging, exerts minimal pressure on the limb |
|
|
Term
|
Definition
|
|
Term
|
Definition
| mimics pumping effect of muscles to increase lymph flow |
|
|
Term
|
Definition
|
|
Term
| CLM: compression garments |
|
Definition
| design to maintain decrease of lymphedema |
|
|
Term
|
Definition
| pathophysiology, treatment rationale, compliance of home program, proper self care |
|
|
Term
|
Definition
| skin care, preventing lymph overload, self massage, bandaging, lifestyle modification |
|
|
Term
| IPC pumps can be applied to the edematous limb and can help to reduce early stage 1 lymphedema |
|
Definition
|
|
Term
| Compression pumps can be used with what stage lymphedema? |
|
Definition
|
|
Term
| Lymphedema and the PT: PT EValuation: 1 |
|
Definition
|
|
Term
| Lymphedema and the PT: PT EValuation: 2 |
|
Definition
| avoid affected extremity with measuring BP |
|
|
Term
| Why is it important to avoid the affected extremity with measuring BP? |
|
Definition
| pressure of the inflated cuff could damage lymphatic vessel walls |
|
|
Term
| Lymphedema and the PT: PT EValuation: 3 |
|
Definition
| Record detailed description of skin integrity, color, texture, presence of fibrotic or keratotic areas) |
|
|
Term
| Lymphedema and the PT: PT EValuation: 4 |
|
Definition
| include photos if possible to monitor progress and efficacy of treatment |
|
|
Term
| Lymphedema and the PT: PT EValuation: 5 |
|
Definition
| include accurate volumetric/girth measures bilaterally |
|
|
Term
| Lymphedema and goals for interventions |
|
Definition
|
|
