Term
| Lymph from right upper quadrant feeds into what duct? |
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Definition
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Term
| Lymph from the body (except right upper quadrant) feeds into what duct? |
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Definition
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Term
| The Righ Lymphatic Duct and the Thoracic Duct feed into what veins |
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Definition
| The respective Subclavian Veins |
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Term
| What is the daily capillary outflow? |
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Definition
| 3 L (more than venous system can handle) |
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Term
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Definition
| Water and dissolved proteins like albumin |
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Term
| What type of blood cell do lymph nodes have a lot of? |
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Definition
| White Blood Cells - Has B and T lymphocytes to phagocytose most of the foreign material |
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Term
| Why do we look at lymph nodes to check for metastasis |
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Definition
| They have a lot of T-cells that fight tumors |
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Term
| What is the basic idea of Starling's theory of fluid dynamics? |
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Definition
| Fluid flows from area of high pressure to area of low pressure |
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Term
| What is plasma hydrostatic pressure (PHP)? |
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Definition
| The pressure inside capillaries that forces fluid out into the tissues |
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Term
| What is Tissue hydrostatic pressure? (THP) |
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Definition
| Pressure that forces fluid out of the tissues |
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Term
| What is Plasma colloidal osmotic pressure (PCOP)? |
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Definition
| Protein in the plasma that pulls fluid from tissues into capillaries |
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Term
| What is Tissue colloidal osmotic pressure (TCOP)? |
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Definition
| Fluid is pulled from capillaries into tissues by the solute concentration of plasma proteins in the tissues |
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Term
| Which two pressures pull fluid from Capillaries --> tissues? |
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Definition
Plasma hydrostatic pressure
Tissue colloidal osmotic pressure |
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Term
What two pressures send fluid from
tissues ----> capillaries? |
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Definition
Tissue hydrostatic pressure
Plasma colloidal osmotic pressure |
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Term
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Definition
-skeletal muscle contraction
-arteriole pulsing
-smooth muscles in walls |
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Term
| What percent of fluid goes where? |
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Definition
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Term
| What is the difference between primary and secondary lymphedema? |
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Definition
-Primary - born without vessels/
abnormal vessels
-Secondary - Caused by blockage |
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Term
| Lymphedema is characterized by... |
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Definition
| Abnormal accumulation of protein rich lymph fluid in the extracellular spaces |
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Term
| Stemmers sign for lymphedema |
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Definition
| To perform it, try to pinch and lift a skinfold at the base of the second toe or middle finger. If you can pinch and lift the skin, Stemmer’s sign is negative. If you can’t, the sign is positive. |
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Term
| Medications for Lymphedema |
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Definition
Benzopyrones - increases proteolysis and macrophage activity
*Diuretics are not helpful |
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Term
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Definition
-healthy weight
-prevent trauma to area of lymph node removal
-No BP in affected arm
-Keep skin/nails clean
-Avoid trauma to affected area
-Nothing tight-fitting
-etc |
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Term
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Definition
-infection of lymphatics
-Treat w/antibiotics |
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Term
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Definition
-rash
-red blotchy skin
-Itching
-discoloration
-warmer skin
-pain
-sudden onset of fever/chills |
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Term
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Definition
| Deposits of subcutaneous adipose tissue |
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Term
| Which is spontaneously reversible at stage one? |
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Definition
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Term
| Main things to remember about lymphedema...for comparison |
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Definition
-Pooling of fluid
-Affects feet
-Pitting edema @ first.....then became hardened over time (fibrotic)
-Can be born w/out lymph nodes
-Arms AND legs
-unilateral
-stemmons sign
-disruption of lymph system
-compression treatment |
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Term
| Main things for lipedema.....for comparison |
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Definition
-Pooling of fat
-mostly women
-does not affect feet
-spongy feel to tissue
-pitting edema common
-Edema increases thru day
-Onset at puberty
-symmetrical
-legs only
-no stemmers sign
-genetic component
-hormonal disorder
-lower level of compression treatment |
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Term
| How many stages of lymphedema? Quickly describe... |
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Definition
Stage 1 - spontaneously reversible
Drain with elevation
Soft - pitting edema
Stage 2 - spontaenously irreversible
Spongy & nonpitting
increase in size
Intervention for reversal
Stage 3 - lphostatic elephatiasis
Does not reverse
Hard/fibrotic tissue |
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