ACOLS Lymphedema Exam with verified detailed answers|| || || || || ||
Lymphedema
Lymphedema: A chronic inflammatory disease seen as an abnormal accumulation of
|| || || || || || || || || || ||
protein and water in the intestinal space, caused by mechanical insufficiency of the
|| || || || || || || || || || || || ||
lymphatic system (LS) (Foldi 3rd ed. 3.2.1)
|| || || || || ||
-A disease
||
-Water & protein || ||
-Mechanical insufficiency ||
-A progressive condition if left untreated
|| || || || ||
Define Mechanical Insufficiency
|| ||
Transport capacity drops below the normal amount of (LL), low volume insufficiency
|| || || || || || || || || || ||
Edema
Common conditions that cause edema :|| || || || ||
-heart conditions, pregnancy, venous insufficiency
|| || || ||
An accumulation of water in the tissue: swelling caused by an accumulation of "water" fluid
|| || || || || || || || || || || || || ||
in the intercellular tissue spaces of the body, which is visible and/or palpable (pitting
|| || || || || || || || || || || || || || ||
edema)
-A "symptom"
||
-Water
-Dynamic Insufficiency ||
,What is it called when a healthy LS is overwhelmed and the (LL) of water exceeds the (TC)
|| || || || || || || || || || || || || || || || || ||
with a (LTV) maxed out?
|| || || ||
Dynamic Insufficiency ||
-often caused by insufficient venous return
|| || || || ||
-can be caused by CHF, venous insufficiency, long sitting/standing, pregnancy, and other
|| || || || || || || || || || || ||
pathologies.
Define Dynamic Insufficiency || ||
Healthy lymphatic system is overwhelmed, high volume insufficiency
|| || || || || || ||
Lymphatic System (LS) || ||
An "open system" composed of a network of vessels, ducts, nodes, and organs. Main
|| || || || || || || || || || || || || ||
Purpose: drain the substances that cannot be drained and/or reabsorbed by the circulatory
|| || || || || || || || || || || || ||
system and return them to the blood. The (LS) is responsible for the production, transport,
|| || || || || || || || || || || || || || ||
and filtration of lymph fluid throughout the body
|| || || || || || ||
-It provides defense against infection.
|| || || ||
-Accessory route for lymph fluid || || || ||
-Has no central pump || || ||
-One-way system ||
Causes and Incidence of Lymphedema in the U.S || || || || || || ||
1st- Surgical procedures involving the (LS)
|| || || || ||
2nd- Breast surgery|| ||
,-1-2 mil primary cases
|| || ||
-2-3 mil secondary cases that may effect the limbs, face, genitals, and trunk
|| || || || || || || || || || || ||
-Lymphedema caused by other conditions include: Lipedema Venous Insufficiency, and
|| || || || || || || || || ||
Arthritis
What is the most common cause of lymphedema in the U.S
|| || || || || || || || || ||
Breast Cancer ||
What is the most common cause of lymphedema in the World?
|| || || || || || || || || ||
Filariasis
Lymphatic Load (LL) || ||
Those substances that must leave the location where they are formed and can only do so via
|| || || || || || || || || || || || || || || ||
the lymphatic vessels. This includes: water, protein, cells, and fats (log-chained fatty acids)
|| || || || || || || || || || || || || ||
(Foldi 3rd ed. (2.3.5)
|| || ||
-Water:10-20% left by the (BC) in the interstitial space || || || || || || || ||
-Protein: (1/2 of bodies protein) It is the responsibility of the (LS) to remove proteins from
|| || || || || || || || || || || || || || || ||
the interstitial space
|| ||
-Cells: (RBC, WBC, Lymphocytes)
|| || ||
-Fats: (intestinal lymph, chyle)
|| || ||
-Waste Products ||
What are the 4 main components of Lymphatic Load (LL)
|| || || || || || || || ||
, water, protein, cell/cell fragments, long-chained fatty acids
|| || || || || ||
What percentage of water is reabsorbed from the interstitial back into the blood capillaries
|| || || || || || || || || || || || || ||
in a healthy body
|| || ||
80-90%
What percentage of water remains in the interstitial space and becomes (LL)
|| || || || || || || || || || ||
10-20%
How much lymph fluid is returned to the venous system in 24Hr ?
|| || || || || || || || || || || ||
2-4 liters
||
When is a body considered to have Lymphedema
|| || || || || || ||
When an abnormal accumulation of protein and water is present in the interstitial spaces
|| || || || || || || || || || || || || ||
due to mechanical insufficiency of the (LS)
|| || || || || ||
What is lymph fluid rich in ?
|| || || || || ||
Protein
Lymphedema is usually unilateral, and when it is bilateral it is always?
|| || || || || || || || || || ||
Lymphedema
Lymphedema: A chronic inflammatory disease seen as an abnormal accumulation of
|| || || || || || || || || || ||
protein and water in the intestinal space, caused by mechanical insufficiency of the
|| || || || || || || || || || || || ||
lymphatic system (LS) (Foldi 3rd ed. 3.2.1)
|| || || || || ||
-A disease
||
-Water & protein || ||
-Mechanical insufficiency ||
-A progressive condition if left untreated
|| || || || ||
Define Mechanical Insufficiency
|| ||
Transport capacity drops below the normal amount of (LL), low volume insufficiency
|| || || || || || || || || || ||
Edema
Common conditions that cause edema :|| || || || ||
-heart conditions, pregnancy, venous insufficiency
|| || || ||
An accumulation of water in the tissue: swelling caused by an accumulation of "water" fluid
|| || || || || || || || || || || || || ||
in the intercellular tissue spaces of the body, which is visible and/or palpable (pitting
|| || || || || || || || || || || || || || ||
edema)
-A "symptom"
||
-Water
-Dynamic Insufficiency ||
,What is it called when a healthy LS is overwhelmed and the (LL) of water exceeds the (TC)
|| || || || || || || || || || || || || || || || || ||
with a (LTV) maxed out?
|| || || ||
Dynamic Insufficiency ||
-often caused by insufficient venous return
|| || || || ||
-can be caused by CHF, venous insufficiency, long sitting/standing, pregnancy, and other
|| || || || || || || || || || || ||
pathologies.
Define Dynamic Insufficiency || ||
Healthy lymphatic system is overwhelmed, high volume insufficiency
|| || || || || || ||
Lymphatic System (LS) || ||
An "open system" composed of a network of vessels, ducts, nodes, and organs. Main
|| || || || || || || || || || || || || ||
Purpose: drain the substances that cannot be drained and/or reabsorbed by the circulatory
|| || || || || || || || || || || || ||
system and return them to the blood. The (LS) is responsible for the production, transport,
|| || || || || || || || || || || || || || ||
and filtration of lymph fluid throughout the body
|| || || || || || ||
-It provides defense against infection.
|| || || ||
-Accessory route for lymph fluid || || || ||
-Has no central pump || || ||
-One-way system ||
Causes and Incidence of Lymphedema in the U.S || || || || || || ||
1st- Surgical procedures involving the (LS)
|| || || || ||
2nd- Breast surgery|| ||
,-1-2 mil primary cases
|| || ||
-2-3 mil secondary cases that may effect the limbs, face, genitals, and trunk
|| || || || || || || || || || || ||
-Lymphedema caused by other conditions include: Lipedema Venous Insufficiency, and
|| || || || || || || || || ||
Arthritis
What is the most common cause of lymphedema in the U.S
|| || || || || || || || || ||
Breast Cancer ||
What is the most common cause of lymphedema in the World?
|| || || || || || || || || ||
Filariasis
Lymphatic Load (LL) || ||
Those substances that must leave the location where they are formed and can only do so via
|| || || || || || || || || || || || || || || ||
the lymphatic vessels. This includes: water, protein, cells, and fats (log-chained fatty acids)
|| || || || || || || || || || || || || ||
(Foldi 3rd ed. (2.3.5)
|| || ||
-Water:10-20% left by the (BC) in the interstitial space || || || || || || || ||
-Protein: (1/2 of bodies protein) It is the responsibility of the (LS) to remove proteins from
|| || || || || || || || || || || || || || || ||
the interstitial space
|| ||
-Cells: (RBC, WBC, Lymphocytes)
|| || ||
-Fats: (intestinal lymph, chyle)
|| || ||
-Waste Products ||
What are the 4 main components of Lymphatic Load (LL)
|| || || || || || || || ||
, water, protein, cell/cell fragments, long-chained fatty acids
|| || || || || ||
What percentage of water is reabsorbed from the interstitial back into the blood capillaries
|| || || || || || || || || || || || || ||
in a healthy body
|| || ||
80-90%
What percentage of water remains in the interstitial space and becomes (LL)
|| || || || || || || || || || ||
10-20%
How much lymph fluid is returned to the venous system in 24Hr ?
|| || || || || || || || || || || ||
2-4 liters
||
When is a body considered to have Lymphedema
|| || || || || || ||
When an abnormal accumulation of protein and water is present in the interstitial spaces
|| || || || || || || || || || || || || ||
due to mechanical insufficiency of the (LS)
|| || || || || ||
What is lymph fluid rich in ?
|| || || || || ||
Protein
Lymphedema is usually unilateral, and when it is bilateral it is always?
|| || || || || || || || || || ||
