CLT LANA EXAM PREP
1. Stage 1 Lipedema: Fat
Swelling resolves with rest/elevation
2. Stage 2 Lipedema: Peau' d' orange
Easy bruising
Less resolution w/ rest and elevation
3. Stage 3 Lipedema: Fibrosclerosis- hard connective tissue
LARGE mass of skin
Swelling doesn't recede
4. Stage 4 Lipedema: Fibrosclerosis/Elephantitis
LARGER Masses of skin overhang
LIPO-LYMPHEDEMA (becomes lymphedema at this stage)
5. Columnar pants: column like swelling with lipedema
6. Harem pants (pantaloons): like princess Jazmine pants in Aladin lipedema
7. jodhpurs (riding breeches): big hips and smaller calfs lipedema
8. Lymphedema Stage 0 AKA: Subclinical or Latent Stage
9. Lymphedema Stage 0 Characteristics: -No swelling
-Reduced TC and functional reserve
-Normal tissue consistency but US can reveal changes
-May have heaviness, achiness, warmth (Transient symptoms)
-Education/prevention
10. Lymphedema Stage 1 AKA: Reversible Stage
11. Lymphedema Stage 1 Characteristics: -Pitting edema that goes down w/
elevation or treatment
heavy, aching, fatigued
-Puffy
Goal-reduce edema
- negative or borderline stemmer sign
12. Lymphedema Stage 2 AKA: Spontaneously Irreversible Stage
13. Lymphedema Stage 2 Characteristics: -FIBROSIS
-Hard, lumpy, thickened, sludgy tissue
-Non-pitting.
-Edema that can be partially reduced or is irreversible
-Prone to infections
14. Lymphedema Stage 3 AKA: Elephantiasis or
Sclerotic Lymphedema
15. Lymphedema Stage 3 Characteristics: -SECONDARY SKIN CHANGES
-Trigger is infection/cellulitis
-Skin folds/distorted shapes
, CLT LANA EXAM PREP
-Severe skin changes- papillomatosis, hyperkeratosis, lichenification, hyperpigmen-
tation
16. Initial Lymphatics AKA: Lymph Plexus
initial lymph collectors
initial lymph vessels
17. Initial Lymphatics Characterisitics: LOCATED: Just under epitheal layer of
epidermis and in the subendothelial lining of mucous membranes
-LARGER THAN BCs
-PICK UP LLs
-Irregular lumen with a discontinuous basement membrane of a single layer of flat
oak leaf in shape LECs
18. PRE-COLLECTORS: -FOUND in- superficial portions of the dermis & end at the
collectors in the subcutaneous tissue
-CONNECT initial lymphatics to collectors
-Has some smooth muscle and some valves
-Has some open junctions
19. COLLECTORS: Bring lymph to Lnn and trunks
HAVE DEVELOPED VALVES
Run parallel and bring lymph fluid distal to proximal
Deep collectors draining the deeper tissues & organs
Superficial collectors drain the skin or superficial tissue
3 LAYERS
Intima- endothelial cells and a basal membrane.
Media- Smooth muscle cells and elastic fibers.
Adventia- Collagen fibers and other cells (macrophages, neurons, and dendritic
cells)
Have open junctions in wall of the collectors allowing for a minimal amount of solutes
to escape,
like proteins.
20. Lymphatic Trunks: Drain into larger vessels located in deep fascia and or
organs
1. Stage 1 Lipedema: Fat
Swelling resolves with rest/elevation
2. Stage 2 Lipedema: Peau' d' orange
Easy bruising
Less resolution w/ rest and elevation
3. Stage 3 Lipedema: Fibrosclerosis- hard connective tissue
LARGE mass of skin
Swelling doesn't recede
4. Stage 4 Lipedema: Fibrosclerosis/Elephantitis
LARGER Masses of skin overhang
LIPO-LYMPHEDEMA (becomes lymphedema at this stage)
5. Columnar pants: column like swelling with lipedema
6. Harem pants (pantaloons): like princess Jazmine pants in Aladin lipedema
7. jodhpurs (riding breeches): big hips and smaller calfs lipedema
8. Lymphedema Stage 0 AKA: Subclinical or Latent Stage
9. Lymphedema Stage 0 Characteristics: -No swelling
-Reduced TC and functional reserve
-Normal tissue consistency but US can reveal changes
-May have heaviness, achiness, warmth (Transient symptoms)
-Education/prevention
10. Lymphedema Stage 1 AKA: Reversible Stage
11. Lymphedema Stage 1 Characteristics: -Pitting edema that goes down w/
elevation or treatment
heavy, aching, fatigued
-Puffy
Goal-reduce edema
- negative or borderline stemmer sign
12. Lymphedema Stage 2 AKA: Spontaneously Irreversible Stage
13. Lymphedema Stage 2 Characteristics: -FIBROSIS
-Hard, lumpy, thickened, sludgy tissue
-Non-pitting.
-Edema that can be partially reduced or is irreversible
-Prone to infections
14. Lymphedema Stage 3 AKA: Elephantiasis or
Sclerotic Lymphedema
15. Lymphedema Stage 3 Characteristics: -SECONDARY SKIN CHANGES
-Trigger is infection/cellulitis
-Skin folds/distorted shapes
, CLT LANA EXAM PREP
-Severe skin changes- papillomatosis, hyperkeratosis, lichenification, hyperpigmen-
tation
16. Initial Lymphatics AKA: Lymph Plexus
initial lymph collectors
initial lymph vessels
17. Initial Lymphatics Characterisitics: LOCATED: Just under epitheal layer of
epidermis and in the subendothelial lining of mucous membranes
-LARGER THAN BCs
-PICK UP LLs
-Irregular lumen with a discontinuous basement membrane of a single layer of flat
oak leaf in shape LECs
18. PRE-COLLECTORS: -FOUND in- superficial portions of the dermis & end at the
collectors in the subcutaneous tissue
-CONNECT initial lymphatics to collectors
-Has some smooth muscle and some valves
-Has some open junctions
19. COLLECTORS: Bring lymph to Lnn and trunks
HAVE DEVELOPED VALVES
Run parallel and bring lymph fluid distal to proximal
Deep collectors draining the deeper tissues & organs
Superficial collectors drain the skin or superficial tissue
3 LAYERS
Intima- endothelial cells and a basal membrane.
Media- Smooth muscle cells and elastic fibers.
Adventia- Collagen fibers and other cells (macrophages, neurons, and dendritic
cells)
Have open junctions in wall of the collectors allowing for a minimal amount of solutes
to escape,
like proteins.
20. Lymphatic Trunks: Drain into larger vessels located in deep fascia and or
organs
