SOLUTIONS
Documentation of the Lymphatic system should include; -
<<<aNSWERS>>>>Character of symptoms
Associated local and systemic symptoms
Predisposing factors (recent infection, surgery or trauma)
Current medications
Home remedies and their effects
Lymphedema is graded as;
Stage 0
Stage 1
Stage 2
Stage 3 - <<<aNSWERS>>>>Stage 0 = latent or subclinical,
swelling is not evident despite impaired lymph transport
Stage 1 = Pitting may occur, there is early accumulation of
fluid relatively high in protein content and it subsides with
limb elevation
, MSN 610 MODULE 3 (2024-2025) QUIZ - SG3 WITH
SOLUTIONS
Stage 2 = tissue fibrosis is present, limb elevation alone rarely
reduces tissue swelling, pitting may be present, late in stage II
pitting may or may not occur as tissue fibrosis supervenes
Stage 3 = pitting is absent, trophic skin changes are present
(acanthosis, fat deposits and warty overgrowths)
Excoriation - <<<aNSWERS>>>>Loss of epidermis, linear,
hollowed out, crusted area
Erosion - <<<aNSWERS>>>>Loss of part of the epidermis,
depressed, moist, glistening, follows rupture of vesicle or
bulla
Fissure - <<<aNSWERS>>>>Linear crack/break from
epidermis to dermis
athlete's foot
Ulcer - <<<aNSWERS>>>>Loss of epidermis and dermis,
concave, varies in size
Crust - <<<aNSWERS>>>>dried serum, blood/purulent
exudate, slightly elevated, size varies
eczema