LANA CLT PREP EXAM WITH (210) QUESTIONS AND
VERIFIED ANSWERS
Stage 1 Lipedema - ANSWER Fat
Swelling resolves with rest/elevation
Stage 2 Lipedema - ANSWER Peau' d' orange
Easy bruising
Less resolution w/ rest and elevation
Stage 3 Lipedema - ANSWER Fibrosclerosis- hard connective tissue
LARGE mass of skin
Swelling doesn't recede
Stage 4 Lipedema - ANSWER Fibrosclerosis/Elephantitis
LARGER Masses of skin overhang
LIPO-LYMPHEDEMA (becomes lymphedema at this stage)
Columnar pants - ANSWER column like swelling with lipedema
Harem pants (pantaloons) - ANSWER like princess Jazmine pants in Aladin lipedema
jodhpurs (riding breeches) - ANSWER big hips and smaller calfs lipedema
Lymphedema Stage 0 AKA - ANSWER Subclinical or Latent Stage
Lymphedema Stage 0 Characteristics - ANSWER -No swelling
-Reduced TC and functional reserve
-Normal tissue consistency but US can reveal changes
-May have heaviness, achiness, warmth (Transient symptoms)
-Education/prevention
Lymphedema Stage 1 AKA - ANSWER Reversible Stage
Lymphedema Stage 1 Characteristics - ANSWER -Pitting edema that goes down w/
elevation or treatment
heavy, aching, fatigued
-Puffy
Goal-reduce edema
- negative or borderline stemmer sign
Lymphedema Stage 2 AKA - ANSWER Spontaneously Irreversible Stage
, Lymphedema Stage 2 Characteristics - ANSWER -FIBROSIS
-Hard, lumpy, thickened, sludgy tissue
-Non-pitting.
-Edema that can be partially reduced or is irreversible
-Prone to infections
Lymphedema Stage 3 AKA - ANSWER Elephantiasis or
Sclerotic Lymphedema
Lymphedema Stage 3 Characteristics - ANSWER -SECONDARY SKIN CHANGES
-Trigger is infection/cellulitis
-Skin folds/distorted shapes
-Severe skin changes- papillomatosis, hyperkeratosis, lichenification, hyperpigmentation
Initial Lymphatics AKA - ANSWER Lymph Plexus
initial lymph collectors
initial lymph vessels
Initial Lymphatics Characterisitics - ANSWER 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
PRE-COLLECTORS - ANSWER -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
COLLECTORS - ANSWER 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)
VERIFIED ANSWERS
Stage 1 Lipedema - ANSWER Fat
Swelling resolves with rest/elevation
Stage 2 Lipedema - ANSWER Peau' d' orange
Easy bruising
Less resolution w/ rest and elevation
Stage 3 Lipedema - ANSWER Fibrosclerosis- hard connective tissue
LARGE mass of skin
Swelling doesn't recede
Stage 4 Lipedema - ANSWER Fibrosclerosis/Elephantitis
LARGER Masses of skin overhang
LIPO-LYMPHEDEMA (becomes lymphedema at this stage)
Columnar pants - ANSWER column like swelling with lipedema
Harem pants (pantaloons) - ANSWER like princess Jazmine pants in Aladin lipedema
jodhpurs (riding breeches) - ANSWER big hips and smaller calfs lipedema
Lymphedema Stage 0 AKA - ANSWER Subclinical or Latent Stage
Lymphedema Stage 0 Characteristics - ANSWER -No swelling
-Reduced TC and functional reserve
-Normal tissue consistency but US can reveal changes
-May have heaviness, achiness, warmth (Transient symptoms)
-Education/prevention
Lymphedema Stage 1 AKA - ANSWER Reversible Stage
Lymphedema Stage 1 Characteristics - ANSWER -Pitting edema that goes down w/
elevation or treatment
heavy, aching, fatigued
-Puffy
Goal-reduce edema
- negative or borderline stemmer sign
Lymphedema Stage 2 AKA - ANSWER Spontaneously Irreversible Stage
, Lymphedema Stage 2 Characteristics - ANSWER -FIBROSIS
-Hard, lumpy, thickened, sludgy tissue
-Non-pitting.
-Edema that can be partially reduced or is irreversible
-Prone to infections
Lymphedema Stage 3 AKA - ANSWER Elephantiasis or
Sclerotic Lymphedema
Lymphedema Stage 3 Characteristics - ANSWER -SECONDARY SKIN CHANGES
-Trigger is infection/cellulitis
-Skin folds/distorted shapes
-Severe skin changes- papillomatosis, hyperkeratosis, lichenification, hyperpigmentation
Initial Lymphatics AKA - ANSWER Lymph Plexus
initial lymph collectors
initial lymph vessels
Initial Lymphatics Characterisitics - ANSWER 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
PRE-COLLECTORS - ANSWER -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
COLLECTORS - ANSWER 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)
