CLT LANA EXAM PREP QUESTIONS WITH COMPLETE
SOLUTIONS. Buy Quality Materials!
Stage 1 Lipedema
Fat
Swelling resolves with rest/elevation
Stage 2 Lipedema
Peau' d' orange
Easy bruising
Less resolution w/ rest and elevation
Stage 3 Lipedema
Fibrosclerosis- hard connective tissue
LARGE mass of skin
Swelling doesn't recede
Stage 4 Lipedema
Fibrosclerosis/Elephantitis
LARGER Masses of skin overhang
LIPO-LYMPHEDEMA (becomes lymphedema at this stage)
Columnar pants
column like swelling with lipedema
Harem pants (pantaloons)
like princess Jazmine pants in Aladin lipedema
jodhpurs (riding breeches)
big hips and smaller calfs lipedema
Lymphedema Stage 0 AKA
Subclinical or Latent Stage
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
Lymphedema Stage 1 AKA
Reversible Stage
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
Lymphedema Stage 2 AKA
Spontaneously Irreversible Stage
Lymphedema Stage 2 Characteristics
, -FIBROSIS
-Hard, lumpy, thickened, sludgy tissue
-Non-pitting.
-Edema that can be partially reduced or is irreversible
-Prone to infections
Lymphedema Stage 3 AKA
Elephantiasis or
Sclerotic Lymphedema
Lymphedema Stage 3 Characteristics
-SECONDARY SKIN CHANGES
-Trigger is infection/cellulitis
-Skin folds/distorted shapes
-Severe skin changes- papillomatosis, hyperkeratosis, lichenification, hyperpigmentation
Initial Lymphatics AKA
Lymph Plexus
initial lymph collectors
initial lymph vessels
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
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
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)
SOLUTIONS. Buy Quality Materials!
Stage 1 Lipedema
Fat
Swelling resolves with rest/elevation
Stage 2 Lipedema
Peau' d' orange
Easy bruising
Less resolution w/ rest and elevation
Stage 3 Lipedema
Fibrosclerosis- hard connective tissue
LARGE mass of skin
Swelling doesn't recede
Stage 4 Lipedema
Fibrosclerosis/Elephantitis
LARGER Masses of skin overhang
LIPO-LYMPHEDEMA (becomes lymphedema at this stage)
Columnar pants
column like swelling with lipedema
Harem pants (pantaloons)
like princess Jazmine pants in Aladin lipedema
jodhpurs (riding breeches)
big hips and smaller calfs lipedema
Lymphedema Stage 0 AKA
Subclinical or Latent Stage
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
Lymphedema Stage 1 AKA
Reversible Stage
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
Lymphedema Stage 2 AKA
Spontaneously Irreversible Stage
Lymphedema Stage 2 Characteristics
, -FIBROSIS
-Hard, lumpy, thickened, sludgy tissue
-Non-pitting.
-Edema that can be partially reduced or is irreversible
-Prone to infections
Lymphedema Stage 3 AKA
Elephantiasis or
Sclerotic Lymphedema
Lymphedema Stage 3 Characteristics
-SECONDARY SKIN CHANGES
-Trigger is infection/cellulitis
-Skin folds/distorted shapes
-Severe skin changes- papillomatosis, hyperkeratosis, lichenification, hyperpigmentation
Initial Lymphatics AKA
Lymph Plexus
initial lymph collectors
initial lymph vessels
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
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
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)
