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lymphatic system includes |
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Definition
tonsils lymph vessels thymus spleen lymph nodes bone marrow |
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Lymphatic system Major Functions |
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Definition
-Fluid balance and transport system -Fat absorption -Immunological protection |
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-Muscle pump action -Smooth muscle contraction -Valves -Thoracic pressure -Gravity |
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-Filter RBC -Blood reserve |
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lymphoid tissue in the wall of the small intestine |
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-Filter - B and t cells macrophages -Produce and send out Lymphocytes |
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where t cells are matured |
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Lymph Nodes -concerns as a physical therapist |
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can identify problems through palpation |
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Swelling of the soft tissues that results from increased protein rich fluid in the extracellular space |
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Blockages in the Lymphatic system Increased lymph load -Infections -Inflammation of the lymph -Tumors -Radiation- -Surgical excision of lymph nodes -Injuries |
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stage 0 - latent stage 1 stage 2 stage 3 - lymphostatic elephantiasis |
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Born with Abnormal or absent lymph vessels |
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resulting from damage of lymph vessels |
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lymphedema structural impairment |
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Definition
Damage caused by fibrin blocking the lymph channel, ( valve failure, lymph wall tears or fibrosis, tumor) |
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lymphedema Functional impairment- |
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Definition
pressure in the tissues change cause more edema ( bed rest, paralysis) |
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lymphedema signs and symptoms |
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Definition
-Skin tightness - “full sensation” -tight fitting clothes - tight fitting jewelry -Skin changes |
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Physical exam -Palpation -Visual inspection -History Lymphoscintigraphy- |
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Meds- Protein lysing ( S.E. liver toxicity) therapy treatment |
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lymphedema physical therapy treatment |
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Definition
-Infection control -Compression Garment -Exercise -Skin care -Compression pumps -Lymphatic drainage -Education -Avoid taking blood pressure on limb with node dissection |
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Inflammation of the lymph nodes |
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inflammation of the lymph vessels (cellulitis) |
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NOT LYMPHEDEMA -The body accumulates fat in certain areas (usually the legs or arms) -Usually symmetrical edema |
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