ACTUAL Exam Questions and CORRECT
Answers
Stage 1 Lipedema - CORRECT ANSWER - Fat
Swelling resolves with rest/elevation
Stage 2 Lipedema - CORRECT ANSWER - Peau' d' orange
Easy bruising
Less resolution w/ rest and elevation
Stage 3 Lipedema - CORRECT ANSWER - Fibrosclerosis- hard connective tissue
LARGE mass of skin
Swelling doesn't recede
Stage 4 Lipedema - CORRECT ANSWER - Fibrosclerosis/Elephantitis
LARGER Masses of skin overhang
LIPO-LYMPHEDEMA (becomes lymphedema at this stage)
Columnar pants - CORRECT ANSWER - column like swelling with lipedema
Harem pants (pantaloons) - CORRECT ANSWER - like princess Jazmine pants in Aladin
lipedema
jodhpurs (riding breeches) - CORRECT ANSWER - big hips and smaller calfs lipedema
Lymphedema Stage 0 AKA - CORRECT ANSWER - Subclinical or Latent Stage
,Lymphedema Stage 0 Characteristics - CORRECT 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 - CORRECT ANSWER - Reversible Stage
Lymphedema Stage 1 Characteristics - CORRECT 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 - CORRECT ANSWER - Spontaneously Irreversible Stage
Lymphedema Stage 2 Characteristics - CORRECT 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 - CORRECT ANSWER - Elephantiasis or
Sclerotic Lymphedema
, Lymphedema Stage 3 Characteristics - CORRECT ANSWER - -SECONDARY SKIN
CHANGES
-Trigger is infection/cellulitis
-Skin folds/distorted shapes
-Severe skin changes- papillomatosis, hyperkeratosis, lichenification, hyperpigmentation
Initial Lymphatics AKA - CORRECT ANSWER - Lymph Plexus
initial lymph collectors
initial lymph vessels
Initial Lymphatics Characterisitics - CORRECT 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 - CORRECT 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 - CORRECT ANSWER - Bring lymph to Lnn and trunks
HAVE DEVELOPED VALVES