NPTE lymphedema Exam with complete solutions

NPTE lymphedema Exam with complete solutions A physical therapist visits a female patient who had radical mastectomy with axillary node removal. Which of the following signs would indicate initial development of lymphedema in the patient? A- Atrophy of the brachioradialis muscle B- Numbness in the antecubital fossa C- Decreased flexibility of the fingers of the hand D- Increased blood pressure - ANS ️️ C What drains into the R lymphatic duct? - ANS ️️ - Right side of the head - Right thorax - Right UE What drains into the thoracic duct? - ANS ️️ - EVERYTHING ELSE Congestion order of drainage? (proximal, distal etc) - ANS ️️ Decongest proximal first, THEN work distal to proximal stroking lymphatic drainage, stroking is distal to proximal or proximal to distal? - ANS ️️ Distal -> proximal Stemmers sign? - ANS ️️ - Special test for lymphatics - pinch the skin