Edema and Lymphedema Overview

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Questions and Answers

What differentiates edema from effusion?

  • Edema is localized swelling; effusion is swelling in joints.
  • Effusion is characterized by high protein content; edema has low protein content.
  • Effusion can occur without injury; edema is always a result of injury.
  • Edema is a normal response to injury; effusion is excess fluid in joint space. (correct)

Which of the following best describes chronic edema?

  • It has a rapid onset and high protein content.
  • It results from acute injuries and resolves quickly.
  • It is a universal condition that affects all body parts equally.
  • It is due to venous or lymphatic obstruction and has high protein concentration. (correct)

What is a characteristic of local acute edema?

  • It presents with systemic effects in multiple body regions.
  • It has a rapid onset post-injury and exhibits localized inflammation. (correct)
  • It results in high protein content and lasts indefinitely.
  • It is an inherited condition affecting the lymphatic system.

Which type of lymphedema is caused by a congenital issue?

<p>Primary lymphedema from lymphatic malformation. (B)</p> Signup and view all the answers

What does a positive Stemmer’s Sign indicate?

<p>Stage II or III lymphedema in the affected limb. (D)</p> Signup and view all the answers

Match the type of edema with its description:

<p>Local acute edema = Rapid onset after known injury with localized inflammation Chronic edema = Longstanding edema with high protein concentration General acute edema = Affects multiple body parts, often due to metabolic disease Lymphedema = Inadequate drainage of lymph fluid, usually unilateral</p> Signup and view all the answers

Match the condition with its potential cause:

<p>Primary lymphedema = Congenital malformation of lymphatic system Secondary lymphedema = Acquired from conditions like mastectomy or obesity Chronic venous insufficiency = Longstanding venous obstruction Congestive heart failure = Fluid shunting to reduce heart load</p> Signup and view all the answers

Match the type of fluid accumulation with its characteristic:

<p>Edema = Abnormal accumulation in interstitial space post-injury Effusion = Excess fluid in joint space Chronic edema = May lead to fibrotic condition in limbs Lymphedema = Thickened, hard skin due to lymphatic obstruction</p> Signup and view all the answers

Match the term with its relevant sign or symptom:

<p>Stemmer’s Sign = Indicates Stage II or III lymphedema Swelling = Common characteristic of edema post-injury Heaviness in legs = Common complaint in chronic edema Skin changes = Shiny skin in chronic edema conditions</p> Signup and view all the answers

Match the type of edema with its duration or resolution:

<p>Local acute edema = Resolves in weeks to months if lymphatics are normal General acute edema = May be ongoing due to systemic issues Chronic edema = Long-standing and often requires medical management Lymphedema = May require licensed intervention for management</p> Signup and view all the answers

Chronic edema is characterized by low protein concentration in the edema fluid.

<p>False (B)</p> Signup and view all the answers

Lymphedema can occur due to a congenital malformation of the lymphatic system.

<p>True (A)</p> Signup and view all the answers

Local acute edema has a slow onset and does not usually resolve quickly.

<p>False (B)</p> Signup and view all the answers

Intermittent compression pumps are a common treatment for non-acute systemic edema.

<p>False (B)</p> Signup and view all the answers

Stemmer’s Sign being positive indicates the presence of Stage I lymphedema.

<p>False (B)</p> Signup and view all the answers

Flashcards

Edema

Abnormal fluid buildup in the body's tissues (interstitial space).

Lymphedema

Fluid buildup due to impaired lymphatic drainage.

Stemmer's Sign

Inability to pinch skin over a toe (indicative of advanced lymphedema).

Chronic Edema

Long-lasting fluid buildup, often due to lymphatic or venous issues.

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Acute Edema

Rapid swelling after injury (localized) or systemic (many body parts) from issues like heart, kidney, or liver problems.

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Effusion

Excess fluid buildup within a joint space.

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Local Acute Edema

Sudden swelling in a specific area after an injury, usually resolving quickly.

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General Acute Edema

Swelling affecting multiple body parts due to systemic problems like heart, kidney, or liver failure.

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Lymphedema: Primary vs. Secondary

Lymph fluid buildup due to lymphatic drainage issues. Primary is due to congenital malformations, secondary is due to another condition like surgery or obesity.

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What distinguishes local acute edema?

Local acute edema is characterized by rapid onset following a known injury with localized inflammatory signs. The edema fluid has low protein content and usually resolves within weeks or months if the venous and lymphatic systems function normally.

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What causes general acute edema?

General acute edema affects multiple body parts and arises from metabolic diseases affecting organs like the kidneys, heart, or liver. Examples include congestive heart failure (CHF) and acute renal failure.

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What is the mechanism of edema in CHF?

In congestive heart failure (CHF), the body shunts fluid to the legs to reduce the load on the heart, leading to edema in the lower extremities.

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What are the characteristics of chronic edema?

Chronic edema refers to prolonged swelling caused by venous or lymphatic obstruction or insufficiency. The edema fluid has a high protein concentration due to overloading the lymphatic system, eventually leading to fibrosis in the affected limb.

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What is Stemmer's Sign?

Stemmer's Sign is the inability to pinch the dorsal skin over the proximal phalanx of the second toe, indicating Stage II or III lymphedema.

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Study Notes

Edema Types and Descriptions

  • Edema: Abnormal fluid buildup in interstitial spaces, a body response to injury. Often resolves with healing.
  • Effusion: Excess fluid in joint spaces.
  • Local acute edema: Rapid onset after injury, low protein content, resolves within weeks/months with healthy lymphatic function.
  • General acute edema: Affects multiple body parts, often due to metabolic issues (e.g., heart failure, kidney disease). In cases of heart failure fluid shifts to legs to decrease heart load.
  • Chronic edema: Long-lasting, often from venous or lymphatic issues. High protein content due to lymphatic system overload. Leads to limb fibrosis. Symptoms include heaviness, achiness, tight skin.

Lymphedema

  • Lymphedema: Condition where lymph vessels cannot adequately drain lymph fluid, usually unilateral (one side). Leads to protein accumulation and increased interstitial fluid. Skin can thicken and harden.
  • Primary lymphedema: Congenital lymphatic system malformations (e.g., Milroy's disease, hypoplasia).
  • Secondary lymphedema: Acquired due to other conditions (e.g., mastectomy, obesity (BMI > 50), blocked lymphatics).

Stemmer's Sign

  • Stemmer's Sign: Inability to pinch skin over proximal phalanx of second toe indicates Stage II or III lymphedema.

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