Page 215 - 2021 IDMT Digital
P. 215
LYMPHEDEMA
Introduction:
• /\PSKHGHPD LV a condition of localized fluid retention and tissue swelling caused
by a compromised lymphatic system
• /\PSKHGHPD PD\ EH FDXVHG E\ WUDXPD LQIHFWLRXV GLVHDVH RU FDQFHU
• 3DWLHQWV ZLWK O\PSKHGHPD ZLOO FRPSODLQ RI VZROOHQ DFK\ OLPEV
Subjective:
• 6LJQV DQG 6\PSWRPV
o 6ZHOOLQJ RI WKH DIIHFWHG OLPE XVXDOO\ PDUNHG DQG XQLODWHUDO
o 7KLFNHQHG ILEURWLF VNLQ
o $FKLQJ GLVFRPIRUW
• )RFXVHG +LVWRU\
o &RQJHQLWDO"
o 5HFHQW WUDXPD
o ([SRVXUH WR PRVTXLWRHV ELWLQJ IOLHV )LODULDVLV
o +LVWRU\ RI FDQFHU
o +LVWRU\ RI O\PSK QRGH UHVHFWLRQ UDGLDWLRQ WUHDWPHQW
o :RUVH ZLWK ZDUP ZHDWKHU PHQVWUXDO F\FOH
Objective:
• 3K\VLFDO ([DP
o 8QLODWHUDO PDUNHG HGHPD LQ DIIHFWHG OLPE
0D\ EH SLWWLQJ HGHPD LQ HDUO\ VWDJHV
o 7KLFNHQHG VNLQ
o +\SHUSLJPHQWDWLRQ RI VNLQ
Assessment:
• 'LIIHUHQWLDO
o &RQJHQLWDO
o )LODULDVLV UHFHQW WUDYHO WR GHYHORSLQJ FRXQWULHV ZLWK H[SRVXUH WR
PRVTXLWRHV ELWLQJ IOLHV
o 0DOLJQDQF\ FRQVWLWXWLRQDO V\PSWRPV IDPLO\ KLVWRU\
o ,QIODPPDWRU\ GLVHDVH VLJQV RI LQIHFWLRQ
o &KURQLF YHQRXV LQVXIILFLHQF\ QR NQRZQ H[SRVXUHV ROGHU VPRNHUV
o DVT: recent long distance travel (possible), unilateral leg pain,
warmth and swelling/edema
Plan:
• 1R FXUH IRU O\PSKHGHPD
• 7UHDWPHQW IRFXVHV RQ FRQWURO
o ,QWHUPLWWHQW HOHYDWLRQ RI H[WUHPLW\
o 7(' KRVH
o /\PSKDWLF PDVVDJH WRZDUG WUXQN
• $YRLG LQIHFWLRQ LQ DIIHFWHG OLPE
• &RQVLGHU (9$& RU WUDQVIHU LI XQDEOH WR FRQWURO ORFDOO\
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