Lecture 10 Peripheral Edema

The _____________ empty into the right lymphatic duct while the ____________ empty into the left lymphatic duct.

T/F: only the lymphatic capillary reabsorb fluid from interstitial space.

Filtration and reabsorption are governed by _________ across a _______ memberane. The three factors affecting edema are:
1.
2.
3.

Give some systematic pathologies that can cause an increase in venous pressure:
1. cardiovascular
2. body electrolyte
3. venous pathology
4. others

Give some systematic pathologies that can cause a decrease in colloid osmotic pressure:
1. nutrition
2. nephrotic syndrome
3. Liver disease
4. Systemic disease

Give some syetemic pathologies that can increase capillary permeability:

List some medications that may result in peripheral edema

Edema that are caused by DVT/ venous insufficiency/ lymphedema/ compartment syndrome/ obstruction of inguinal LN/ trauma/ CRPS -II are usually:

Edema with systemic cause is usually

Signs and symptoms of chronic venous insufficiency:
1. swelling in the _______ and ______, especially after extended periods of standing.
2. edema is _____, _____ and _____.
3. legs feeling _______, ____ or _____.
4. pain worsens when ________.
5. new ______ veins.
6. _____-looking skin
7. flaking or itching skin
8. venous ______ ulcers.

Hemosiderin stains is an indicator of ________.

Another world for reticular vein is _______

Subcutaneous tissue fibrosis is called ________.
It is a type of _________.
It can lead to _________.
Typical presentation:

Primary varicose veins result from an intrinsic genetic defect of ___________.

T/F: Varicose vein is always present with valvular dysfunction.

Causes of secondary valvular incompetence:

What tests can be used for varicose veins?

Treatment options for varicose veins:

Treatment for venous insufficiency that is different from varicose vein:

What are some management for CVI?

What are the differences between lymphedema and lipedema?

T/F: Patient has no fibrosis or dilated lymph vessels in stage 0 lymphedema.

Signs of lymphedema stage 1:

Signs of lymphedema stage 2:

Signs of lymphedema stage 3:

Diagnosis of lymphedema:

Lipedema is a metabolic disease characterized by a significant increase in ___________ from iliac crests to the ankles.

T/F: Hyperplasia is present in lipedema.

Swelling usually occurs in the ________ of the day because of the associated _______ edema and the diminished tissue resistance of fatty tissue.

T/F: Lipedema is associated with decreased capillary ultrafiltration and vessel wall permeability.

T/F: lipedema is hemorrhage free and non-painful.

List the symptoms of lipedema stage I:

Symptoms of lipedema in stage II:

Symptoms of lipedema in stage III:

T/F: Lipedema is soft and non-pitting.

The best exercise for lipedema patient is _______

Onset time of lipedema

How does CHF cause peripheral edema?

How does renal failure cause peripheral edema?

IF edema is associated with increased BUN, suspect:

If edema is associated with increased creatinin, suspect:

If BNP/ CPK are increased, suspect:

Lower level of albumin suggests:
It may lead to _____ which results in peripheral leg edema.

Lab values indicating liver dysfunction include: