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8 Cards in this Set
- Front
- Back
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How is Familial lymphedema praecox different from congenital lymphedema in terms of how common & age of onset? |
Congenital <2 years Praecox starts at puberty & is much more common. Also unilateral (maybe- other sources say bilateral). |
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Which drug is used to treat filariasis? |
The drug of choice for W. bancrofti filariasis is ivermectin. Circulating filarial antigen is pathognomonic and used as a means to test efficacy of treatment. |
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What is Stewart-Treves syndrome? |
Lymphangiosarcoma that develops following mastectomy. |
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Primary lymphedema that starts after age 35? |
Lymphedema tarda |
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A 40-year-old woman is evaluated because of a 1-year history of lymphedema of the right lower extremity. BMI is 28 kg/m2. Physical examination shows asymmetry of the right lower extremity and increased circumference of the thigh and calf compared with the left lower extremity. Which of the following is the most appropriate initial treatment? A) Administration of a diuretic B) Excision of the affected skin and subcutaneous tissue C) Formation of a diet and exercise regimen D) Intermittent pneumatic pump compression E) Microvascular lympholymphatic anastomosis
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The correct response is Option D. Intermittent pneumatic pump compression therapy should be instituted. The mainstay of treatment is medical, including meticulous hygiene and regular inspection. Patients should be encouraged to lose weight, avoid even minor trauma, avoid constrictive clothing, and elevate the affected extremity. All patients should also use compression garments continuously during the day. |
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First line treatment for penile/scrotal lymphadema? |
First-line surgical intervention for penile and/or scrotal lymphedema is resection of the overgrown skin and subcutaneous tissue. Liposuction is generally considered first-line operative treatment for extremity lymphedema but does not have efficacy for penile/scrotal disease. |
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Gold standard test for lymphedema? |
Lymphoscintigraphy is the gold-standard test to diagnose lymphedema. |
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An obese, 43-year-old woman has onset of lymphedema of her right arm 4 months after undergoing modified radical mastectomy with adjuvant radiation therapy. In addition to decongestive therapy, she is fitted for a daytime compression garment. Which of the following factors is most critical to the effectiveness of this modality?
A) Compression should be avoided when cellulitis is present B) Compression should be constant throughout the limb C) Compression should be a minimum of 20 mmHg D) Garments must be worn continuously E) Garments should be custom fit to the patient |
C) Compression should be a minimum of 20 mmHg |
