Risk of Lymphedema | NCCN Guidelines | Lymphatic System | Lymphedema Disease | Random Trivia |
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What percentage of patients with breast cancer will develop breast cancer related lymphedema?
40-60%
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When were the NCCN survivorship guidelines for lymphedema revised?
2021
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How many lymph nodes are in the body?
600-800
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What are the causes and contributions of cancer lymphedema?
Presence of tumor, surgery, radiation, lymphatic impairment
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What biological order do frogs belong to?
Amphibians
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What are two factors that increase risk of breast cancer related lymphedema?
One of the following: BMI > 30, Taxane based chemotherapy, no chemotherapy, estrogen receptor negative, 4+ positive lymph nodes,
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During which stage of lymphedema, does NCCN guidelines recommend intervention?
Stage 0, Stage 1
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Name two structures of the lymphatic system other than lymph nodes
Cisterns chili, thoracic duct, right lymphatic duct, lymphangeons
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What effect does radiation have on the lymphatic vessels?
Radiation causes fibrosis and stenosis to the lymphatic vessels
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Who discovered penicillin?
Alexander Fleming
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What percentage of patients with head and neck cancer develop lymphedema and name one symptom?
90%, dysphasia, any on screener
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What does NCCN stand for?
National Comprehensive Cancer Network
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How does fluid get from our tissues back into our blood stream?
By draining to our right lymphatic duct and thoracic duct then to our right and left subclavian veins
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What stimulates the lymphatic system?
Muscle contraction, lymphatic massage, pneumatic compression
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What is the highest mountain in Utah?
Kings Peak
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Due to recent changes in surgical techniques, where is lymphedema in breast cancer patients presenting most commonly?
Chest/breast/axilla
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Why did the NCCN revise the survivorship guidelines for lymphedema?
So that patients have better quality of life through survivorship by catching lymphedema at earlier stages.
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How many lymph nodes are in the head and neck?
200-300
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At what stage does lymphedema become “irreversible”?
Stage 2
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On average what is the thing Americans do 22 times a day?
Open the fridge
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Name 3 symptoms of gynecological cancer related lymphedema
Any on screener
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With 2021 revision, what modalities of treatment should be offered for patients with cancer related lymphedema?
PCD, conservative therapies, lymphedema therapy
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What are the 3 main functions of the lymphatic system
Lymphatic fluid removal, fat absorption in digestion, immunity
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What are the four stages of lymphedema? What are the symptoms/presentations in each stage?
Stage 0, 1, 2, 3
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Cows produce 3% less milk when listening to what kind of music?
Country
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