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What moves lymph along?
Gravity, muscle contraction,alternating hot n cold, deep breathing, and massage
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Primary function of the immune system
It is to distinguish what is self and what is non self and to eradicate anything that is non self as quickly as possible
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What is Edema?
Accumulation of fluid between cells
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When is edema generally noticeable?
When interstitial fluid is about 30% above normal
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What is a mechanical factor of edema?
When it is associated with weakened heart or an obstruction to venous or lymphatic return
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What is a chemical factor of edema?
Have to do with accumulation of salts or proteins in the interstitial fluid, which causes the are to retain water
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Signs and symtoms of edema
- tissue is soft, puffy, boggy.
- area may be hot if related to a recent injury or infection, or cool if the edema is long-standing and related to poor circulation
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Pitting edema occurs when?
When blood or lymphatic movement is chronically impaired
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Can u massage someone w/ edema?
- Pitting edema is a contraindication
- Bodywork that is specifically designed to work w/ lymphatic flow can sometimes be used as long as the therapist is fully trained and knows how to avoid infection
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Edemas that contraindicate
- Heart problems
- Kideny problems
- liver problems
- local infection
- blockage
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Edema that indicate massage
if a client has fluid retention related to a subacute musculoskeletal injury
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What is Lymphangitis?
Is an infection w/ inflammation in the lymphangions, or lymphatic capillaries
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Who gets Lymphangitis?
people w/ depressed immunity and/or poor circulation
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What happens in lymphangitis?
The lymph capillaries become infected with Streptococcus pyogenes
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Signs and symptoms of Lymphangitis?
- Pain,heat, redness, and swelling
- The infected lymph vessel often shows a visible scarlet track running proximally from the portal of entry
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Lympangitis can be treated sucessfully with...
Antibiotic treatment
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Can u massage someone with lymphangitis?
It is contraindicated also if the therapist is infected he/she can not massage
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Any type of cancer of the lymph nodes?
Lymphoma
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Lymphoma involves a nutation of what?
Of the DNA in specific WBCs
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Lymphoma usually starts where?
In the lymph tissue, but they can involve bone marrow cells as well
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Primary sign of lymphoma
It is painless, nontender swelling of lymph nodes, especially in the neck, axilla, and inguinal area
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Signs and symptoms of lymphoma
- Anemia, fatigue, weight loss, night sweats, itchy skin, and loss of appetite
- In later stages, easy bruising and skin discoloration as platelet numbers drop, along with decreased resistance to sold, flu, and other infections
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What kind of treatment is offered for lymphoma?
Chemotherapy and radiation
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Can u massage someone with lymphoma?
Supportive as long as part of a health care team and matched to client's activity levels and resilience
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Is a collection of signs and symptoms that affect multiple systems in the body
Chronic fatigue syndrome
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People w/ CFS have low levels of _____
Stress hormones- cortisols
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Unrelenting fatigue must persist for how long in order to be diagnosed w/ CFS
6 months
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Most consistent CFS symptoms
- poor memory and concentration
- significant postexertional pain
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How do u treat CFS
- Avoid stress and stimulants
- exercise consistently and gently
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Can u massage someone with CFS
Massage stimulates the parasympathetic response, cleanses tissues, and stimulates circulation when exercise may be to much to handle; it can relieve muscle and joint pain and it can improve sleep
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Condition that attacks and disables the immune system
HIV/AIDS
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How does HIV enter the body
blood, semen, vaginal secretions and breast milk
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This phase in HIV/AIDS is considered to be the incubation stage and can last a yr or more
Phase 1
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This phase in HIV/AIDS is when antibodies are detectable in blood tests
Phase 2
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This phase in HIV/AIDS there are no signs or symptoms but the virus is continuing to replicate while decimating immune system cells
Phase 3
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In this phase of HIV/AIDS signs and symptoms becom apparent and eventually debilitating
Phase 4
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Can u massage someone w/ HIV/AIDS
All stages indicate massage as long as the practitioner is healthy and doesn't pose any risk to the client, and the client is able to keep up with the changes that massage brings about to the body
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An autoimmune disease in which various types of tissues are attacked by the body's own antibodies
Lupus
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What are the 4 varieties of lupus
- Drug induced
- neonatal
- Discoid lupus erythrematosus -a chronic skin disease
- Systemic lupus erythrematosus
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When antibodies attack against a variety of tissies throughout the body
Systemic lupus erythematosus
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Lupus affects the integumentary system how?
characteristic butterfly or discoid rash and it may be exacerbated by sunlight
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Lupus affects the musculoskeletal system how?
joint pain usually occurs @ the hand and feet, seldom in the spine
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Lupus affects the nervous system how?
can range from extreme headaches to psychosis to high fever or seizures
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Lupus affects the cardiovascular system how?
can lead to inflammation and damage of major blood vessels
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Lupus affects the respiratory sytsem how?
Pleurisy, inflammation and fluid accumulation in the serous membrane that lines the lungs
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Lupus affects the urinary system how?
tissue damage in the kidneys leads to a specific type of glomerulonephritis
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Lupus affects the reproductive system how?
clotting disorder asscoiated with lupus can make it difficult to carry baby to term
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Treatments for lupus?
Steroidal anti-inflammatory, antimalarial drugs, and cytotoxic drugs
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Can u massage someone with lupus?
- When in the acute stage, circulatory massage may exacerbate symptoms, while energetic and reflexive techniques may be supportive.
- When in remission, bodywork of any kind can help to reduce pain and anxiety and to help maintain flexibilty
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