
Weekly Quiz 24 - Lymphedema
Quiz by Miguel Dorante
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A 36-year-old female presents for evaluation of lower extremity swelling. She recently immigrated from India. Her symptoms have been present for approximately 5 years. On exam, she has elephantiasis of the left lower extremity with swelling extending to the level of the groin with associated thickening of the overlying skin. She has a BMI of 35. She has positive Stemmer's sign. Which of the following is the most likely diagnosis for this patient?
A patient is diagnosed with stage 2 lymphedema secondary to breast cancer treatment. As part of her complete decongestive therapy, it was recommended she obtain a compression garment with 50 mmHg or greater compression. Which of the following represents the class of compression garment the patient needs?
A 60-year-old patient presents to clinic for evaluation of lower extremity swelling. Her symptoms began approximately 1 year ago. She has a history of heart failure and obesity with a BMI of 60. She states that her legs tend to swell over the course of the day and improve with elevation. On exam, she has diffuse, pitting edema from the knee through the foot with a positive Stemmer sign. She has no history of lower extremity surgery. She has not travelled outside the United States. She undergoes an extensive workup which shows a normal chest X-ray, EF of 45%, and abnormal lymphoscintigram. Which of the following is the most likely root cause of her presentation?
A 6-year-old patient is brought to clinic for evaluation of a slowly growing neck mass. The mass was first noted when she was approximately 6 months old. She has had an ultrasound which showed a cystic mass consistent with a lymphatic malformation. Which of the following is most likely to be found in this patient?
A 55-year-old patient presents for evaluation of right lower extremity swelling. She has a history of uterine cancer s/p hysterectomy and right inguinal lymph node dissection. She reports she experiences swelling of her right leg from her thigh into her feet that worsens throughout the day. When she is able to elevate the leg and wear compression stockings, her leg returns to its normal size. Which of the following stages best describes this patient's lymphedema?