1 lymphatic system: green-superficial black- deep
TRANSCRIPT
![Page 1: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/1.jpg)
1
Lymphatic System:Green-superficialBlack- deep
![Page 2: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/2.jpg)
2
RT AND LT LYMPH DRAINAGE
![Page 3: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/3.jpg)
3
LYMPH DRAINAGE
![Page 4: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/4.jpg)
4
Lymphography• General term applied to the radiologic examination of:
– Lymph nodes – Lymph Vessels
• Usually done to demonstrate pelvis and abdomen– Injected in foot
• For axillary, clavicular area and upper limbs– Injected in hand
• Checks drainage of lymph nodes
![Page 5: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/5.jpg)
5
Pre Procedure
• Obtain PT history
• Obtain PT consent
• Make sure to have all supplies
• Positioning aides and comfort supplies
![Page 6: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/6.jpg)
6
Procedure
• Inject blue dye under skin in between toes
• Inject small amount of contrast into the lymph vessels– Show blue tint
• Nodes in pelvis and abdomen are demonstrated with foot injection
![Page 7: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/7.jpg)
7
Procedure
• X-rays are usually taken 1 HR after injection– 24 hrs– 48 hrs (if needed)– 72hrs (if needed)
• First hour– Contrast in lymph ducts
• 24 hours – If lymph nodes
• After 24 hours it is indicative of cancer
![Page 8: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/8.jpg)
8
Post Procedure
1. Watch for signs of infection Swelling red and warm to touch Accompanied by a fever Contact DR right away
2. Drink lots of water
3. Major swelling in one limb Especially limb injected
![Page 9: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/9.jpg)
9
Indications• Check for
metastasis
• Edema in limbs– Obstruction
• Infections
• Rule out cancer
![Page 10: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/10.jpg)
10
Contrast
• Oil based – More commonly used– Ethiodal– Lipodal
• Water based Iodine– Less commonly used– Ionic– Non-ionic
![Page 11: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/11.jpg)
11
Iliopelvic-aortic Lymphatic System
![Page 12: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/12.jpg)
12
Iliopelvic Abdominoaortic Lymph Nodes
![Page 13: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/13.jpg)
13
Inguinal Region
![Page 14: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/14.jpg)
14
Lymphography
![Page 15: 1 Lymphatic System: Green-superficial Black- deep](https://reader035.vdocuments.us/reader035/viewer/2022062809/5697c0041a28abf838cc46cd/html5/thumbnails/15.jpg)
15
Upper Limb Lymphography