Edema

Question 1

What is edema?

Answer 1

Excess fluid in tissues, common response to injury or result of a problem with normal bodily systems or functions

Question 2

Is edema the same as inflammation?

Answer 2

Outside of the first few days after an injury, edema is not the same as inflammation, which is consistent with signs of infection

Question 3

What does inflammation look like?

Answer 3

Inflammation is “in flames”; it is red, painful, and warm to the touch

Question 4

What do you do if you suspect infection?

Answer 4

Notify the doctor

Question 5

T/F: PAMs and manual techniques are contraindicated for infection

Answer 5

True

Question 6

What is pitting edema?

Answer 6

Pressing a finger leaves an indent that takes time to refill

Question 7

What is non-pitting edema?

Answer 7

Hard to the touch, skin often thicker and discolored from proteins

Question 8

What is lymphedema?

Answer 8

Edema that is caused by poor lymphatic function; this is typically incurable but manageable

Question 9

What are the two ways to measure edema?

Answer 9

Volumetry: Dunk hand in water, measure change (best option but occasionally contraindicated)

Figure-Eight and Circumferential Measurement: Wrapping flexible measuring tape, problems with consistency

Question 10

How can edema cause deformity in the UE?

Answer 10

Swelling results in skin tension resulting in MCP extension, IP flexion, thumb adduction and extension, and a loss of the metacarpal arch
Results in collateral ligament and volar plate shortening

Question 11

What is Manual Edema Mobilization (MEM)?

Answer 11

Light manual mobilization of skin over lymph nodes to promote lymph flow.
(Advanced technique; not entry level)

Question 12

What does MASTECCT stand for in the intervention for edema?

Answer 12

Manual Edema Mobilization
AROM
Splint
Taping
Elevation
Compression
Cold
Think