Metabolic, Endocrine, GI, Genitourinary and Lymphatic SystemsDifficulty 3/5
Which finding is a contraindication to manual lymphatic drainage and compression bandaging?
- AAcute cellulitis with fever and spreading erythema in the limb
- BPost-mastectomy oedema present for longer than twelve months
- CPitting oedema that reduces overnight with limb elevation
- DStage II lymphoedema with fibrotic tissue changes in the limb
Show answer and rationale
Correct: A. Acute infection is a contraindication to complete decongestive therapy; treating it can spread the infection. It is treated medically first, after which decongestive therapy resumes.
- D — Fibrotic stage II lymphoedema is an indication for decongestive therapy.
- B — Chronicity is not a contraindication.
- C — Reducible pitting oedema is an early and treatable presentation.