Calixtro, Narrative Lymphangitis and Lymphadenitis

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Calixtro, Laidelle Jascinth M.

BSN-III

NARRATIVE PATHOPHYSIOLOGY OF LYMPHANGITIS AND LYMPHADENITIS

Lymphangitis is an acute inflammation of the lymphatic channels. It arises most


commonly from a focus of infection in an extremity. The characteristic red streaks that extend
up the arm or the leg from an infected wound outline the course of the lymphatic vessels as
they drain. The lymph nodes located along the course of the lymphatic channels also become
enlarged, red, and tender, in which it is called as Lymphadenitis (Cheever, K. & Hinkle, J.
2018). Bacteria such as streptococcus and staphylococcus, Fungi, and Immunodeficiency are
the etiological factors involve. Moreover, risk factors for this disorder are patient with
Diabetes, Chronic steroid use, Chicken pox, Cat or Dog bite, and Malignancy.

The pathophysiology of this disorder begins as the etiological factors affect the client’s
lymphatic vessels. An immune response occurs, causing an inflammatory response. Lymph
fluids enter the lymph nodes. Macrophages fight off the pathogens, and the lymph nodes
increases the need for WBC responses for infection fighting. The pooled protein-rich lymph
fluid creates a good medium for bacterial or fungal growth, causing a manifestation of
symptoms such as Fever, and Chills for the client. Inflammation of the lymphatic channels
results in the signs and symptoms; Local pain, Tenderness, Swelling, and Red streak that extend
up to the arm or leg. As there is recurrent lymphangitis, this affect the lymph nodes, causing
Lymphadenitis. It can be Acute lymphadenitis in which symptoms manifest symptoms such as
swelling, redness, tenderness of the lymph nodes. If there is progression of complications,
suppurative lymphadenitis occurs, resulting into necrosis, producing pus and abscess in the
area. Advancement of the complications, can lead into Septicemia of the client which can be
deadly if not immediately treated.

The prognosis for this disorder is good, as long as they seek immediate medical
treatment to fight off the inflammation to minimize manifestations of symptoms, and avoid
progression of complications.

REFERENCES:

Cheever, K. H., & Hinkle, J. L. (2018). Brunner & Suddarth's textbook of medical-surgical
nursing. Philadelphia: Wolters Kluwer.

Lymphangitis : MedlinePlus Medical Encyclopedia. (n.d.). Retrieved December 04, 2020,


from https://medlineplus.gov/ency/article/007296.htm

Lymphadenitis. (n.d.). Retrieved December 04, 2020, from


https://www.hopkinsmedicine.org/health/conditions-and-diseases/lymphadenitis

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