1. The cause of the disease or disorder.
   1. Surgery
      1. During surgery for cancer the doctor may take out lymph nodes near the tumor to see if the cancer has spread.
      2. Lymph vessels may also be removed because they are wrapped around the lymph nodes.
         1. Taking out lymph nodes and vessels makes it harder for the fluid in the arms, legs, or other body parts to flow to the chest where it can get back into the bloodstream
            1. If the remaining lymph vessels cannot remove enough of the fluid in the area, the excess fluid builds up and causes swelling
   2. Radiation
      1. can affect the flow of lymph fluid by scarring the lymph nodes and vessels; this increases the risk for lymphedema, too.
   3. Cancer
      1. a tumor itself can block part of the lymph system and cause lymphedema
   4. Infection
      1. restrict lymph flow can cause lymphedema
   5. Obesity
   6. Aircraft flight
      1. in post surgical patients
   7. Tomoxifen
      1. a drug that can cause blood clots and deep venous thrombosis
      2. may also cause lymphedema in the lower extremities.
   8. caused by a blockage in your lymphatic system
   9. most commonly caused by the removal of or damage to your lymph nodes as a part of cancer treatment
2. The signs and symptoms.
   1. Swelling
   2. Part of your body like your arm, leg,, belly, or genitals, feels full or heavy
   3. Skin changes texture, feels tight or hard; or looks red
   4. New aching, tingling, or other discomfort in the area
   5. Less movement or flexibility in nearby joints, like hands, wrist, or ankle, or your eyelid(s) or lips
   6. Trouble fitting into clothes in one area, such as a jacket sleeve, pant leg, or shoe being to tight
3. Who done what
   1. Christal Corea
      1. The cause of the disease or disorder.
      2. presentation
      3. Who is most affected (race, gender and age)
      4. Pictures
   2. Petina Hobgood
      1. The signs and symptoms.
   3. Alicia Travick
      1. The treatments of the disease or disorder.
4. References
   1. http://www.cancer.org/treatment/treatmentsandsideeffects/physicalsideeffects/lymphedema/understandinglymphedema/understanding-lymphedema-for-cancers-other-than-breast-cancer-what-causes-lymphedema
   2. www.cancer .org
   3. www.mayoclinic.com/lymphedema/DS00609
   4. http://www.nejm.org/doi/full/10.1056/NEJMc1201684
   5. http://www.lymphedemapeople.com/thesite/primary_lymphedema.htm
   6. http://www.windsongtherapy.com/Treatment/Care_Services/Lymphedema/lymphedema.html
   7. www.mayoclinic.com/health/lymphedema/DS00609‎
5. The treatments of the disease or disorder.
   1. Exercises
      1. non-strenous exercise to gently contract the muscle and move fluid away from the affected limb
   2. Wrapping
      1. : wrapping the affected area in bandages can encourage the fluid to flow out of the limb and towards the trunk of the patient’s body
   3. Massage
      1. : A special type of massage called manual lymph drainage can be used to move the fluid
         1. should not be performed on people who have a sin infection, active cancer, blood clots or congestive heart failure
   4. Pneumatic compression
      1. compression involves wearing a sleeve that intermittently inflates and puts pressure on the limb and gently moves fluid and reduces swelling in the patient’s limb
   5. Compression garments
      1. specially designed to fit a patient’s body and are used to both reduce and prevent swelling in the arms and legs of patients
6. Who is most affected (race, gender and age)
   1. Primary (idiopathic) lymphedema is rare
      1. 1.2 cases per 100,000 persons younger than 20 years of age
      2. may be present at birth
   2. Secondary lymphedema is more common
      1. results from injury (e.g., infection or radiation) or the removal of lymph nodes or lymphatic vasculature
   3. lymphedema praecox
      1. in girls during puberty
   4. Milroy's Disease or Syndrome
      1. generally express itself at birth or in the very early years
   5. Lymphedema tarda
      1. both genders during adulthood
   6. there is no specific race
7. Pictures
   1. Secondary Lymphedema
   2. severe lymphedema secondary to chronic venous insufficiency and obesity
   3. Arm Lymphedema
   4. hand
   5. leg