Lymphatic

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Trace DC58-14

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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Daily-note bank — change-of-condition / at-risk days

Scenario

Model daily note (edit to the shift)

Cellulitis in lymphedema limb

New spreading erythema, warmth, tenderness, low-grade fever — margins marked, provider notified, antibiotics/labs ordered, compression adjusted, systemic monitoring, representative notified; reassess; supports Section I. (Sepsis overlay.)

Rapidly worsening edema

Marked girth increase with new discomfort — assessed to distinguish worsening lymphedema from DVT/infection, provider notified, compression/workup coordinated, limb monitored; reassess; supports Section I. (PV/Anticoag.)

Cellulitis → sepsis

Limb cellulitis with fever, hypotension, and new confusion — sepsis pathway initiated, SBAR, transfer order, representative notified, serial vitals; documented. (Sepsis overlay.)

Linked disease-specific scenarios

Vascular/edema overlap and DVT route to the Peripheral Vascular reference and the Anticoagulation overlay; skin breakdown and wound care route to the Skin reference; cellulitis progressing to sepsis routes to the Sepsis overlay; post-node-dissection functional recovery routes to the Musculoskeletal reference.

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