Lymphatic

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Trace DC58-5

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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4. Abnormal findings — the necessity chain

Finding → severity → comparison → risk → intervention → notification (provider + representative) → orders → response → reassessment.

Model abnormal 1

Cellulitis in a lymphedematous limb: the affected limb with new spreading erythema, warmth, and tenderness, and a low-grade fever — concerning for cellulitis, which in a lymphedematous limb can progress rapidly to sepsis. The limb assessed and the erythema margins marked/measured, the provider notified, antibiotics and possible labs ordered, compression adjusted per order, and the resident monitored for systemic signs; the responsible party notified. Will reassess the limb and vital signs; supports the Section I update. Skilled recognition and management required. (Sepsis surveillance routes to the Sepsis overlay.)

Model abnormal 2

Rapidly worsening limb edema: a marked increase in limb girth with new discomfort — assessed to distinguish worsening lymphedema from a superimposed process (a DVT, or infection), the provider notified, the compression and any workup coordinated per order, and the limb monitored. Will reassess; supports the Section update. Skilled assessment required to distinguish the cause. (DVT surveillance routes to the Peripheral Vascular reference and the Anticoagulation overlay.)

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