
Printer Friendly Screening Test
Yes No I have had swelling in part of my arm or leg, or in my entire arm or leg
(including fingers and toes) for a very long time or since even birth.
Yes No I have acquired swelling in an area that just won’t go
away.
Yes No My skin weeps (fluid pushes out through my skin).
Yes No I have a feeling of heaviness or tightness in my arm or
leg.
Yes No I had breast cancer.
Yes No I have wounds that won’t heal because I’m swollen.
Yes No I have recurring infections in my affected arm or
leg.
Yes No I have a hardening and thickening of the skin on my arm
or leg.
Yes No I have an aching or discomfort in my arm or leg.
Yes No I had an injury and my limb remains swollen.
Yes No My swelling persists even when I wake up in the
morning.
If you checked yes to one of more of these questions, you may have Lymphedema.
Please print this page and call our office to schedule your free Lymphedema
Screening.
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