A 50-year-old woman status post a small bowel resection 5 days ago is hospitalized and bed bound and complains of pain and increased swelling in both her legs. Which of the following factors is most likely contributing to her leg swelling?
A. A decrease in lymphatic flow secondary to a lack of muscle contraction
B. A decrease in lymphatic flow secondary to increased doming of her abdominal diaphragm
C. A decrease in lymphatic flow secondary to increased parasympathetic tone
D. An obstruction to lymph flow secondary to postsurgical scarring affecting the right thoracic duct
E. An overproduction of lymphatic fluid secondary to liver failure
Answer: A
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Biomechanics
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