Which of the following are seen in chronic lymphedema?: (A) Buffalo hump, (B) Square toes, (C) Stemmer's sign, (D) All of the above
Answer is D. Signs of Chronic Lymphedema Buffalo hump - Contour of the ankle is lost through infilling of the sub malleolar depressions, a 'buffalo hump' forms on the dorsum of the foot Square toes - Toes appear 'Square because of confinement of footwear Stemmer's sign - Skin on the dorsum of the toes cannot be pinched because of subcutaneous fibrosis