The lymph ends its journey in the thoracic duct or right lymphatic duct, which drain into the blood circulation. Diagnosis
Diagnosis is generally based on signs and symptoms, with testing used to rule out other potential causes. An accurate diagnosis and staging may help with management. A swollen limb can result from different conditions that require different treatments. Diagnosis of lymphedema is currently based on history, physical exam, and limb measurements. Imaging studies such as lymphoscintigraphy and indocyanine green lymphography are only required when surgery is being considered. However, the ideal method for lymphedema staging to guide the most appropriate treatment is controversial because of several different proposed protocols. Lymphedema can occur in both the upper and lower extremities, and in some cases, the head and neck. Assessment of the extremities first begins with a visual inspection. Color, presence of hair, visible veins, size and any sores or ulcerations are noted. Lack of hair may indicate an arterial circulation problem. Given swelling, the extremities circumference is measured for reference as time continues. In early stages of lymphedema, elevating the limb may reduce or eliminate the swelling. Palpation of the wrist or ankle can determine the degree of swelling; assessment includes a check of the pulses. The axillary or inguinal nodes may be enlarged due to the swelling. Enlargement of the nodes lasting more than three weeks may indicate infection or other illnesses such as sequela from breast cancer surgery requiring further medical attention.Diagnosis or early detection of lymphedema is difficult.
Eastern Christianity
Archpriest, also protopope (Greek: πρωτοπαπᾶς, protopapas) or protopresbyter (Greek: πρωτοπρεσβύτερος, protopresbyteros), is a clerical rank, a title of honor given to non-monastic priests and is conferred by a bishop with the laying on of hands and prayer. An archpriest typically wears an epigonation, a vestment originally worn only by bishops; however, details vary locally, and in some places being given the epigonation is an honor that typically precedes being made an archpriest and in other places, it is an honor that is given to only some archpriests. An archpriest also wears a pectoral cross both as part of his street clothes and when vested. The ceremony for making an archpriest is analogous to other clerical promotions bestowed with cheirothesia: at the little entrance of the divine liturgy, the candidate is conducted to the ambo in the middle of the church where the bishop is at the time, and the bishop blesses him and says a prayer addressed to Christ asking to "... endue our brother (name) with Thy Grace, and adorn him with virtue to stand at the head of the Presbyters of Thy people, and make him to be a good example to them that are with him ..."In the Russian tradition, protopresbyter is a higher rank than archpriest, as explained in a translation by the Orthodox Church in America:

Although entitled "for the making of a Protopresbyter" it is clear that what is now known as an "Archpriest" is what is usually meant.