Superior vena cava syndrome physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Superior vena cava syndrome}} | {{Superior vena cava syndrome}} | ||
{{CMG}} | {{CMG}}{{AE}}{{MV}} | ||
==Overview== | ==Overview== | ||
Common [[Physical examination|physical examination findings]] of [[superior vena cava syndrome]] include the [[pemberton's sign]], facial [[swelling]], and [[jugular venous distension]]. | |||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
< | *Well-appearing in early stages of the [[cancer]]<ref name="pmid16502166">{{cite journal |vauthors=Uberoi R |title=Quality assurance guidelines for superior vena cava stenting in malignant disease |journal=Cardiovasc Intervent Radiol |volume=29 |issue=3 |pages=319–22 |year=2006 |pmid=16502166 |doi=10.1007/s00270-005-0284-9 |url=}}</ref> | ||
< | *Cachectic in late stages of the [[cancer]]<ref name="caca">Superior Vena Cava Syndrome. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/diagnosis-and-treatment/managing-side-effects/superior-vena-cava-syndrome/?region=bc Accessed on January 13, 2016</ref> | ||
*[[Pemberton's sign]]: development of suffusion, [[plethora]], or duskiness upon elevation of the arms above the head in [[Patient|patients]] with SVC syndrome | |||
</ | ===Vital Signs=== | ||
* | *Low-grade [[fever]] | ||
*[[Tachypnea]] | |||
*Kussmal respirations may be present in advanced SVCS | |||
*Asymmetric [[pulse]] | |||
===Skin=== | ===Skin=== | ||
*Reddish [[mucus membrane]]s (inside the [[nose]], [[mouth]], and other places) | *Reddish [[mucus membrane]]s (inside the [[nose]], [[mouth]], and other places) | ||
* | *Reddish color to the [[skin]] | ||
===HEENT=== | |||
=== | * Facial [[tenderness]] | ||
*Swelling of the face | *[[Swelling]] of the [[face]] | ||
* | * Facial [[flushing]]/redness [[face]] or cheeks | ||
*[[Drooping eyelid]] | *[[Drooping eyelid]] | ||
*Swelling around the eye | *[[Swelling]] around the [[eye]] | ||
*Swelling of the whites of the | *[[Swelling]] of the whites of the [[eye]]s | ||
<div align="left"></div> | |||
===Neck=== | |||
*[[Jugular venous distension]] | |||
*[[Lymphadenopathy]] | |||
*[[Thyromegaly]] | |||
*[[Hepatojugular reflux]] | |||
<div align="left"></div> | |||
===Lungs=== | |||
* Asymmetric chest expansion | |||
*[[Wheezing]] may be present | |||
===Extremities=== | ===Extremities=== | ||
* | *[[Edema]] of the upper extremities | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Hematology]] | [[Category:Hematology]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Intensive care medicine]] | [[Category:Intensive care medicine]] | ||
[[Category:Best pages]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Hematology]] | |||
[[Category:Vascular medicine]] | |||
[[Category:Surgery]] | |||
Latest revision as of 23:22, 29 May 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Common physical examination findings of superior vena cava syndrome include the pemberton's sign, facial swelling, and jugular venous distension.
Physical Examination
Appearance of the Patient
- Well-appearing in early stages of the cancer[1]
- Cachectic in late stages of the cancer[2]
- Pemberton's sign: development of suffusion, plethora, or duskiness upon elevation of the arms above the head in patients with SVC syndrome
Vital Signs
Skin
- Reddish mucus membranes (inside the nose, mouth, and other places)
- Reddish color to the skin
HEENT
- Facial tenderness
- Swelling of the face
- Facial flushing/redness face or cheeks
- Drooping eyelid
- Swelling around the eye
- Swelling of the whites of the eyes
Neck
Lungs
- Asymmetric chest expansion
- Wheezing may be present
Extremities
- Edema of the upper extremities
References
- ↑ Uberoi R (2006). "Quality assurance guidelines for superior vena cava stenting in malignant disease". Cardiovasc Intervent Radiol. 29 (3): 319–22. doi:10.1007/s00270-005-0284-9. PMID 16502166.
- ↑ Superior Vena Cava Syndrome. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/diagnosis-and-treatment/managing-side-effects/superior-vena-cava-syndrome/?region=bc Accessed on January 13, 2016