Superior vena cava syndrome physical examination: Difference between revisions
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*[[Swelling]] around the [[eye]] | *[[Swelling]] around the [[eye]] | ||
*[[Swelling]] of the whites of the [[eye]]s | *[[Swelling]] of the whites of the [[eye]]s | ||
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Image:Swelling SVCS.jpeg|[[Swelling]] of the [[face]] | |||
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===Neck=== | ===Neck=== | ||
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*[[Thyromegaly]] | *[[Thyromegaly]] | ||
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===Extremities=== | ===Extremities=== | ||
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==References== | ==References== | ||
Revision as of 21:05, 13 January 2016
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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.[1][2]
Physical Examination
Appearance of the Patient
- Well-appearing in early stages of cancer
- Cachectic in late stage cancer.
- Pemberton's sign: Development of suffusion, plethora, or duskiness upon elevation of the arms above the head in patients with SVC syndrome.
-
Distension of veins on the torso of a patient with SVC syndrome
Vital Signs
- Low-grade fever
- Tachypnea
- Kussmal respirations may be present in advanced SVCS.
- Asymmetric pulse
Skin
- Reddish mucus membranes (inside the nose, mouth, and other places)
- Redish 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
-
Marked jugular venous distention with the external jugular vein marked by an arrow.
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