Flashcards in Superior Venal Caval Obstruction Deck (5)
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1
Q
What is the cause of this condition?
A
Bronchogenic carcinoma - small cell Lung Ca
Lymphoma
Metastatic tumors
SVC thrombosis and mediastinal fibrosis
2
Q
What re the 4 main features of this condition?
A
Facial swelling and fullness of the head
Arm swelling
Dysphagia and dyspnoea
Weight loss and anorexia
3
Q
What are the examination findings?
A
Distention of neck and chest wall veins Fixed (i.e. non-pulsatile) elevated JVP Facial oedema/puffiness Oedema of the arms Plethora of face Peripheral cyanosis
4
Q
What are the 5 main investigations?
A
If new presentation of malignancy then station, biopsy etc
CXR
CT
Superior venogram
Bronchoscopy if primary lung cancer suspected
5
Q
What are the management options? (5)
A
Sterior and supportive
Radio/chemotherapy
Stenting of SVC for benign cuases
Thrombolysis and anticoagulation if thrombosis of SVC
Remove catheter if catheter induced SVC thrombosis