Case 1

She complained of puffiness of face in the morning , clearing as the day goes. Describe the finding in her neck

 

Answer

 

 

 

 

 

 

 

Case 1 answer (Neck veins)

Neck Veins are distended.  They were non-pulsatile and did not collapse with inspiration. History coupled with this finding suggests superior vena caval obstruction.

She had Cancer Lung with SVC syndrome.

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