402 results
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
Chronic SVC Stenosis ... collaterals - SVC ... cephalad (towards SVC ... ) - SVC obstruction ... stenosis of his SVC
Superior Vena Cava Syndrome on Physical Exam

Prominent dilated collateral veins are seen bypassing the SVC obstruction

#SVC
bypassing the SVC ... obstruction #SVC
Algorithm for Suspected SVC Syndrome

SVC syndrome suspected: Facial/arm/neck edema, distended neck/chest veins, facial plethora, dyspnea, cough,
for Suspected SVC ... Syndrome SVC ... syncope, etc SVC ... MatthewHoMD #SVC
Causes of SVC Syndrome - Differential Diagnosis Framework
 • Benign (15-40%): Thrombosis (aka catheter-associated), Goiter, Fibrosing
Causes of SVC Syndrome ... Medicine @SCVMCMed #SVC
Pemberton's Sign - Thoracic Outlet Syndrome

The Pemberton maneuver is a physical examination tool used to demonstrate
cava syndrome (SVC ... Clinical #Video #SVC
Pemberton's sign- Suggests SVC syndrome, Neck Mass

The Pemberton maneuver is a physical examination tool used to
sign- Suggests SVC ... cava syndrome (SVC
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
vascular #neck #mass #SVC
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
ex: duplicated SVC
Bicaval Window on Transesophageal Echocardiogram (TEE)
 • Location - Mid-esophagus
 • Structures - SVC, NC, Right
• Structures - SVC ... equivalent - Subcostal IVC
Subcostal Bicaval View on POCUS Echocardiogram
To obtain the subcostal bicaval view from standard IVC view, the
from standard IVC ... cephalad until the SVC