Superior vena cava syndrome physical examination
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Appearance of the Patient
- Well-appearing in early stages of the cancer
- Cachectic in late stages of the cancer
- Pemberton's sign: development of suffusion, plethora, or duskiness upon elevation of the arms above the head in patients with SVC syndrome.
- Low-grade fever
- Kussmal respirations may be present in advanced SVCS.
- Asymmetric pulse
- 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
- Asymmetric chest expansion
- Wheezing may be present
- Edema of the upper extremities
- 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