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- Aaron Birch, David Um, and Brooks Laselle.
- Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, Washington.
- West J Emerg Med. 2014 Sep 1; 15 (6): 715-8.
AbstractSuperior vena cava (SVC) syndrome is most commonly the insidious result of decreased vascular flow through the SVC due to malignancy, spontaneous thrombus, infections, and iatrogenic etiologies. Clinical suspicion usually leads to computed tomography to confirm the diagnosis. However, when a patient in respiratory distress requires emergent airway management, travel outside the emergency department is not ideal. With the growing implementation of point-of-care ultrasound (POCUS), clinicians may make critical diagnoses rapidly and safely. We present a case of SVC syndrome due to extensive thrombosis of the deep venous system cephalad to the SVC diagnosed by POCUS.
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