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FRED question #6 - stranger016
#1
A 32-year-old man who is a jackhammer operator comes to the physician because of pain and swelling of his right
arm for 3 days. The symptoms are moderately exacerbated by exertion. Examination of the right upper extremity
shows erythema and moderate edema. Capillary refill time is less than 3 seconds. Which of the following is the most likely diagnosis?

(A) Axillary-subclavian venous thrombosis
(B) Deep venous valvular insufficiency
© Superficial thrombophlebitis of the basilic vein
(D) Superior vena cava syndrome
(E) Thoracic outlet syndrome
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#2
A is the correct answer,..
what is happening in this case?
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#3
anyone please
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#4
Superior vena cava syndrome in a person with bronchogenic carcinoma. the swelling of his face first thing in the morning ) and its resolution after being upright all day
and thats bcz of cqncer so its not acute like in this case,,this is not anser
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#5
Anser is aPatients may describe a history of trauma or, more frequently, strenuous use of the arm (>50% of cases). Common precipitating activities involve repeated hyperabduction and external rotation of the arm or backward and downward rotation of the shoulder. Causative activities may include participating in cricket, tennis, wrestling, lifting weights, water polo, gymnastics, baseball, or chopping wood. Because the symptoms of subclavian stenosis are fairly dramatic, most patients present promptly to the emergency department, usually within 24 hours. They may report dull ache in the shoulder or axilla, and the pain often is worsened by activity. Conversely, rest and elevation often relieve the pain. Patients with catheter-associated axillary subclavian deep vein thrombosis (ASDVT) report similar symptoms of the ipsilateral arm or shoulder with the indwelling catheter.
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