Clinicopathological Conference: 54-year-old with Facial Swelling for One Month

Author:

Pile Justin1,Dawson Adam2,Maxa Lynn1

Affiliation:

1. Swedish Hospital, Part of NorthShore University HealthSystem, Department of Emergency Medicine, Chicago, Illinois

2. Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona

Abstract

A 54-year-old female with facial swelling for one month who had repeatedly been treated for allergic reaction during multiple emergency department (ED) visits, presented to the ED for the same complaint of facial swelling. Maintaining a broad differential diagnosis was of critical importance to appropriately evaluating the patient and arriving at the correct conclusion for the etiology of the patient’s symptoms. Upon establishing the correct diagnosis, a multidisciplinary approach was used to intervene to provide early treatment without delay.

Publisher

Western Journal of Emergency Medicine

Subject

Emergency Nursing,Emergency Medicine

Reference6 articles.

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2. Cohen R, Mena D, Carbajal-Mendozan R, et al. Superior vena cava syndrome: a medical emergency? Int J Angiol. 2008;17(1):43-6.

3. Hinton J, Cerra-Franco A, Shiue K, et al. Superior vena cava syndrome in a patient with locally advanced lung cancer with good response to definitive chemoradiation: a case report. J Med Case Rep. 2018;12(1):301.

4. De Filippis EA, Sabet A, Sun MR, et al. Pemberton’s sign: explained nearly 70 years later. J Clin Endocrinol Metab. 2014;99(6):1949-54.

5. Anders H and Keller C. Pemberton’s maneuver – a clinical test for latent superior vena cava syndrome caused by a substernal mass. Eur J Med Res. 1997;2(11):488-90.

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