202. An Elderly Man with Diffuse Facial Edema

  1. Christopher P. Holstege MD1,2,3,
  2. Alexander B. Baer MD1,4,
  3. Jesse M. Pines MD, MBA, MSCE5,6 and
  4. William J. Brady MD7,8,9

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch202

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Holstege, C. P., Baer, A. B., Pines, J. M. and Brady, W. J. (eds) (2011) An Elderly Man with Diffuse Facial Edema, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch202

Editor Information

  1. 1

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 2

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 5

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 6

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 7

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 8

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 9

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

SEARCH

Keywords:

  • Case 92, elderly man - with diffuse facial edema;
  • diagnosis - superior vena cava syndrome;
  • superior vena cava (SVC), major conduit - for venous blood return, from head, upper extremities and upper thorax;
  • early signs, periorbital edema and facial swelling - prominent on awaking;
  • severity of symptoms in SVCS - location of obstruction, and azygos system of veins;
  • SVC, obstructed below level of azygos vein - blood traveling through chest wall, entering azygos venous system;
  • SVCS, associated with complications - of syphilis and tuberculosis;
  • compression of SVC, by malignant mediastinal tumors - from bronchogenic carcinoma and non-Hodgkin's lymphomas;
  • histological diagnosis, as patients with SVCS - from bronchogenic carcinoma, worse prognosis;
  • prognosis for SVCS, not associated with malignancy - infectious or thrombotic causes responding to anticoagulation