Edema and Neck Distention in Man with Lung Cancer – Let’s Diagnose

A 68-year-old man with lung cancer went to urgent care with shortness of breath and a cough. He also pointed out the edema around his eyes that had developed recently. During the physical exam, the doctor noticed distended neck veins. She asked the patient to raise his arms above his head and noted subsequent facial flushing.

Is it cardiac tamponade, pericardial effusion, pulmonary embolism, or superior vena cava syndrome?

Check out the differential we created in VisualDx. Does it match yours?

The correct answer is…

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