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Short Answer Questions for ED Fellowship Study

Case: Superior vena cava syndrome

A 76-year-old male has been referred to ED by his GP with concern for a 6cm occlusive SVC thrombus on outpatient US. He had a PPM insertion 5 days ago for sinus bradycardia by a cardiologist. Vitals are: Temp 36.5 HR 75 BP 150/86 Sats 97%RA

1. List features of SVC syndrome you may assess for on history and examination. 4 marks

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2. Other than SVC catheters, list four causes of SVC syndrome. 4 marks

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3. List four possible treatment options for SVC obstruction. 4 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.