Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

OSCE pro III series 22

Answers

1)Tortuous, visible and dilated vein on the chest wall and anterior neck area


2)Other clinical sign to look for
-Plethoric face
-Horner’s syndrome
-Radiation mark
-Peripheral sign of bronchogenic carcinoma
-Lung finding suggestive of presence of mass


3)Superior Vena Cava Obstruction


4)Aetiology
-Lymphoma
-Bronchogenic ca


-Aortic aneurysm
-Thyroid swelling with retrosternal extension
-Constrictive pericarditis


Investigation
1)Chest X Ray
2)Fibre optic bronchoscopy
3)Early morning sputum cytology