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A 26-year-old white female comes to your office because of swelling of the left arm which has gradually worsened over the past 3 weeks. She works in a factory and thinks she strained her arm when she was lifting something. She is a cigarette smoker and takes oral contraceptives. Physical examination reveals swelling of the neck and dilatation of the veins of the chest wall.
The most likely underlying cause for this patient's clinical picture is
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If you want to make it easy, you should give options. I always want to be the first to fail your Q.
The patient has a malignancy that is interferring with the normal circulation. A tumor that impinges on the function of the subclavian artery. Such tumor may not be far from PANCOAST TUMOR. The lymphatic flow may also be impinged..Alibism
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--due to contraceptive she has subclavian vein thrombosis . if she has pancoast tumour ther shold be horner's syndrome.
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smoking + contraceptives = thromboembolism.
and that + flying long distance = sudden death upon walking of the plane.
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Sorry, missed the choices. Here they are.
A. Lymphoma
B. Bronchogenic carcinoma
C. Thymoma
D. Primary clot formation
E. Atrial myxoma
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she seems too young to be dx with bronchogenic carcinoma, but these days you never know
