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Describe Superior vena cava syndrome (SVCS).
Clinical manifestations of SVCS?
Causes?
Treatment?
SVC obstruction-->severe reduction in venous return from head, neck and upper extremities.
Symptoms: neck and facial swelling, dyspnea, cough, hoarseness, tongue swelling, headache, nasal congestion, epistaxis/hemoptysis, dysphagia, syncope, lethargy.
Leading causes: Lung CA (small cell and squamous), Malignant Lymphomas
Tx: Radiation therapy (mainstay), Chemo, steroids (lymphomas), stents, head elevation, diuretics, low salt intake.