Got it correct for the wrong reasoning 😅 because I was thinking along the lines of Pancoast tumor. Should have known it wasn’t that because no brachial plexus defects were mentioned. I was thinking small cell carcinoma at first because of the smoking hx and hyponatremia but didn’t realize the tumor could grow large enough to cause SVC syndrome.
Great question sir! But hypoalbunemia and nephrotic syndrome can be easily excluded here given the JVD is increased and nephrotic syndrome there is decreased intra vascular volume , I guess…
Small cell carcinoma producing paraneoplastic ADH doesn’t cause insufficient venous return, just the hyponatremia. The size of the tumor itself is essentially causing a “mass effect” and impinging on the SVC, preventing venous return to the right heart
You and I both 😂 Got it correct for the wrong reasoning 😅 because I was thinking along the lines of Pancoast tumor. Should have known it wasn’t that because no brachial plexus defects were mentioned. I was thinking small cell carcinoma at first because of the smoking hx and hyponatremia but didn’t realize the tumor could grow large enough to cause SVC syndrome.
Mehlman HY Pulmonary PDF: mehlmanmedical.com/hy-pulmonary/
Got it correct for the wrong reasoning 😅 because I was thinking along the lines of Pancoast tumor. Should have known it wasn’t that because no brachial plexus defects were mentioned. I was thinking small cell carcinoma at first because of the smoking hx and hyponatremia but didn’t realize the tumor could grow large enough to cause SVC syndrome.
Excellent way to make us think small cell and not heart disease even though same answer.
Great question sir! But hypoalbunemia and nephrotic syndrome can be easily excluded here given the JVD is increased and nephrotic syndrome there is decreased intra vascular volume , I guess…
You’ll get plenty of nbme Qs, eg minimal change disease in peds, where nephrotic syndrome is just periorbital edema alone.
Thanks dear Mike!
Arigatou. I feel cheated,nothing traumatic
Bestttt
Clutch as always 🔥🔥
Wait I don’t get why SAIDH causes insufficient heart return I thought it was cor pulmonale due to COPD lol got the right answer due to wrong reason
Small cell carcinoma producing paraneoplastic ADH doesn’t cause insufficient venous return, just the hyponatremia. The size of the tumor itself is essentially causing a “mass effect” and impinging on the SVC, preventing venous return to the right heart
@@KaoticPoptart You sir, are correct
SIADH explains the low sodium and the size of the tumor explains the obstructing signs due to the SVC .
You and I both 😂 Got it correct for the wrong reasoning 😅 because I was thinking along the lines of Pancoast tumor. Should have known it wasn’t that because no brachial plexus defects were mentioned. I was thinking small cell carcinoma at first because of the smoking hx and hyponatremia but didn’t realize the tumor could grow large enough to cause SVC syndrome.
Your my hero ❤
More biostats please
And now a days we have to wait a week for 1 fucking question 😢😢
Do you want more? I’m flattered
@@Mehlmanmedical if 1 clip added beside being too much busy doc.. it would make more sense 👑