Adolescent with facial swelling.
BackgroundA previously well 15-year-old girl presented with a 2-month history of facial swelling that progressively worsened to involve the neck. There was associated dyspnoea, orthopnoea, headache and throat discomfort. Two weeks before presentation, the patient had an episode of fever for 5 days. On examination, vital signs were within normal limits. Swelling, plethora and venous distension of the face and neck were apparent (figure 1).edpract;106/4/230/F1F1F1Figure 1(A) Patient before the onset of symptoms. (B) Patient at presentation. QUESTIONS: What is the most likely diagnosis?Superior vena cava syndromeAngioedemaAnasarcaDiphtheriaDescribe the chest X-ray (figure 2).What are the acute concerns?What investigations would you order?edpract;106/4/230/F2F2F2Figure 2Chest X-ray of the patient at presentation.
['Looi|Wen Shen|WS|0000-0002-4791-3670', 'Goh|Si Hui|SH|', 'Tan|Colin Jingxian|CJ|', 'Yeoh|Kheng Wei|KW|', 'Seng|Michaela Su-Fern|MS|']
D000293:Adolescent D000799:Angioedema D004487:Edema D005260:Female D006801:Humans D011859:Radiography D014057:Tomography, X-Ray Computed D014683:Vena Cava, Superior
adolescent health oncology paediatric practice