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Retired NBME Step 2 CK Free 120 Answers

step2ck_free120/Block 2/Question#24 (reveal difficulty score)
A 32-year-old man who is a jackhammer ...
Axillary-subclavian venous thrombosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: msk inc

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submitted by โˆ—carolebaskin(109)
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This is Paget-Schroetter disease

An upper extremity thrombosis triggered by extreme activity.

He's a fit young jackhammerer just trying to do his jackhammer thing

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azibird  And from UTD just for screw you points: "The syndrome is appropriately termed venous thoracic outlet syndrome but is also referred to as Paget-Schroetter syndrome, and alternatively as "effort" thrombosis." https://www.uptodate.com/contents/primary-spontaneous-upper-extremity-deep-vein-thrombosis. vTOS: "Upper extremity edema due to varying degrees of venous compression or overt deep vein thrombosis is the hallmark of vTOS." https://www.uptodate.com/contents/overview-of-thoracic-outlet-syndromes. So how are we supposed to differentiate plain old vTOS from vTOS with thrombosis? Beats me! +



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