Emergency

Question 1

what is lemirre syndrome? Who does it typically affect and what is the causative agent? What’s first thing done? Tx with

Answer 1

high fever, rigors, respiratory symptoms, unilateral neck swelling or pain

• healthy young adolescents
• fusibacterium necrophorum–> bactermia–> septic thrombophlebitis
• U/S to check for internal jugular vein thrombophlebitis
• ampicillin sulbactam

Question 2

How do you treat venous thoracic outlet syndrome? What do you see on physical exam? What is it caused by?

Answer 2

catheter directed thrombolysis

• redness, cyanosis, dilated veins (Uscher’s sign)
• anatomic abnormalities of thoracic outlet (cervical rib) or thrombosis of axillary vein