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Images of Memorable Cases: Case 39

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk. E-mail the authorsEdited By: Frederick Moody

http://rup.rice.edu/memcases-button.jpg

Case_39-pres1-1.jpg

In addition to the gigantic venous collaterals over this patient’s abdomen, smaller venous channels (not shown) were visible over the lateral portions of her thorax and along each side of her lumbar spine. The pattern of venous collaterals shown, however, is pathognomonic of inferior vena caval obstruction.

Transfemoral venography in this woman verified total occlusion of her inferior vena cava at its distal end. Although the cause was never identified, the patient said that her “snakes” had been present for 20 years.

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Definition of a lens

Lenses

A lens is a custom view of the content in the repository. You can think of it as a fancy kind of list that will let you see content through the eyes of organizations and people you trust.

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Lens makers point to materials (modules and collections), creating a guide that includes their own comments and descriptive tags about the content.

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What are tags? tag icon

Tags are descriptors added by lens makers to help label content, attaching a vocabulary that is meaningful in the context of the lens.

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