The Symptoms:

• This is a case report series based on real patients, built around a graphic backbone.
• Much of the communication is visual. The graphic forms an image of the teaching points.
• The characters are based on needs and more than one case will unfold with each episode.
• The teaching points are folded into the graphics, the images, references, reports and the quiz.
• The episodes allow you, as the narrative progresses, to reflect , consult the references and if you wish to form a self study project.
• The series is intended to promote reflection and the sharing of ideas in a community linked by the forum. (you need a password for this)

How to use the Symptoms:

• Follow the evolution of the cases (Enjoy Jesse Bochner's great graphics)
• Reflect on the narrative, the differential diagnosis, the tests , and the actions you would take.
• Visit the references and explore the online resources to reflect on and deepen your knowledge.
• Take the quiz (you will need a password for this)
• Reflect on your answers.
• Share your ideas on the forum (don't be a lurker!), stimulate others to reflect, and be stimulated in turn.
• Give us feedback and fill out the evaluation form at least once.

Disclaimer:

By viewing the material on this site you understand and accept that:

· The opinions and statements expressed on this site reflect the views of the author or authors and do not necessarily reflect those of McGill.
· The hosting of material on the McGill CME site does not signify endorsement of this material by McGill.
· The material is solely for educational purposes for qualified health care professionals.
· McGill University is not liable for any decision made or action taken based on the information contained in the material on this site.
· The information cannot be used as a substitute for professional care.
· The information does not represent a standard of care.
· No physician-patient relationship is being established.

Teaching objective:

To highlight:

1) The treatment of a catheter induced blockage of a subclavian vein, i.e. removal of the device.

2) Some of the causes and treatment options for nausea for a patient on chemotherapy.

In this episode:

In the last episode (episode 12) George has gone to the hospital because of a swollen left hand. The same side as the catheter implanted in his subclavian vein.

He had several ultrasound examinations and was told that his vein is blocked.