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To review available data on superior vena cava syndrome caused by thymic malignancy and identify clinical features suggestive of underlying tumor. Literature search was performed using PubMed and MEDLINE search engines. One case series and 23 case reports were identified. Suggested risk factors for superior vena cava syndrome include age greater than 40 years, male gender, thymoma, bilateral thymic involvement, and hypercalcemia. The presenting symptoms of superior vena cava syndrome include a sore throat, cough, cervical lymphadenopathy, chest pain, dyspnea, hoarseness, and neck edema. Other symptoms include voice change, tachypnea, decreased or absent cough, pleural effusion, hemosputum, wheezing, and stridor. Ocular, renal, and hematologic manifestations may also occur. Superior vena cava syndrome is a rare but important manifestation of thymic malignancy. Clinical suspicion should be high for superior vena cava syndrome in patients with a known history of thymic malignancy.Name of God
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So says @realDonaldTrump.
The tweet came quickly after a suspected pair of crazed gunmen stormed a Parkland high school in Florida and killed at least 17 people and injured over a dozen more.
Why so so quick, you ask?
Well here is the timeline as we know it:
12:24 AM PST:
Trump tweets: “School shooting in Florida… another violent attack. These are sick and horrible people who should be prosecuted to the fullest extent of the law. Broward County has been a “haven” for people wanting to do harm to the USA”
Trump also tweeted that he had spoken with President of Gab, a free speech social media website, after it was banned by Facebook and Apple. Gab was co-founded by the “Pizzagate” conspirator Alex Jones.
12:30 AM PST:
Trump continues to tweet about the gun control debate, saying: “Do you notice we are not having a gun debate right now? That’s because they used knives and a truck!”
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