Patient 5

Collateral Veins

This patient has a long standing brachiocephalic AVF. Note the extensive collateral veins visible in his arm and chest that he has developed over last few weeks.

Can you spot anything on the patient’s chest that might suggest the underlying issue?

You can move the slider to the left to get a clue.

What do you think is the underlying issue causing extensive collateral vein formation in this patient?

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