Thoracic Outlet Syndrome with Secondary Paget Schröetter Syndrome: A Rare Case of Effort-Induced Thrombosis of the Upper Extremity

CASE A 19-year-old man presented to the emergency department complaining of two days of right arm pain and swelling. The pain started while lifting weights. He did not experience a pop or pulling sensation. He stated his arm felt a little cold but otherwise denied numbness or tingling. He denied chest pain, neck pain or shortness of breath. Examination demonstrated a diffusely edematous right upper extremity. Distal pulses were strong and regular. His Lakeland Regional Medical Center, Department of Emergency Medicine, Saint Joseph, Michigan