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+--- Thread: dangerous - betterside (/showthread.php?tid=90590)
dangerous - betterside - ArchivalUser - 05-18-2006
a 55 yr old caucasian male presents with a three week history of progressive right shoulder pain. he has tried several otc medications without significant relief. his past medical hx is insignificant, he smokes 11/2 packs daily and consumes alcohol occasionally. a chest x ray reveals right superior lobe mass. which one of the following additional findings is most dangerous in this pt?
a)asymmetric upper extremity deep tendon reflexes
b) chest movement asymmetry and asymmetric lower extremity deep tendon reflexes
c) pupil size asymmetry and asymmetric palpebral fissures.
d) atrophy of the internal muscles of the right hand
e) bloody cough and wt loss.
0 - ArchivalUser - 05-18-2006
b
this is uw q..
c has bad prgn.but not so dangerous
this is pancost tumor ,b is dangerous bcz the tumor is almost invading the sc and the phrnic nereve making this case as urgent,need rapidky to give the hgh dose steriod then do mri then strike it with radiation.
0 - ArchivalUser - 05-18-2006
B is right ans.
0 - ArchivalUser - 05-18-2006
B