Nbme 4 block 1 Q 32 help needed plzzzz exam tomorr - drswathi

[ArchivalUser]

A 78 yr old man comes to the physician coz of swelling of the right face, neck and upper extremity, His right jugular is engorged. Which of the foll is most likely diagnosis??

1.Aortic arch anuerysm
2.Mass in the right upper lobe of lung
3.Right cervical rib
3.Right phemothorax
4.Thoracic duct blockage in the post mediastinum


My Q is how to come to a conclusion abt SVC/Horners/Cervical rib/Thoracic duct occlusion

Pleaseeeeeeeeeeee guys respond me soon. I am in deep need

[ArchivalUser]

i think is 4 thoracic blockage

[ArchivalUser]

32. B
A Pancoast tumor, also called a pulmonary sulcus tumor or superior sulcus tumor, is a tumor of the pulmonary apex. It is a type of lung cancer defined primarily by its location situated at the top end of either the right or left lung. It typically spreads to nearby tissues such as the ribs and vertebrae. Most Pancoast tumors are non-small cell cancers.
The growing tumor can cause compression of a brachiocephalic vein, subclavian artery, phrenic nerve, recurrent laryngeal nerve, vagus nerve, or, characteristically, compression of a sympathetic ganglion resulting in a range of symptoms known as Horner's syndrome.

posted by sash11

[ArchivalUser]

hi r u done with u exam pls do write u expr