10-23-2011, 03:50 PM
there was nothing on the PE in Lungs/chest/CVS/Extremity that could raise a suspicion of a tumor! no sign of a brachial plexus compression or SVC syndrome.. plus all the movements were limited due to pain! no motor/sensory defect. so i was blinded by the pain complaint and neglected the fatigue. I still did TSH/CBC/FOBT for fatigue but missed xray chest.