QuestionSBA
QuestionChoice
This is an abnormal build-up of fluid in the pleural cavity and would present with dyspnoea, chest pain and reduced exercise tolerance.
10000109
d
Pleural effusion
QuestionChoice
This is an autosomal recessive condition caused by a mutation in chromosome 7. It is present from birth and would have respiratory symptoms like sinusitis, cough and recurrent respiratory tract infections.
10000108
c
Cystic fibrosis
QuestionChoice
The patient may have a Pancoast tumour in his lung, however, these symptoms correlate with Horner’s syndrome which is the direct diagnosis at this time. It cannot be confirmed yet whether the underlying cause of Horner’s syndrome is due to a Pancoast tumour.
10000107
b
Pancoast tumour
QuestionChoice
This is air within the pleural space and may come on suddenly. Patients may experience sudden onset pleuritic chest pain and shortness of breath.
10000110
e
Pneumothorax
QuestionChoice
This is characterised by ptosis, miosis and anhidrosis due to sympathetic chain ganglion disruption. Given that the patient is a smoker, he may have a Pancoast tumour at the lung apex which can affect the sympathetic chain and cause Horner’s syndrome, however, further testing and investigation would be necessary to determine this.
10000106
a
Horner’s syndrome
QuestionComment
having a cough with Horners syndrome, you would suspect a pan coast tumour no? surely that would be the diagnosis?
52030
User
subscriber
Acute Hypertension
Concept
Chapter
2693
3712
Horner’s syndrome
Topic
132
Respiratory
12568
A 67-year-old male patient presents to his GP with a chronic cough and drooping eyelid. The GP notes he has a constricted pupil in his right eye. The patient is a known smoker and has been for 40 years.

Which of the following is the most likely diagnosis for this presentation?
a