PBL 1

Question 1

What would be the resulting symptoms of compression of the C8 nerve root?

Answer 1

Pain or weakness in the medial two fingers on the ipsilateral side

Question 2

What is Horner’s syndrome?

Answer 2

A combination of symptoms that arises from a sympathetic trunk lesion on the ipsilateral side

Question 3

What are the clinical features of Horner’s syndrome?

Answer 3

• unilateral miosis
• partial ptosis
• anhidrosis
• enophthalmos

Question 4

What is miosis

Answer 4

constricted pupil

Question 5

what is ptosis

Answer 5

drooping eyelid

Question 6

what is anhidrosis

Answer 6

loss of sweating

Question 7

what is enophthalmos

Answer 7

posterior displacement of eyeball within the orbit

Question 8

What is a pancoast tumour?

Answer 8

Type of lung cancer characterised by a malignant tumour of the superior sulcus (first rib)/apices of the lung with destructive lesions of the thoracic inlet

Question 9

What symptoms can result from a pancoast tumour?

Answer 9

• Severe shoulder pain radiating towads the axilla and scapula along the ulnar aspect of the hand
• atrophy of the hand and arm muscles
• compression of blood vessels, causing oedema and swelling
• Horner’s syndrome