A 69-Year-Old Man Comes to the Office Due to Progressive

A 69-year-old man comes to the office due to progressive pain beneath his right scapula and in his right arm for the last several months.  He has taken over-the-counter analgesics, which provide short-term relief, but the pain has become more severe and awakens him at night.  The pain is associated with numbness in his right forearm extending up to the tips of the fourth and fifth fingers.  The patient has also had persistent nonproductive cough and lately has been coughing up streaks of blood.  He has a history of hypertension, gastroesophageal reflux disease, and osteoarthritis.  He has smoked 2 packs of cigarettes daily for more than 40 years but recently cut down to 4 or 5 cigarettes a day.  Which of the following is the most likely cause of this patient's symptoms?

A) Abnormal hormone secretion
B) Airway obstruction
C) Anterior mediastinum mass
D) Autoimmune disease
E) Pericardial effusion
F) Pleural effusion
G) Superior sulcus tumor

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free