A 32 years lady present with shoulder tip pain and diagnosis is pan coast tumour and presents with miosis. Diagnosis is
Horner syndrome
Thoracic outlet syndrome
Aberrant right subclan aery
Upper trunk of brachial plexus injury
Pan-coast tumor can cause compression of sympathetic ganglion resulting in Horner syndrome. These tumors are associated with Pancoast syndrome, characterized by pain, that may arise in shoulder / chest wall & characteristically radiates to ulnar surface of hand Features of Horner's syndrome: P - Ptosis M - Miosis E - Enophthalmos A- Anhidrosis L - Loss of ciliospinal reflex
FMGE 2019