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Medicine

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Respiratory

Question
18 out of 27
 

Most common symptom of primary lung carcinoma (AIIMS May 2011)



A Cough
B Hemoptysis

C Weight loss
D Chest pain

Ans. A

Cough

Symptoms:

1). Most common symptom Cough Q (80%); hemoptysis (70%); dyspnoea (60%); chest pain (40%); recurrent or slowly resolving pneumonia; anorexia; weight loss.

2). Signs: Cachexia, anaemia; clubbing Q; HPOA (hypertrophic pulmonary osteoarthropathy, causing wrist pain); supraclavicular or axillary nodes.

Non metastatic neurological:

1). Confusion; fits; cerebellar syndrome Q; proximal myopathy; Q neuropathy; polymyositis; Eaton-Lambert syndrome. Q

2). Other: clubbingQ, HPOA Q, dermatomyositis Q; acanthosis nigricans Q, thrombophlebitis migrans Q.

Endocrine: ectopic hormone secretion, eg SIADH (low serum Na+ Q and raised ADH) and raised ACTH Q (Cushing's) by small cell tumours;

Raised Ca2+ due to PTH like peptide by squamous cell tumours, Q

Respiratory Flashcard List

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