Q:

A 56 year old lady with lung cancer presents with urinary retention, postural hypotension, diminished reflexes and sluggish pupillary reaction. What is the most likely explanation for her symptoms?

waelhammad
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2022-11-03
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A 56 year old lady with lung cancer presents with urinary retention, postural hypotension, diminished reflexes and sluggish pupillary reaction. What is the most likely explanation for her symptoms?

  1. Paraneoplastic syndrome
  2. Progression of lung cancer
  3. Brain metastasis
  4. Hyponatremia
  5. Spinal cord compression
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waelhammad
2022-11-03
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The key is A. Paraneoplastic syndrome. [Features given are well known features of autonomic neuropathy which can be a result of paraneoplastic syndrome].

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