Chronic cough and lack of sleep
Author and Disclosure Information [Show]

Maurie Markman, MD, President, Department of Medical Oncology, Cancer Treatment Centers of America.

Maurie Markman, MD, has disclosed the following relevant financial relationships:

Serve(d) as a director, officer, partner, employee, advisor, consultant, or trustee for: Merck
Serve(d) as a speaker or a member of a speakers bureau for: AstraZeneca; Novis; Glaxo Smith Kline
Received research grant from: AstraZeneca; Novis; GSK; Merck

Question 1 of 3

A 65-year-old male patient presents with dyspnea. He comments that he was a construction worker but that he has been retired for several years and his lifestyle is relatively stress free. Although he has no significant medical history, he reports a chronic cough. He has not been an active smoker since quitting in his late 30s. He reports that he has not been sleeping well and has experienced night sweats over the past few months. He is 5 ft 10 in and 180 lb. He reports an unintentional 16-lb weight loss over the past several months. Percussion and auscultation reveal pleural effusion.

What is the likely diagnosis?

Non–small cell lung cancer

Malignant pleural mesothelioma

Thymoma metastatic to the pleura

Pulmonary fibrosis

This quiz is not accredited for CME.

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