Anatomy

Thoracic inlet

- Brachial plexus
- Subclavian a + vein
- Sympathetic trunk
- Apices of the right and left lung
- Trachea
- Oesophagus
- Phrenic n
- Sympathetic trunk

Coughing up blood

- Lung tumour - pancoast

- Pulmonary embolism
- Pneumonia – strep pneu – gram +ve encapsulated
- Bronchiectasis
- Goodpasture’s (associated glomerulonephritis)

Horner’s Syndrome

- Miosis – constriction of pupil

- Ptosis – partial as CN 3 (oculomotor) still functions (Mullers muscle)
- Anhidrosis
- Enophthalmos

T1

- Main nerve contribution of small muscles of the hand

- First dorsal interosseous wasting

Virchows triad

- Stasis
- Hypercoagulability
- Endothelial damage