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A myelopathic patient undergoes anterior cervical diskectomy and fusion through a left sided approach. Facial asymmetry is noticed postoperatively in the recovery room. A clinical photo is shown in Figure A. What additional finding would likely be found on physical exam?
Pupillary dilation and hyperhidrosis on the patient's right side
Pupillary dilation and hyperhidrosis on the patient's left side
Pupillary constriction and hyperhidrosis on the patient's right side
Pupillary constriction and anhidrosis on the patient's left side
Pupillary constriction and anhidrosis on the patient's right side
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A 53-year-old female is 8 hours status post the procedure seen in Figure A. You are called to the room by the nurse who reports the patient is having difficulty breathing. On arrival, you note that the patient has stridor on inspiration and a firm mass under the incision. What is the most likely cause of her respiratory compromise?
Vocal cord paralysis