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Case Study

Case Study. May 2009. Mrs S age 59 with carcinoma of ovary. Intra abdominal disease Surgery no longer an option Chemotherapy options exhausted Metastases in liver and bones. Mrs S develops nausea and bloating after a small meal. What might be the cause? What would you do?.

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Case Study

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  1. Case Study May 2009

  2. Mrs S age 59 with carcinoma of ovary • Intra abdominal disease • Surgery no longer an option • Chemotherapy options exhausted • Metastases in liver and bones

  3. Mrs S develops nausea and bloating after a small meal • What might be the cause? • What would you do?

  4. Mrs S now develops back pain at level of L3 • What investigations might you need? • What treatment(s) might you consider? • What other medication(s) might you also need to prescribe?

  5. She now develops sciatic nerve root pain in addition • What might you need to exclude? • What additional analgesia might you consider?

  6. Mrs S now develops abdominal distension, pain (not colic) ,vomiting and some constipation • What might the diagnosis be? • What would be your initial management of symptoms include?

  7. She now develops a complete bowel obstruction with colic • How might you change your management? • What route would you use for medications?

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