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View Full Version : Question of the week (Jul 22nd 2014)



CheneyHsiung
Wed 13th August '14, 4:42pm
A 70-year-old woman with metastatic breast cancer who has received palliative doses of morphine for 2 months is hospitalized with a 2-week history of abdominal pain and distention. Passage of a bowel movement alleviates her pain, although she reports that the stools are quite hard.


Abdominal examination reveals distention and slight tenderness. Rectal examination reveals hard stool in the rectal vault.




Which one of the following treatment options will relieve this patient's abdominal symptoms and constipation most?




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Polyethylene glycol (https://kc149.infusionsoft.com/app/linkClick/6712/8a53fc88d0ca4feb/331580/376d01cae7fb7dd5)


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Methylnaltrexone (https://kc149.infusionsoft.com/app/linkClick/6714/6262e7788090b712/331580/376d01cae7fb7dd5)


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Docusate (https://kc149.infusionsoft.com/app/linkClick/6716/96593b4b4908a8ca/331580/376d01cae7fb7dd5)


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Replacement of the morphine with tramadol (https://kc149.infusionsoft.com/app/linkClick/6718/5ff5f104d7eb98c5/331580/376d01cae7fb7dd5)


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Fiber supplementation (https://kc149.infusionsoft.com/app/linkClick/6720/b290fc7f9426b929/331580/376d01cae7fb7dd5)