Q:

A terminally ill patient with metastatic carcinoma presents with dysphagia and difficulty in swallowing. What is the best possible treatment?

waelhammad
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2022-11-03
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A terminally ill patient with metastatic carcinoma presents with dysphagia and difficulty in swallowing. What is the best possible treatment?

  1. Nystatin suspension
  2. Amphotericin B IV
  3. PO fluconazole
  4. Cotrimazole
  5. Analgesic
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waelhammad
2022-11-03
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The key is C. PO fluconazole. [Treatment of carcinoma can predispose to development of oesophageal candidiasis which is treated as follows: Oral fluconazole (200 – 400mg) daily for 14 to 21 days (if needed IV fluconazole can also be given].

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