A 48 year old patient after surgical removal of mandibular carcinoma presents with perioral paresthesia and severe pain which is not relieved by oral morphine. What is the next step in treating this patient?

belongs to book: 1700 MCQ REVISED VERSION TOPIC WISE|DR. KHALID SAIFULLAH|4th EDITION| Chapter number:25| Question number:7

waelhammad

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2022-11-05

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A 48 year old patient after surgical removal of mandibular carcinoma presents with perioral paresthesia and severe pain which is not relieved by oral morphine. What is the next step in treating this patient?

Oral amitryptiline (2nd line)
Oral oxycodone
PCA
IV morphine
Fentanyl patch
Gabapentine (1st line)

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waelhammad

2022-11-05

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The key is F. Gabapentine. [This pain is likely due to nerve injury during operation and both amitryptilin and Gabapentine are 1st line for neuropathic pain].

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A 48 year old patient after surgical removal of mandibular carcinoma presents with perioral paresthesia and severe pain which is not relieved by oral morphine. What is the next step in treating this patient?

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