A 42 year old woman with breast carcinoma has develops acute severe back pain and urinary incontinence.

Question Number 0629

Question:
A 42year old woman with breast carcinoma has develops acute severe back pain and urinary incontinence. An MRI scan reveals metastatic involvement of the T12 vertebral body with cord compression at this same level. The most appropriate treatment would be:

a) laminectomy
b) Peripheral nerve block
c) intravenous morphine
d) oral morphine
e) radiotherapy


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