Chief
Editor
Dr
Abdulrazak Abyad
Abyad Medical Center & Middle East Longevity
Institute
Azmi Street, Abdo Center,
PO BOX 618
Tripoli
Lebanon
Phone:
(961) 6-443684
Fax:
(961) 6-443685
Email:
aabyad@cyberia.net.lb
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Educational
Quiz - Palliative Care
You order a bone scan, PSA and ALP with the following results:
Bone
scan: multiple sites of active disease in the spine, pelvis, ribs
and proximal appendicular skeleton.
PSA: 75 (Normal <4.0 ng/ml) ALP: 410 (Normal range 30-120
U/L)
Although the oncologist suggests he commence hormone therapy, Abdul is left with the impression that nothing can be done for him. He tells you he ‘wants to end it all’.
From the list below, select which of the following should be done (there may be MORE than ONE correct answer):
A
Immediately perform a physical examination to exclude spinal cord compression
B Investigate the reasons behind Abdul's request to end it all
C Arrange an urgent MRI
D Commence oral dexamethasone
E Prescribe an anti-depressant
F Arrange a lumbar spine X-ray
G Arrange an immediate referral to a community based palliative care
team.
The first correct answer will receive a copy of the Palliative Care CD ROM from medi+WORLD International. Send your answers to: admin@globalfamilydoctor.com
July
2004
Volume
1,
Issue 1
Table
of Contents
Home
From the Editor: Geriatrics
in the Middle East
Meet the team
Determinants
of prescribing for the elderly in primary health care
Aging
mechanisms: from genetics to daily functioning
The
use of ambulatory blood pressure monitoring in a hypertension clinic
A
study on physical, social and mental problems of the elderly in District
13 of Tehran
Epidemiology
of Self-Dependence among Kuwaiti Elderly
Population of Abdullah Al-Salem Area
Active
Aging: the whole society benefits
Clinical
quiz - Palliative Care