Phys Clinical Cases · oncological
Pain Management IN Cancer AND Chronic Disease — DCE Clinical Case
DCE long-case and short-case station for Pain Management IN Cancer AND Chronic Disease.
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Pain Management IN Cancer AND Chronic Disease — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Pain Management IN Cancer AND Chronic Disease. [1]
Presenting complaint: Subacute or acute symptoms referable to Pain Management IN Cancer AND Chronic Disease, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Pain Management IN Cancer AND Chronic Disease, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Woldesenbet DA, Atalay AA, Worku AB, Dejen GH, et al. Signet ring cell carcinoma of colonic origin in a 13-year-old child from remote setting: a case report J Med Case Rep, 2026.PMID 42464375
- [2]Bai H, Wang C, Shi W, E S, et al. A case of lung cancer-associated pulmonary embolism mimicking Kimura disease: a case report J Med Case Rep, 2026.PMID 42400093
- [3]Martin OY, Darbari DS Pain in SCD-Many mechanisms and mysteries Semin Hematol, 2026.PMID 42392892
- [4]Nowak M, Piechota D, Barańska-Rybak W Malignancy in Chronic Leg Wounds: Diagnostic Delay and Clinical Implications in a Tertiary Wound-Care Cohort Int Wound J, 2026.PMID 42389969
- [5]Edel Y, Stein PE, Kawtharany H, Aarsand AK, et al. Guidelines for the management of acute porphyria: recommendations from the International Porphyria Network Lancet Haematol, 2026.PMID 42069412
- [6]Schrader NF, Niemann A, Weitzel M, Abels C, et al. A Large Retrospective Observational Study of Nonpharmacologic Treatment Use Among German Patients Receiving Long-Term Opioid Therapy for Chronic Noncancer Pain Pain Res Manag, 2026.PMID 42053031
- [7]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [8]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005