Case 3. JT is a 77 year old woman with a history of adenocarcinoma in her right breast, now metastatic to her lungs, liver, and two vertebrae. JT was hospitalized two days ago for a pain crisis. She had severe dull and aching pain in her right upper quadrant, radiating into her back and rated as 10 on a 10 point scale. Physical exam and imaging showed no evidence of biliary obstruction or vertebral fractures.
Question 3 (of 3).