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Intractable Pain in the Elderly

By R. J. Evans


In the author's experience, intractable pain in patients over the age of 70 is most commonly caused by malignant tumors or their metastases. He stresses the importance of a detailed biographical history and a physical examination, recommending that more time be spent in consulting with patients over the age of 70. The author also recommends that, when unexplained pain has been intractable for one month, the attending physician should look for malignancy and take appropriate steps for its management

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