Publications by authors named "Amy Roemer"
Patients with serious or life-threatening illnesses are typically referred to palliative care to discuss goals of care, advance care planning, and to seek control of their cancer-related pain. Physicians who care for patients near the end of life quite often attribute worsening pain to advancing disease. We present a case of a patient with metastatic gallbladder adenocarcinoma who presented to a palliative care clinic with complaints of worsening chest and back pain, uncontrolled with her established opioid pain regimen.
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- * After a CT-guided procedure to drain the fluid, her condition initially improved but rapidly worsened, leading to further investigation.
- * Echocardiography discovered a significant pericardial effusion causing cardiac tamponade; although an emergency procedure to drain it temporarily helped, her health declined further, and she eventually passed away with malignant cells found in the fluid.