Recurrent Medulloblastoma in Medicine / Internal Medicine — 13yo Child | Psychiatry | SMLE Q#11566
SMLE Question #11566
Medicine / Internal Medicine
Psychiatry
Objective: OBJ-253
Last updated: February 2026
A 13-year-old boy with recurrent medulloblastoma and diffuse leptomeningeal involvement has worsening headache and back pain for 1 week. He is not eligible for further disease-modifying therapy and is receiving palliative care with a documented do-not-resuscitate order and comfort-focused goals. He is awake, communicates clearly with his parents, and reports severe pain (8/10) despite regular paracetamol. What is the most appropriate management at this time?
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