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You are called to see a gentleman who is 4 hours post-op following an elective inguinal hernia repair.

He has a past medical history significant for coronary artery disease, chronic renal impairment and
depression. His medications are aspirin 100mg, perindopril 8mg and sertraline 150mg daily. He is in
pain and no analgesia has been charted. Which of the following would be appropriate:
A: Paracetamol
B: A plus oral oxycodone
C: A, B plus tramadol
D: A, B, C plus ibuprofen

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