ANSWER
* Educate the patient that cervix is a term used to indicate opening between your utreus
and vagina.
* In this cervix cells may grow abnormally due to virus infection caused by HPV(Human papilloma
virus) and it is a sexually transmitted disease.
* Based on your history and clinical examination we think that cancer growth present on the surface
of your cervix and not penetrated deeply into the tissues.
A 38-year-old woman ha vaginal spotting and goes to see a gynecologist. She has a history...
A 27-year-old woman with no significant past medical or surgical history presents for evaluation after her gynecologist discovered a palpable mass in the right anterior neck and was told to follow up with her PCP. The patient was previously unaware of the mass and has not experienced neck pain, dysphagia, hoarseness, or compressive symptoms. She is not on any medications and has NKDA. Family history is negative for thyroid carcinoma but several family members have goiters. The patient has no...
son for Consultation: High-risk pregnancy with lete-term bleeding History of Present IIiness Patient is a 23-year-old female. She is currently estimated to be at 175 days of gestation. She has had a 23-lb weight gain with this pregnancy. Amnlocenteses at 20 weeks Indicated male fetus with no evidence of genetic or developmente disorders. She noticed a moderate degree of vaginal bleeding this morning but denles any cramping or pelvic pain. She immediately saw her obstetrician who referred her for high-risk...
Case #2 A 72-year old woman has increasing shortness of breath with exertion. At present, she is unable to climb even one flight of stairs without stopping to rest and catch her breath. This symptom started over a year ago and has gradually worsened. The patient is afebrile with a heart rate of 110/min and a blood pressure of 180/70 mmHg. Cardiac examination reveals a loud diastolic murmur heard along the left sternal border consistent with aortic valve regurgitation. The...
Kate, a 38-year-old graduate student, has asthma and gets several respiratory infections each year. She also has smoked regularly for the past 20 years. Recently, she was diagnosed with an early stage of emphysema. Although her friends and family members have talked with her about smoking and its relationship to respiratory ailments, she is defiant about maintaining her habit. She insists that because she doesn't smoke in her car, her friends' cars, or in her house, her smoking is nobody...
Brief Patient History Mrs. G is a 54-year-old African American woman who has been having intermittent indigestion for the past month. She has a history of hypertension and hyperlipidemia. She was admitted as an inpatient on a medical floor for management of her blood pressure and is scheduled to undergo endoscopy tomorrow. Mrs. G suddenly becomes diaphoretic and complains of nausea and epigastric pain. Clinical Assessment The rapid response team is called to evaluate Mrs. G. When the team arrives...
Case #1. A 48-year-old woman with a past history of recurrent major depression is admitted to a locked ward during a relapse. On the day of admission, she is placed on nortriptyline 50 mg and risperidone 2 mg at bedtime. Ten days later, the patient reports with great concern that her nipples are leaking. 1. Which class of medications is known to cause this condition? Benzodiazepines Neuroleptics Serotonin reuptake inhibitors Beta blockers 2. What mechanism is responsible for this site...
1. A 25-year-old woman has been diagnosed with type 1 diabetes mellitus. She has been placed on a 1500-calorie diabetic diet and is to be started on insulin glargine. Today she has received teaching about her diet, about insulin injections, and about management of diabetes. She received the first dose of insulin glargine at 9 PM; the next morning she complained of feeling "dizzy." The nurse assesses that she is diaphoretic, weak, and pale, with a heart rate of 110...
Case Presentation Anna Garner is a 44-year-old married white female with an appointment to see her nurse practitioner (NP) for her annual examination. As part of her annual physical, Anna will be having a pelvic examination including a Papanicolau test in order to screen for cervical cancer. Anna has three teenage daughters, all born by spontaneous vaginal delivery. Several years ago Anna returned to work full time at a rather sedentary job. Anna has found her weight to be increasing...
Case Study # 4 Type 2 Diabetes Mellitus Dorothy is a 45-year-old woman. She is in the office for a follow-up visit today, after having been diagnosed with Type 2 Diabetes 3 months ago. She has been attempting to control her Type 2 DM with diet and exercise, and was started on Metformin 1,000 mg twice daily last month. She monitors her blood sugar once a day. She has a record of her BS values over the past week, the range is 180...
Case Study Anna Garner is a 44-year-old married white female with an appointment to see her nurse practitioner (NP) for her annual examination. As part of her annual physical, Anna will be having a pelvic examination including a Papanicolau test in order to screen for cervical cancer. Anna has three teenage daughters, all born by spontaneous vaginal delivery. Several years ago Anna returned to work full time at a rather sedentary job. Anna has found her weight to be increasing...