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Name: A.T. Date: 11/01/22 Time: 1649 Age: 77 Sex: F SUBJECTIVE CC: “Last week I noticed a lump in my breast while I was doing a self-breast exam in the shower. It doesn’t hurt and hasn’t changed in size since I first felt it. You can feel it right here.” HPI: Patient presents with reports of non-tender, non-mobile mass she palpated in her right breast 7 days ago. Mass is consistently palpable; does not come and go or change in size. No aggravating or alleviating factors. No redn...

Differential of Dysuria, Urinary Frequency, and Hematuria Most Likely Diagnoses Cervicitis with urethritis  Several sexually transmitted infections, such as chlamydia, gonorrhea,  and trichomoniasis can cause cervicitis with concomitant urethritis  and dysuria similar to that seen here.  Symptoms that occur gradually over several weeks are more likely  with a sexually transmitted urethritis. Cystitis  Cystitis is an inflammation of the bladder caused most commonly by ...

Name: A.T. Date: 11/01/22 Time: 1649 Age: 77 Sex: F SUBJECTIVE CC: “Last week I noticed a lump in my breast while I was doing a self-breast exam in the shower. It doesn’t hurt and hasn’t changed in size since I first felt it. You can feel it right here.” HPI: Patient presents with reports of non-tender, non-mobile mass she palpated in her right breast 7 days ago. Mass is consistently palpable; does not come and go or change in size. No aggravating or alleviating factors. No redn...

SUMMARY OF JUDY PHAM’S CASE • Ms. Pham is an 18-year-old female with a chief complaint of “trouble urinating.” She presents to the clinic today with acute onset urinary frequency with associated dysuria, hematuria, and suprapubic pain. She denies associated symptoms of fever, chills, vaginal discharge, or vomiting. She has recently started having sexual intercourse with her new boyfriend. HISTORY OF PRESENT ILLNESS • Ms. Pham states “This urine problem has been bothering me f...

WEEK 4 DISCUSSION 2 Week 4 Discussion Discuss the questions that would be important to include when interviewing a patient with this issue. Important questions to ask this patient include: Is the lump movable or painful? Is the lumpiness on both breast or just one, did it begin gradually or suddenly? Is there only one lump or are there many? Are you taking any hormones for any reason? Have you had any recent traumas to your chest such as an automobile accident or recent surgery? Do you ...

This week, complete the Aquifer case titled Family Medicine 20: 28-year-old female with abdominal pain. After completing your Aquifer Case Study, answer the following questions using the latest evidenced based guidelines: Discuss the questions that would be important to include when interviewing a patient with this issue. In the clinical scenario the patient presented with lower abdominal pain having a duration of a few weeks, making the chief complaint acute in the presentation. There ar...

A fifty-two-year-old female patient comes in for her annual well-woman examination. Her LMP was fourteen months ago without any breakthrough bleeding. She has also developed some hirsutism. You would document this as _____. Question 1 options: secondary amenorrhea menopause perimenopause polycystic ovary syndrome (PCOS) Save Question 2 (2 points) A 24 year-old female presents to the office with a complaint of vaginal itching in addition to thick mucoid discharge. She also has some mi...

This week, complete the Aquifer case titled Family Medicine 20: 28-year-old female with abdominal pain. After completing your Aquifer Case Study, answer the following questions using the latest evidenced based guidelines: Discuss the questions that would be important to include when interviewing a patient with this issue. In the clinical scenario the patient presented with lower abdominal pain having a duration of a few weeks, making the chief complaint acute in the presentation. There ar...

HPI: 47-year-old female presenting with a chief complaint of night sweats and hot flashes for the past month. Her last menstrual period was 1/01/18 with some spotting in the month after but nothing since then. She states she has been getting extremely emotional and does not know why. Medication: (list with reason for med) Denies use of medications takes Tylenol for occasional headaches. PMH: Denies Allergies: No known Drug Allergies, no food or insect allergies Medication Intolerances:...

CM is a 43-year-old female who presents with concerns regarding two painless right-breast lumps that she detected four months ago. She missed an appointment for evaluation by her primary-care provider at that time and presents today with reportedly no change in these findings since that time. There has been no breast discharge, bleeding, overlying skin changes, lymphadenopathy, or fevers; she denies recent or past breast trauma. She did, however, undergo a stereo static breast biopsy three ...