A 35 year old overweight female presents with intermittent h…
A 35 year old overweight female presents with intermittent hearturn for several months. The use of Tums antacid provides temporary relief. During the past week, she has been awakened during the night with a burning sensation in her chest. She is not taking any other medications and has no major health problems. What additional information would support a diagnosis of gastroesophageal reflux disease (GERD) as the cause of her symtoms?
Read DetailsA nulliparous 28 year old patient is presenting with concern…
A nulliparous 28 year old patient is presenting with concerns about premenstrual pelvic pain that subsides after menses begins. The pain has increased in the past 6-8 months. Her periods have always been regular since menarche at age 12. She is married and has been trying to conceive for “a while” except that she complains of painful intercourse and occasional pain with bowel movements. What would most likely top your list of differential diagnoses?
Read DetailsA 45 year old woman presents with complaint of a nontender m…
A 45 year old woman presents with complaint of a nontender mass in her left breast that she discovered 3 days ago while taking a shower. On examination you note that there is a dimpled area of skin with a palpable mass approximately 6 cm above her areola at 2 o’clock. It is a fixed irregular shaped mass that is nontender to palpation. Your diagnosis today is “Left Breast Mass,” but you suspect it to be
Read DetailsYou are seeing a 57 year old patient that is presenting for…
You are seeing a 57 year old patient that is presenting for an annual exam. She is also needing a pap smear since her last pap smear was 5 years ago and negative. Upon genital and vaginal exam you note that the cervix is prolapsed just to the plane of the hymen. What degree of pelvic organ prolapse would you note in Judy’s chart?
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