Three months have passed since I saw a doctor after the lumpectomy surgery I underwent. I want to get married but I need to verify my present status”.
HPI: 30 y/o African American woman presents to the clinic for…
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The pain does not extend to other areas and the mass is located close to the nipple and feels hard when touched. The lump emerged about three weeks ago. The patients report no change in the size of the breast and there is no discharge.
Pertinent medical: immunizations up to date (last TD Jan 2015). She has undergone post mastectomy radiation therapy six months, 20mg/day tamoxifen, and 600mg ibuferon. The patient denies ever using hormonal drugs.
Family history: Her mother passed away due to breast cancer at the age of 65 years. The father living (70-year-old) has history of hypertension and DM. has two siblings (brother 35 years old and sister 37 year old) both in good health.
Social history: She admits smoking three to five cigarettes a day but denies using hard drugs and alcohol. The patient is single and has no children. She is an active dancer and participates in swimming. Her current diet is low calorie with a lot of fruits and vegetables.
General: Presents in a normal state of “good” weight and health. No recent weight loss or gain. No presence of rash around the nipple of the left breast. There is pain on the lump when pressed. No lumps on the armpit.
HEENT: no problem with hearing or vision. No headaches or dizziness. Normal nasal diameters, and no running nose or congestion. There is no evidence of removable or permanent dental. Last dental assessment conducted on January 2015.
The lump is smooth, rubbery and moves with ease within the breast tissue. A fine needle aspiration was conducted to obtain a tissue for testing. There is no bleeding or discharge from the nipple and neither is there any change in color.
The diagnosis is based on three assessments imaging, cytopathological and clinical. The three assessments aim to reduce the effect of any technique of diagnosis being less than 100% specific and sensitive to diagnose or eliminate breast cancer. The clinical assessment aim to
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The method used for the research is exclusively document review where existing works of literature are reviewed. There were two major lines of outcomes. In the first instance, it was established that the current state of knowledge on West Vile virus is not sufficient for active best practice actions to be taken on the disease.
Researchers and critics of fast foods have raised several questions on whether eating such type of foods is a healthy trend or an unhealthy one. Studies show that women and children prefer eating more fast foods
This is a book that gives introductory aspects of the technology that is used in the manufacture of aeronautical design and structure. The book future explains the differences in the changing of materials used in the technology.
e, it was established that the current state of knowledge on West Vile virus is not sufficient for active best practice actions to be taken on the disease. It was thus concluded that there is the need for further research on the disease if best practice solutions can be found.
The introduction gives an overview of the report with a site observations section presenting a full sight of the site map. Other key sections include background information, literature review, and the design. Advantages and disadvantages of each
The pain extends from the ribs to the ilium. She experiences a burning pain while urinating, pressure in the lower back and bad smell from the urine. The pain is rated at 5 out 10. She insists that apart
tances such as rape, robbery with violence or murder that would elicit special action from the justice department, such as the trial of a minor as an adult. A person can be tried and charged as an adult judging from the type and extent of the offense they partake in (Bartollas,
They further classify the disease into four types. Type 1 involves polymicrobial infection with aerobic and the anaerobic bacteria especially in patients immune compromised or chronic disease.
Additionally, Hussein & Anaya (2013) on page 800 assert
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