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CAROLYN CROSS I HUMAN CASE STUDY

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Well woman visit Pt 41 y/o no PMH, no new medical issues, concern about risk of breast CA. Mother age 63 diagnosed with breast CA as well as mother's side 1st cousin. Pt has naturally lumpy breasts, last year's mammogram normal. Weight gain of 5lbs. Identifies as generally healthy, no major hea...

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  • June 5, 2024
  • 4
  • 2023/2024
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CAROLYN CROSS I HUMAN CASE STUDY
Well woman visit

Pt 41 y/o no PMH, no new medical issues, concern about risk of breast CA. Mother age 63 diagnosed
with breast CA as well as mother's side 1st cousin. Pt has naturally lumpy breasts, last year's
mammogram normal. Weight gain of 5lbs.



Identifies as generally healthy, no major health issues. Weight gain of 5-10lbs in last year

No complaints of neck or ear pain, or itchy scalp. No visual or hearing issues. Occasional headaches takes
Ibuprofen.

No reports of chest pain, palpitations, or chest pressure.

No SOB, wheezing, difficulty catching breath, or cough.

No n/v, constipation, diarrhea. Regular bowel movements.

No pain while urinating, incontinence, urgency or frequency.

No muscle pain, joint pain, difficulty with movements, stiffness, swelling, or cramping of joints or
muscles. No back, shoulder or hip pain.

No dizziness, fainting, numbness, tingling, tremors, seizures, or weakness.

No skin changes, new moles, or brittle nails. Pt reports naturally lumpy breasts- fibrocystic breast cysts
in both breasts. No discharge or pain in breasts.

No depression, psychotic thoughts, or anxiety.

No heat or cold intolerance, increased thirst, increased sweating, frequent urination, or change in
appetite

No bruising, bleeding gums, nose bleeds, or increased bleeding

No allergies or previous allergic reactions.



No PMH

hospitalized only for delivery of two children

all immunizations up to date

Vitamin E for breast health, Ibuprofen for occasional headaches, no prescription medications

no allergies

Pt lives with her husband and 2 young children. She works full time as a middle-school specialist

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