A 55-year-old Caucasian woman, new to your practice, presents for an "annual physical examination." She reports that she is very healthy, generally feels well and has no specific complaints. She has a history of having had a "total hysterectomy," by which she means that her uterus, cervix, ovaries, and fallopian tubes were removed. The surgery was performed because of fibroids. She has had a Pap smear every 3 years since the age of 21, all of which have been normal. She has had annual mammograms since the age of 50, all of which have been normal. She has no other significant medical or surgical history. She takes a multivitamin pill daily but no other medications. Her family history is significant for breast cancer that was diagnosed in her maternal grandmother at the age of 72. The patient is married, monogamous, and does not smoke cigarettes or drink alcohol. She tried to avoid dairy products because of "lactose intolerance." She walks 30 minutes a day five times a week for exercise. Her physical examination is normal.

 

Be sure to listen until the end when I will be presenting four questions with multiple choice answers and check back on Friday to the May's Anatomy Podcast instagram page for the answers! 

 

Case Files: Family Medicine

 

Episode 42: Case Study #1: 52-Year-Old Male Physical Examination

 

Episode 66: Case Study #7: 55-Year-Old Man Presenting for Follow-up of Chronic Cough

 

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