CAROLYN CROSS: IHUMAN CASE
STUDY A 41-YEAR OLD FEMALE
CONCERNED ABOUT HER RISK FOR
BREAST CANCER: CC HPI, PMH,
OBJECTIVE, LAB TESTS, SPECIAL
... [Show More]
TESTS, DIAGNOSIS, PLAN AND
REFERENCES (FROM EXPERT)
IHUMAN CASE STUDY: A 41-YEAR
OLD FEMALE CONCERNING HER
RISK FOR BREAST CANCER
(GRADED A+)
Name: Carolyn Cross Date: 04/22/2024 Time: 1715
Age: 41 Sex:Female
SUBJECTIVE
CC:
“I am here today for a wellness visit. I’d like to discuss a few concerns. Especially my risk for
breast cancer. Just recently both my mother, who’s 63 and my first cousin on my mother’s side
were diagnosed with breast cancer. I would like to know whether that increases my risk and if so
how much”
HPI: Ms. Cross is a healthy 41-year-old who presents for a well-woman examination. She
has no major health issues but is concerned about her risk for breast cancer. She is married with
two boys age 6 and 8. The patient reports a normal mammogram at age 40. She has a history of
fibrocystic breast disease. As a result she is concerned that she will not be able to identify a lump.
She has no active medical complaints or health problems past or present. She is concerned about
her risk of breast cancer because both her mother (age 63), and maternal first cousin (age 44)
have been recently diagnosed with intraductal breast cancer. She takes no regular medications
but does take vitamin E for fibro cystic breast disease. She will periodically take aspirin or
acetaminophen for headaches. She cannot remember when her last physical was. Her
immunizations are up to date. Last gynecological exam was 18 months ago. Patients menarche
age 10.5; first pregnancy age 33; second pregnancy age 35; she breast-fed each of her two infants
for only four months each. The patient, reports a normal baseline mammogram at age 40, (report
not available) and a history of fibrocystic breast disease.
Patient is of Hispanic descent. Pt has a glass of wine every night with supper
She gardens and does house work for exercise. She enjoys cooking, reading, and gardening. Her
diet is traditional Hispanic diet with fast food about once a week. Both breast is irregular lump
and bump bilateral with slight diffuse tenderness. She has two boys and a husband no reported
siblings
Medications:
Vitamin E 1,000IU 1 po QD for-Fibro cystic breast disease
PMH: denies past medical problems. Denies chicken pox, mumps, measles, or rheumatic
fever. denies recent blood work or test completed [Show Less]