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N3200 Group Activity #2 Group 5 Cancer Data Collection, B.B. Is a 45 year…
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B.B. Is a 45 year old African American woman reports painful, bloody bowel movements.
Medical History: Emphysema
Surgical History: none
Family History: Adopted, unknown
Medication: Inhalers
Aspirin
Social History:
Lives at home with adult daughter
Social worker at skilled nursing facility.
Smokes cigarettes half-pack a day x 30 years
Denies drinking
Denies illicit drugs
Patient B.B.
What information is still needed? HPI, History exploration, ROS
Investigate the HPI
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Can you describe the paint? Stabbing, cramping?
Are there triggers to the pain? Is it worse when standing, going to the bathroom, after exercise?
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Review of system
By differential Dx
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Bladder Cancer Questions
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Do you smoke? If so, what type of smoking? E-cigs, tobacco, marijuana, or chewing tobacco?
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Lung Cancer Questions
Do you smoke?
If so, how often & what type of smoking product is it?
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Any aches or pains in your shoulders, back, or chest?
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C.C. is a 21 year old female that presents with a persistently sore throat. The student health center swabbed for strep/influence and they were negative, they referred to you.
Medical history: None
Surgical History: Colposcopy age 18
Family history: Both parents alive, no health complications
Social History:
College student at University
Lives in shared living space off campus with 2 friends
Drinks socially
Denies smoking cigarettes
Recreational marijuana use
Denies other illicit drug use
Medications: Daily vitamin
Oral Contraception
Patient C.C.
What information is still needed? HPI, History exploration, ROS
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D.D. is a 36 year old Latinx woman that presents to clinic with her partner. Her partner indicates DD has been having difficulty focusing and remembering information, she is concerned about a stroke.
Medical history: Arthritis
Surgical history: ORIF Broken tibia age 33
Family history: Mother deceased age 40 from complications related to DM. Father alive. Brother: Hodgkin’s lymphoma. Sister: Ovarian cancer
Social History:
Lives with partner
Employed as a pre-school teacher
Drinks socially 3-5drinks/week
Denies smoking cigarettes
Denies illicit drug use
Medications:
NSAIDS for arthritis
Methotrexate for arthritis
Oral Contraceptive
Patient D.D.
What information is still needed? HPI, History Exploration, POS
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ROS
By differential Dx
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Astrocytoma Questions
When did the headaches, if you have any start occurring?
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on a scale of 1-10 how painful are your headaches?If, you have any?
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HPI
O- Do you have pain? When did it occur? L-Where is the pain? Breast? abdomen? D- How long does the pain occur? C- Can you describe the pain? Aching? stabbing? Tightness? Uncomfortable? A- Does the pain occur at certain times do something that could trigger it? During your period? before the period? any time of the month? Any stressful events in life? R- does the pain radiate? T- How frequently does this pain occur? S-Can you rate this pain on a scale of 1-10
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