tailieunhanh - Tình huống sản khoa - Tình huống 3

Tham khảo tài liệu 'tình huống sản khoa - tình huống 3', y tế - sức khoẻ, y dược phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | CASE 2 A 66-year-old woman comes in fora routine physical examination. Her menopause occurred at age 51 years and she is currently taking an estrogen pill along with a progestin pill each day. The past medical history is unremarkable. Iler family history includes one maternal cousin with ovarian cancer. On examination she is found to have a blood pressure of 120 70 heart rate of 70 beats per min and temperature of98 E She weighs 140 lb and is 5 4 tall. The thyroid is normal to palpation. Examination of her breasts reveals no masses or discharge. The abdominal cardiac and lung evaluations are within normal limits. The pelvic examination shows a normal multiparous cervix a normal-sized uterus and no adnexal masses. She had undergone mammography 3 months previously. What is your next step What would be the most common cause of mortality for this patient TA CASE FILES OBSTETRICS AND GYNECOLOGY ANSWERS TO CASE 2 Health Maintenance Age 66 Years Sunììììíirv A 66-year-old woman presents for health maintenance. A mammogram has been performed 3 months previously. Next step Each of the following should be performed Pap smear stool for occult blood colonoscopy or barium cnema llexible sigmoidoscopy pneumococcal vaccine influenza vaccine tetanus vaccine if not within 10 yr cholesterol screening fasting blood sugar bone mineral density screening and urinalysis. Most common cause of mortality Cardiovascular disease. Analysis Objectives 1. Understand which health maintenance studies should be performed for a 66-year-old woman. 2. Know the most common cause of mortality for a woman in this age group. 3. Understand that preventive maintenance consists of cancer screening immunizations and screening for common diseases. Considerations The approach to health maintenance includes three parts 1 cancer screening 2 immunizations and 3 addressing common diseases for the particular patient group. For a 66-year-old woman this includes a Pap smear for cervical cancer screening annual .