A 36-year-old gravida 4 para 3 patient presents at her first antenatal clinic visit. She does not know the date of her last menstrual period. The patient says that she had hypertension in her last two pregnancies. The symphysis-fundus height measurement suggests a 32-week pregnancy. At her second visit, the report of the routine cervical smear states that she has a low-grade cervical intra-epithelial lesion. 1. Why is her past obstetric history important? 2. How accurate is the symphysis-fundus height measurement in determining that the pregnancy is of 32 weeks duration? 3. Why would an ultrasound examination not be helpful in determining the gestational age?

A 28-year-old woman presents with a concern about a lump she has found in her right breast. It first appeared three months ago. It changes with her menstrual cycle and is nontender to the touch. On physical exam, there are no contour changes or retractions noted. Likewise, the patient has no axillary, supraclavicular, or infraclavicular adenopathy. Which of the following descriptions correlates with the most likely diagnosis, that is considered benign in prognosis? Answers: A-D A Erythematous and edematous right breast, tender and warm to touch B Nodular, rope-like densities throughout the right breast; highly tender C Single, firm 1 x 2 cm mass, fixed with overlying thickened skin with enlarged pores; minimally tender D Round, 1 cm freely mobile, the well-delineated mass that is firm in consistency: nontender

A 29-year-old woman, gravida 2 para 2, comes to the emergency department with fever, crampy abdominal pain, and right flank pain 8 days after an uncomplicated vaginal delivery.  Temperature is 38.3 C (101 F) and blood pressure is 110/60 mm Hg.  Physical examination shows tenderness in the right lower quadrant and flank.  The patient is hospitalized and started on intravenous antibiotics for presumed postpartum endometritis, but her fever persists.  Urine and blood cultures show no bacterial growth.  CT scan of the abdomen and pelvis reveals right ovarian vein thrombosis.  If this patient remains untreated, she is at risk for extension of the thrombus into which of the following vessels? Inferior vena cava Right common iliac vein Right internal iliac vein Right renal vein Right uterine vein

Mrs.  A  , age 35 was given a pap test during a routine medical check-up. The test showed marked dysplasia of cervical cells but no sign of infection.             1. Discuss the purposes and uses of diagnostic testing and how it applies in this scenario                                                                                              2.Discuss how the following terms might apply to this       scenario: prognosis, latent stage, remission, exacerbations, predisposing factors                      3.Compare and contrast the various types of common cellular adaptions focusing on dysplasia and the testing for the condition.                     Question2, MRS A's baby girl, Baby C, who is 3 months old,has had severe watery diarrhea accompanied by fever for 24hours, she is apathetic and responds weakly to stimulation, the condition has been diagnosed as viral gastroenteritis question A) list the major losses resulting from diarrhea and fever. question)list other signs and data that…

A 50-year-old female who has born five children complains that she has noticed vaginal spotting of blood after intercourse for approximately the past 6 months. More recently, she has had a foul-smelling vaginal discharge and indicates that her left leg seems larger than her right one. She previously had syphilis. She has smoked one pack of cigarettes per day for 20 years. Examination of her back shows left flank tenderness. The circumferences of her left thigh and calf are larger than those of the right. Pelvic examination shows normal female external genitalia and a 3-cm growth on the surface on the left lip of the uterine cervix.  ◆ What is the most likely diagnosis? ◆ What is the applied clinical anatomy for this condition?

1- If pancreatic cancer occurs, explain the way it reaches the ovary. 2- When transitional cell carcinoma occurs, state how it gets to the renal pelvis. 3- Why sarcoma has the potential to spread faster than carcinoma. 4-If cancer occurs in the esophagus, explain the ways in which the cancer passes into the larynx and the liver. 5-Why if cancer occurs in any part of the body, it is difficult to grow in the spleen, muscle, small intestine and pancreas if it reaches them

CLASS ASSIGNMENT- LOCATE THE ACCURATE CPT CODES FOR EACH 1. A BIOPSY NEEDLE WAS PASSED UP THE URETHRA. USING MANUAL GUIDANCE, THE SURGEON IDENTIFIED THE PROSTATE GLAND AND PERFORMED A PUNCH BIOPSY. THE NEEDLE WAS WITHDRAWN. 2. THE PATIENT HAS A PAPILLOMA OF THE PENIS. THIS IS REMOVED VIA LASER SURGERY. 3. A PATIENT HAS A SPERMATOCELE. AFTER INCISING THE SCROTUM, THE PHYSICIAN IDENTIFIED THE TESTIS AND THE SPERMATOCELE. THE SPERMATOCELE WAS DISSECTED FROM THE EPIDIDYMIS.