Slide 25. Patient Case 2

Patient Case 2

• A 40-year-old woman presents to your clinic for a periodic examination and its seen initially by the nurse practitioner (NP).

  The patient reports no medical illnesses and has had no prior surgeries. She does not smoke or drink any alcoholic beverages.

  Her paternal grandfather was a heavy smoker and died of lung cancer at age 65. Otherwise, she has no other family history of cancer. She is married and in a mutually monogamous relationship.

  A colleague at work was diagnosed with breast cancer 5 years before and since that time this patient has performed periodic self-breast examinations.

  She reports no changes in her breasts, but asks the NP if she should get a mammogram.

  The NP asks you about your interpretation of current USPSTF recommendations regarding screening mammography.

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