SlideShare a Scribd company logo
Scenario 1:
Mrs. Smith is a 50 year old Caucasian woman who has 4
children ages 17, 15, 13, and 10. She was 33 with the birth of
her first child. Her BMI is 25. She has no personal or family
history of breast cancer. She lives with her husband in a
suburban community. She is an elementary school teacher who
is working part-time as a substitute so she can be home with her
children. She has been healthy with no previous medical
history. One year ago she noted a small palpable lump in her
right breast about the size of an almond. Because she has been
healthy she assumed it was nothing and ignored it. Over the last
month she has noted that this lump has been increasing in size.
Her health insurance would be expiring in the next month so she
reluctantly decided to have a mammogram. She called for an
appointment and they were unable to see her for another 2
months.
After waiting 2 months, her mammogram confirmed a 5 cm
mass. She then had an ultrasound guided biopsy. This biopsy
confirmed the presence of cancer cells. An additional biopsy
confirmed the presence of cancer cells in 3 of her lymph nodes
most proximal to the tumor.
What are the primary concerns for the patient right now? Why?
What are some of the expected medical surgical interventions?
What further assessment will be needed?
What pharmaceutical drugs are approved treatments for breast
cancer patients?
Scenario 1Mrs. Smith is a 50 year old Caucasian woman who h.docx

More Related Content

Similar to Scenario 1Mrs. Smith is a 50 year old Caucasian woman who h.docx

Abortionin Canada
Abortionin CanadaAbortionin Canada
Abortionin Canada
brittany_thiessen
 
The role of induced abortion in fertility transitions
The role of induced abortion in fertility transitionsThe role of induced abortion in fertility transitions
The role of induced abortion in fertility transitions
Pregnancy termination trajectories in Zambia: the socio-economic costs
 
Facts about Infertility and Ieproductive Technology
Facts about Infertility and Ieproductive TechnologyFacts about Infertility and Ieproductive Technology
Facts about Infertility and Ieproductive Technology
iCliniq
 
Reproductive education short version
Reproductive education short versionReproductive education short version
Reproductive education short version
Jefferson County Public Health
 
Lecture 1 Intro History Research
Lecture 1  Intro History ResearchLecture 1  Intro History Research
Lecture 1 Intro History ResearchCanada College
 
Chamberlain University College of NursingHealth Assessment
Chamberlain University College of NursingHealth AssessmentChamberlain University College of NursingHealth Assessment
Chamberlain University College of NursingHealth Assessment
MaximaSheffield592
 
The kancer
The kancerThe kancer
The kancer
DonikaLici
 
Cancer free libro
Cancer free libroCancer free libro
Cancer free libroAgacio1 3+4
 
VAW: Linkages with Equity and Health (collection of case stories)
VAW: Linkages with Equity and Health (collection of case stories)VAW: Linkages with Equity and Health (collection of case stories)
VAW: Linkages with Equity and Health (collection of case stories)
Phurba Sange Moktan
 

Similar to Scenario 1Mrs. Smith is a 50 year old Caucasian woman who h.docx (10)

Abortionin Canada
Abortionin CanadaAbortionin Canada
Abortionin Canada
 
The role of induced abortion in fertility transitions
The role of induced abortion in fertility transitionsThe role of induced abortion in fertility transitions
The role of induced abortion in fertility transitions
 
Sexual education[1][1]
Sexual education[1][1]Sexual education[1][1]
Sexual education[1][1]
 
Facts about Infertility and Ieproductive Technology
Facts about Infertility and Ieproductive TechnologyFacts about Infertility and Ieproductive Technology
Facts about Infertility and Ieproductive Technology
 
Reproductive education short version
Reproductive education short versionReproductive education short version
Reproductive education short version
 
Lecture 1 Intro History Research
Lecture 1  Intro History ResearchLecture 1  Intro History Research
Lecture 1 Intro History Research
 
Chamberlain University College of NursingHealth Assessment
Chamberlain University College of NursingHealth AssessmentChamberlain University College of NursingHealth Assessment
Chamberlain University College of NursingHealth Assessment
 
The kancer
The kancerThe kancer
The kancer
 
Cancer free libro
Cancer free libroCancer free libro
Cancer free libro
 
VAW: Linkages with Equity and Health (collection of case stories)
VAW: Linkages with Equity and Health (collection of case stories)VAW: Linkages with Equity and Health (collection of case stories)
VAW: Linkages with Equity and Health (collection of case stories)
 

More from todd331

ScanScan 1Sc.docx
ScanScan 1Sc.docxScanScan 1Sc.docx
ScanScan 1Sc.docx
todd331
 
Scapegoating is a theory of prejudice and discrimination. Societ.docx
Scapegoating is a theory of prejudice and discrimination. Societ.docxScapegoating is a theory of prejudice and discrimination. Societ.docx
Scapegoating is a theory of prejudice and discrimination. Societ.docx
todd331
 
Scanned with CamScannerScanned with CamScannerIN.docx
Scanned with CamScannerScanned with CamScannerIN.docxScanned with CamScannerScanned with CamScannerIN.docx
Scanned with CamScannerScanned with CamScannerIN.docx
todd331
 
Sara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docx
Sara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docxSara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docx
Sara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docx
todd331
 
Scanned with CamScannerApplication Assignment 2 Part 2 .docx
Scanned with CamScannerApplication Assignment 2 Part 2 .docxScanned with CamScannerApplication Assignment 2 Part 2 .docx
Scanned with CamScannerApplication Assignment 2 Part 2 .docx
todd331
 
Scanned with CamScannerGlobal editionGloba.docx
Scanned with CamScannerGlobal editionGloba.docxScanned with CamScannerGlobal editionGloba.docx
Scanned with CamScannerGlobal editionGloba.docx
todd331
 
Scanned by CamScannerScanned by CamScannerChapte.docx
Scanned by CamScannerScanned by CamScannerChapte.docxScanned by CamScannerScanned by CamScannerChapte.docx
Scanned by CamScannerScanned by CamScannerChapte.docx
todd331
 
SANS SIFT tool             Final project , related to (digital foren.docx
SANS SIFT tool             Final project , related to (digital foren.docxSANS SIFT tool             Final project , related to (digital foren.docx
SANS SIFT tool             Final project , related to (digital foren.docx
todd331
 
Scanned by CamScannerScanned by CamScannerTABLE .docx
Scanned by CamScannerScanned by CamScannerTABLE .docxScanned by CamScannerScanned by CamScannerTABLE .docx
Scanned by CamScannerScanned by CamScannerTABLE .docx
todd331
 
Sandro Reyes .docx
Sandro Reyes                                                      .docxSandro Reyes                                                      .docx
Sandro Reyes .docx
todd331
 
Scanned with CamScannerResearch Summary (paper)For thi.docx
Scanned with CamScannerResearch Summary (paper)For thi.docxScanned with CamScannerResearch Summary (paper)For thi.docx
Scanned with CamScannerResearch Summary (paper)For thi.docx
todd331
 
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docx
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docxScanned with CamScannerHACCP Recipe TermsCheck tempe.docx
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docx
todd331
 
Scan by Easy Scanner© 2011 Natur.docx
Scan by Easy Scanner© 2011 Natur.docxScan by Easy Scanner© 2011 Natur.docx
Scan by Easy Scanner© 2011 Natur.docx
todd331
 
Scanned with CamScanner1 STANDARIZATION OF A B.docx
Scanned with CamScanner1 STANDARIZATION OF A B.docxScanned with CamScanner1 STANDARIZATION OF A B.docx
Scanned with CamScanner1 STANDARIZATION OF A B.docx
todd331
 
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docx
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docxScanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docx
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docx
todd331
 
scan the following 2 poems by Robert Herrick. analyze each poems rhy.docx
scan the following 2 poems by Robert Herrick. analyze each poems rhy.docxscan the following 2 poems by Robert Herrick. analyze each poems rhy.docx
scan the following 2 poems by Robert Herrick. analyze each poems rhy.docx
todd331
 
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docx
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docxSBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docx
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docx
todd331
 
Scan the articles in the attached course text.  Write a discussi.docx
Scan the articles in the attached course text.  Write a discussi.docxScan the articles in the attached course text.  Write a discussi.docx
Scan the articles in the attached course text.  Write a discussi.docx
todd331
 
Scale Ratio Variable Histograms are useful for presenting qu.docx
Scale Ratio Variable Histograms are useful for presenting qu.docxScale Ratio Variable Histograms are useful for presenting qu.docx
Scale Ratio Variable Histograms are useful for presenting qu.docx
todd331
 
Scan 12Scan 13Scan 14Scan 15Scan 16S.docx
Scan 12Scan 13Scan 14Scan 15Scan 16S.docxScan 12Scan 13Scan 14Scan 15Scan 16S.docx
Scan 12Scan 13Scan 14Scan 15Scan 16S.docx
todd331
 

More from todd331 (20)

ScanScan 1Sc.docx
ScanScan 1Sc.docxScanScan 1Sc.docx
ScanScan 1Sc.docx
 
Scapegoating is a theory of prejudice and discrimination. Societ.docx
Scapegoating is a theory of prejudice and discrimination. Societ.docxScapegoating is a theory of prejudice and discrimination. Societ.docx
Scapegoating is a theory of prejudice and discrimination. Societ.docx
 
Scanned with CamScannerScanned with CamScannerIN.docx
Scanned with CamScannerScanned with CamScannerIN.docxScanned with CamScannerScanned with CamScannerIN.docx
Scanned with CamScannerScanned with CamScannerIN.docx
 
Sara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docx
Sara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docxSara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docx
Sara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docx
 
Scanned with CamScannerApplication Assignment 2 Part 2 .docx
Scanned with CamScannerApplication Assignment 2 Part 2 .docxScanned with CamScannerApplication Assignment 2 Part 2 .docx
Scanned with CamScannerApplication Assignment 2 Part 2 .docx
 
Scanned with CamScannerGlobal editionGloba.docx
Scanned with CamScannerGlobal editionGloba.docxScanned with CamScannerGlobal editionGloba.docx
Scanned with CamScannerGlobal editionGloba.docx
 
Scanned by CamScannerScanned by CamScannerChapte.docx
Scanned by CamScannerScanned by CamScannerChapte.docxScanned by CamScannerScanned by CamScannerChapte.docx
Scanned by CamScannerScanned by CamScannerChapte.docx
 
SANS SIFT tool             Final project , related to (digital foren.docx
SANS SIFT tool             Final project , related to (digital foren.docxSANS SIFT tool             Final project , related to (digital foren.docx
SANS SIFT tool             Final project , related to (digital foren.docx
 
Scanned by CamScannerScanned by CamScannerTABLE .docx
Scanned by CamScannerScanned by CamScannerTABLE .docxScanned by CamScannerScanned by CamScannerTABLE .docx
Scanned by CamScannerScanned by CamScannerTABLE .docx
 
Sandro Reyes .docx
Sandro Reyes                                                      .docxSandro Reyes                                                      .docx
Sandro Reyes .docx
 
Scanned with CamScannerResearch Summary (paper)For thi.docx
Scanned with CamScannerResearch Summary (paper)For thi.docxScanned with CamScannerResearch Summary (paper)For thi.docx
Scanned with CamScannerResearch Summary (paper)For thi.docx
 
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docx
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docxScanned with CamScannerHACCP Recipe TermsCheck tempe.docx
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docx
 
Scan by Easy Scanner© 2011 Natur.docx
Scan by Easy Scanner© 2011 Natur.docxScan by Easy Scanner© 2011 Natur.docx
Scan by Easy Scanner© 2011 Natur.docx
 
Scanned with CamScanner1 STANDARIZATION OF A B.docx
Scanned with CamScanner1 STANDARIZATION OF A B.docxScanned with CamScanner1 STANDARIZATION OF A B.docx
Scanned with CamScanner1 STANDARIZATION OF A B.docx
 
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docx
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docxScanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docx
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docx
 
scan the following 2 poems by Robert Herrick. analyze each poems rhy.docx
scan the following 2 poems by Robert Herrick. analyze each poems rhy.docxscan the following 2 poems by Robert Herrick. analyze each poems rhy.docx
scan the following 2 poems by Robert Herrick. analyze each poems rhy.docx
 
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docx
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docxSBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docx
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docx
 
Scan the articles in the attached course text.  Write a discussi.docx
Scan the articles in the attached course text.  Write a discussi.docxScan the articles in the attached course text.  Write a discussi.docx
Scan the articles in the attached course text.  Write a discussi.docx
 
Scale Ratio Variable Histograms are useful for presenting qu.docx
Scale Ratio Variable Histograms are useful for presenting qu.docxScale Ratio Variable Histograms are useful for presenting qu.docx
Scale Ratio Variable Histograms are useful for presenting qu.docx
 
Scan 12Scan 13Scan 14Scan 15Scan 16S.docx
Scan 12Scan 13Scan 14Scan 15Scan 16S.docxScan 12Scan 13Scan 14Scan 15Scan 16S.docx
Scan 12Scan 13Scan 14Scan 15Scan 16S.docx
 

Recently uploaded

CACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdfCACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdf
camakaiclarkmusic
 
The Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptxThe Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptx
DhatriParmar
 
A Strategic Approach: GenAI in Education
A Strategic Approach: GenAI in EducationA Strategic Approach: GenAI in Education
A Strategic Approach: GenAI in Education
Peter Windle
 
Digital Tools and AI for Teaching Learning and Research
Digital Tools and AI for Teaching Learning and ResearchDigital Tools and AI for Teaching Learning and Research
Digital Tools and AI for Teaching Learning and Research
Vikramjit Singh
 
Multithreading_in_C++ - std::thread, race condition
Multithreading_in_C++ - std::thread, race conditionMultithreading_in_C++ - std::thread, race condition
Multithreading_in_C++ - std::thread, race condition
Mohammed Sikander
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
Mohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
 
Lapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdfLapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdf
Jean Carlos Nunes Paixão
 
A Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance.pptxA Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance.pptx
thanhdowork
 
How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17
Celine George
 
STRAND 3 HYGIENIC PRACTICES.pptx GRADE 7 CBC
STRAND 3 HYGIENIC PRACTICES.pptx GRADE 7 CBCSTRAND 3 HYGIENIC PRACTICES.pptx GRADE 7 CBC
STRAND 3 HYGIENIC PRACTICES.pptx GRADE 7 CBC
kimdan468
 
Introduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp NetworkIntroduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp Network
TechSoup
 
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
Nguyen Thanh Tu Collection
 
Guidance_and_Counselling.pdf B.Ed. 4th Semester
Guidance_and_Counselling.pdf B.Ed. 4th SemesterGuidance_and_Counselling.pdf B.Ed. 4th Semester
Guidance_and_Counselling.pdf B.Ed. 4th Semester
Atul Kumar Singh
 
Francesca Gottschalk - How can education support child empowerment.pptx
Francesca Gottschalk - How can education support child empowerment.pptxFrancesca Gottschalk - How can education support child empowerment.pptx
Francesca Gottschalk - How can education support child empowerment.pptx
EduSkills OECD
 
Language Across the Curriculm LAC B.Ed.
Language Across the  Curriculm LAC B.Ed.Language Across the  Curriculm LAC B.Ed.
Language Across the Curriculm LAC B.Ed.
Atul Kumar Singh
 
Unit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdfUnit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdf
Thiyagu K
 
Synthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptxSynthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptx
Pavel ( NSTU)
 
Home assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdfHome assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdf
Tamralipta Mahavidyalaya
 
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
MysoreMuleSoftMeetup
 
Normal Labour/ Stages of Labour/ Mechanism of Labour
Normal Labour/ Stages of Labour/ Mechanism of LabourNormal Labour/ Stages of Labour/ Mechanism of Labour
Normal Labour/ Stages of Labour/ Mechanism of Labour
Wasim Ak
 

Recently uploaded (20)

CACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdfCACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdf
 
The Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptxThe Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptx
 
A Strategic Approach: GenAI in Education
A Strategic Approach: GenAI in EducationA Strategic Approach: GenAI in Education
A Strategic Approach: GenAI in Education
 
Digital Tools and AI for Teaching Learning and Research
Digital Tools and AI for Teaching Learning and ResearchDigital Tools and AI for Teaching Learning and Research
Digital Tools and AI for Teaching Learning and Research
 
Multithreading_in_C++ - std::thread, race condition
Multithreading_in_C++ - std::thread, race conditionMultithreading_in_C++ - std::thread, race condition
Multithreading_in_C++ - std::thread, race condition
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
 
Lapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdfLapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdf
 
A Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance.pptxA Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance.pptx
 
How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17
 
STRAND 3 HYGIENIC PRACTICES.pptx GRADE 7 CBC
STRAND 3 HYGIENIC PRACTICES.pptx GRADE 7 CBCSTRAND 3 HYGIENIC PRACTICES.pptx GRADE 7 CBC
STRAND 3 HYGIENIC PRACTICES.pptx GRADE 7 CBC
 
Introduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp NetworkIntroduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp Network
 
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
 
Guidance_and_Counselling.pdf B.Ed. 4th Semester
Guidance_and_Counselling.pdf B.Ed. 4th SemesterGuidance_and_Counselling.pdf B.Ed. 4th Semester
Guidance_and_Counselling.pdf B.Ed. 4th Semester
 
Francesca Gottschalk - How can education support child empowerment.pptx
Francesca Gottschalk - How can education support child empowerment.pptxFrancesca Gottschalk - How can education support child empowerment.pptx
Francesca Gottschalk - How can education support child empowerment.pptx
 
Language Across the Curriculm LAC B.Ed.
Language Across the  Curriculm LAC B.Ed.Language Across the  Curriculm LAC B.Ed.
Language Across the Curriculm LAC B.Ed.
 
Unit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdfUnit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdf
 
Synthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptxSynthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptx
 
Home assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdfHome assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdf
 
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
 
Normal Labour/ Stages of Labour/ Mechanism of Labour
Normal Labour/ Stages of Labour/ Mechanism of LabourNormal Labour/ Stages of Labour/ Mechanism of Labour
Normal Labour/ Stages of Labour/ Mechanism of Labour
 

Scenario 1Mrs. Smith is a 50 year old Caucasian woman who h.docx

  • 1. Scenario 1: Mrs. Smith is a 50 year old Caucasian woman who has 4 children ages 17, 15, 13, and 10. She was 33 with the birth of her first child. Her BMI is 25. She has no personal or family history of breast cancer. She lives with her husband in a suburban community. She is an elementary school teacher who is working part-time as a substitute so she can be home with her children. She has been healthy with no previous medical history. One year ago she noted a small palpable lump in her right breast about the size of an almond. Because she has been healthy she assumed it was nothing and ignored it. Over the last month she has noted that this lump has been increasing in size. Her health insurance would be expiring in the next month so she reluctantly decided to have a mammogram. She called for an appointment and they were unable to see her for another 2 months. After waiting 2 months, her mammogram confirmed a 5 cm mass. She then had an ultrasound guided biopsy. This biopsy confirmed the presence of cancer cells. An additional biopsy confirmed the presence of cancer cells in 3 of her lymph nodes most proximal to the tumor. What are the primary concerns for the patient right now? Why? What are some of the expected medical surgical interventions? What further assessment will be needed? What pharmaceutical drugs are approved treatments for breast cancer patients?