How To Develop Your Skill For Great Success And Happiness Including Become CPA? | Additional special tips From Admin
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Pleural Effusion and an Axillary Mass in a Woman With Hypertension
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Maurie Markman, MD
March 30, 2021
Editor’s Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us .
A 58-year-old woman seeks medical attention after she discovered a new mass in her left axilla during a routine monthly breast self-examination while showering. She has not noted any changes in either of her breasts. The mass in her left axilla is not tender, and she has not felt any other abnormal masses, including in her right axilla. She reports no other symptoms and specifically has no pain anywhere in her body. She also does not have shortness of breath, fever, night sweats, fatigue, rash, or abdominal discomfort or bloating.
Fifteen years earlier, the patient was diagnosed with high-grade, stage 1 cervical cancer and underwent surgery and chemoradiation. She has been closely monitored since that time with physical examinations and abdominal CT, with no evidence of recurrent disease. The patient has not had any other surgical procedure, except for removal of two basal cell carcinomas on her neck 4 years ago. She has had yearly routine mammograms for at least the past 15 years.
The patient has hypertension, which has been well controlled with the same medications for the past 10 years. She also has a 25-year history of type 2 diabetes mellitus, which is currently managed with diet alone. She had a “silent myocardial infarction” sometime within the past 5 years but has had no cardiac symptoms and is not taking any cardiac medications. She smoked approximately one pack of cigarettes a day for less than 2 years when she was “in her teens” but has not had any tobacco products since that time.
Pancreatic cancer was diagnosed in the patient’s father at age 49 years, and breast cancer was diagnosed in her aunt on her father’s side at age 67 years. Her paternal grandmother is reported to have died in her 60s after diagnosis of a “cancer in her stomach.” No further information is available regarding either the actual diagnosis or the medical care provided to this individual.
To the best of the patient’s knowledge, her mother’s side of the family and her two brothers have no history of cancer. She has no sisters. Her mother is in her 80s and has mild dementia. The patient is not aware of any member of her family having undergone genetic testing.
Medscape © 2021 WebMD, LLC
Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Maurie Markman. Pleural Effusion and an Axillary Mass in a Woman With Hypertension – Medscape – Mar 30, 2021.
Clinical Professor of Medicine, Drexel University College of Medicine; President, Medicine & Science, Cancer Treatment Centers of America, Philadelphia, Pennsylvania
Disclosure: Maurie Markman, MD, has disclosed no relevant financial relationships.
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Pleural Effusion and an Axillary Mass in a Woman With Hypertension
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A note for you if you pursue CPA licence, KEEP PRACTICE with the MANY WONDER HELPS I showed you. Make sure to check your works after solving simulations. If a Cashflow statement or your consolidation statement is balanced, you know you pass right after sitting for the exams. I hope my information are great and helpful. Implement them. They worked for me. Hey.... turn gray hair to black also guys. Do not forget HEALTH?
Competency Development is certainly the number 1 important and essential matter of reaching authentic achievement in just about all careers as most people witnessed in the modern culture plus in Global. Which means that fortuitous to examine together with you in the soon after in regard to what effective Competency Enhancement is;.
exactly how or what solutions we do the job to gain desires and subsequently one is going to operate with what anyone likes to implement just about every day for the purpose and meaningful of a maximum life. Is it so terrific if you are ready to establish resourcefully and obtain achievements in just what exactly you believed, designed for, regimented and labored very hard each individual working day and definitely you turn into a CPA, Attorney, an person of a great manufacturer or possibly even a doctor who can very add wonderful help and values to other individuals, who many, any contemporary society and society most certainly shown admiration for and respected. I can's imagine I can assist others to be top competent level who will bring about important products and help values to society and communities in these days. How pleased are you if you end up one just like so with your unique name on the title? I have landed at SUCCESS and defeat virtually all the very hard portions which is passing the CPA tests to be CPA. Furthermore, we will also handle what are the stumbling blocks, or other factors that may very well be on a person's approach and the way in which I have professionally experienced all of them and definitely will show you the best way to rise above them.
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