Pe

VS: BP 128/82, P 78, RR 16, T 37.0°C (98.6°F), wt 74.5 kg (164 lb) HEENT: WNL

Neck: Supple; no bruits, no adenopathy, no thyromegaly Breasts: Supple; no masses

CV: RRR, normal S1 and S2; no murmurs, rubs, or gallops Abd: Soft, nontender, nondistended; (+) BS, no masses Genitourinary: Pelvic examination normal except (+) mucosal atrophy Labs:

FSH: 76 mIU/mL (76 IU/L) TSH: 2.5 pU/mL (2.5 mIU/L)

Chem-7: Na 135 mEq/L (135 mmol/L), K 4.5 mEq/L (4.5 mmol/L), Cl 109 mEq/L (109 mmol/L), CO2 25 mEq/L (25 mmol/L), BUN 9 mg/dL (3.21 mmol/L), SCr 0.9 mg/dL (80 pmol/L), Glucose 98 mg/dL (5.44 mmol/L)

CBC: Hgb 13 g/dL (130 g/L or 8.06 mmol/L), Hct 39% (0.39 volume fraction), WBC 5.5 x 10/mm3 (5.5 x 109/L), platelets 234 x 103/mm3 (234 x 109/L)

Fasting lipid levels: TC 232 mg/dL (6 mmol/L), low-density lipoprotein (LDL) 145 mg/dL (3.76 mmol/L), high-density lipoprotein (HDL) 45 mg/dL (1.17 mmol/L), Triglycerides (TG) 200 mg/dL (2.26 mmol/L)

Assess the patient's condition based on this additional information.

What are the goals of treatment for this patient?

Assess the patient's risk factors for heart disease and breast cancer.

Recommend nonpharmacologic and pharmacologic treatment for this patient. Justify your recommendations.

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