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.

Anxiety and Depression 101

Anxiety and Depression 101

Everything you ever wanted to know about. We have been discussing depression and anxiety and how different information that is out on the market only seems to target one particular cure for these two common conditions that seem to walk hand in hand.

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