Annual physical exam

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Maria, a 49-year-old female, presents to at the clinic for her annual physical exam. Her history notes she is G5P5, all NSVDs without pregnancy or delivery complications. Her LMP was two months ago, but her periods have recently become irregular over the last year. She has been separated from her husband for two years and has not been sexually active since the separation. Maria had a bilateral bunionectomy at age 25. Maria's mother is 67 years old and has HTN since age 55. Maria's father died from colon cancer 10 years ago at age 57. Maria's VS are WNL and her BMI is 28. She reports no current health complaints or problems except for some mild right knee pain for which she occasionally takes ibuprofen with relief. Her last Pap smear was negative seven years ago and she has never had a mammogram.

Based on this information, what will you perform and order today for Maria as part of her annual PE?

What is your rationale for ordering those tests, and why?

Reference no: EM133849689

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