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Women’s and Men’s Health, Infectious Disease, and Hematologic

Disorders
A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on
yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats,
and genitourinary symptoms. She had felt well until 1 month ago and she presented to her
gynecologist for her annual gyn examination and to discuss her symptoms. She has a history
of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal.
Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She
has regular monthly menstrual cycles. Her LMP was 1 month ago.

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