Cervical cancer

Workingnear a naval base, you see a lot of patients who are somehow connected with themilitary. Today, Shelesha, a 21-year-old African American female, is requestingto be seen for her annual exam before she leaves for deployment. Shelesha seemsreally anxious today. She is usually so excited about being on board her ship,but today she is different. You complete her annual exam, but she refuses hercervical and breast exam. After leaving the room so she can get dressed, youreturn to find Shelesha crying. She finally tells you that she was attacked sexually assaulted on board her ship six months ago and she has these bumpsthat keep getting bigger around her vagina and she is worried.

Virginiaarrives for her annual well-woman exam. Virginia is a 67-year-old female whohas been married for 42 years. Virginia and Harrold are still sexually activewith the use of medications, and like clockwork, Virginia comes every year forher pelvic exam requesting a Pap smear. Virginia had breast cancer with amastectomy when she was 52, but otherwise she is healthy, only takingmedication for her cholesterol.

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