What is the most likely diagnosis? What is the clinical significance of these findings?

Mr. Roger, age 52 years, is undergoing a routine physical examination for his employer. During palpation of the prostate, the physician noted a hard nodule on the gland’s periphery. Lab tests revealed an elevated PSA level. The remainder of the examination did not reveal any other abnormalities.   Discussion Questions Using the information given, discuss the presentation of cancer of the prostate. (See Cancer of the Prostate—Signs and Symptoms, Diagnostic Tests.)

Both the epithelium of the vagina and the cervical glands of the uterus help prevent the invasion and spread of vaginal pathogens. Explain how each of these mechanisms works.

A 60-year-old woman is found to have osteoporosis. Her last menstrual period was 10 years ago. She has a history of deep venous thrombosis. The physician wishes to initiate treatment with a medication that will improve the patient’s bone density without increasing her risk for thrombosis or hot flashes. A drug from which of the following classes is most appropriate for this patient? a) Bisphosphonates b) Gonadotropins c) Ovarian sex hormones d) Selective estrogen receptor modulators e) Vitamin D analogs

Mr. Roger, age 52 years, is undergoing a routine physical examination for his employer. During palpation of the prostate, the physician noted a hard nodule on the gland’s periphery. Lab tests revealed an elevated PSA level. The remainder of the examination did not reveal any other abnormalities. If metastasis occurs, what additional manifestations will occur, and how will they be treated?

A 40 year old woman goes to see a physician to get a painful lump in her breast checked out. She tells the doctor that the lump persists for the full menstrual cycle, and a mammogram identified this lump only within the breast.  1) What is the best approach to identify if this lump is breast cancer or if it is benign?  2) They caught it early and the lump has been identified it as stage 1 breast cancer, classified as triple negative. What are two treatment approaches specific for this stage and classification of breast cancer?  3) The woman has 2 teenage daughters. a) What could you assess to determine if the daughters are at a genetic risk for breast cancer?  b) What are 4 strategies that the daughters could modify in their daily life that would help in prevention and reducing their risk of developing breast cancer?

Mr. Roger, age 52 years, is undergoing a routine physical examination for his employer. During palpation of the prostate, the physician noted a hard nodule on the gland’s periphery. Lab tests revealed an elevated PSA level. The remainder of the examination did not reveal any other abnormalities. Discuss the predisposing factors for prostate cancer and identify the high-risk groups. (See Cancer of the Prostate—Etiology.)

a 42 year old woman presents with a painful, 3cm paraovarian cyst located in her broad ligament. ultrasonography reveals the cyst to be adjacent to the utetine tube, and laparoscopic surgery is scheduled. during surgery a small incision is made in the anterior abdominal wall and the scope is inserted into hee peritoneal cavity. what part of the broad ligament would most likely be incised to reach the tumor? provide an explanation

JA is a 28-year-old female who presents with a rash over her arms, buttocks, lower back, and legs. The small pink papules are at the hair follicles. She and a friend completed a "mud run" three days ago. What would you recommend?   JA did as you instructed for the past several days and while some areas improved, others are worse, pink or red papules with pustules, and she has a low-grade fever.

Benny is seen by local physician for routine preop exam prior to dental surgery. He has found a large left upper quadrant mass. His physical exam revealed splenomegaly. What is his diagnosis