Patient Name: Zhang Lan-Hua
Age: 65
Sex: Female
Language: Mandarin is first language. Very limited English
skills.
Race/Ethnicity: Southeast Asian/Chinese
History:
• Today’s visit is first encounter with the patient
• Patient appears to be in poor health
• Review of the chart indicates the patient has come
in due to the following symptoms:
o Significant weight loss
o Abdominal pain
o Vague but gradually worsening abdominal pain
that may decrease when leaning forward and
increase when lying down. Pain is often severe at
night and may radiate to the lower back.
o Digestive or bowel complaints such as diarrhea,
constipation, gas pains, bloating, or belching.
o Overall weakness.
Today’s visit:
• When interviewing the patient and during a brief
examination, you determine that
o The abdominal pain decreases when leaning
forward and increase when lying down.
o Pain is often severe at night
o The patient is jaundiced
o The patient has experienced a sudden onset of
diabetes.
o The patient has an enlarged liver and gallbladder.
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1. As
a physician, what are health conditions to which the patient may
be predisposed, given her cultural background?
a. Lung cancer
b. Breast Cancer
c. Colon cancer
d. Pancreatic cancer
e. All of the above
The correct answer is E. In addition to other health concerns,
common sites of cancers among Chinese women include all of the
above. |
