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Example text

A 2-year-old child is brought into your office. Mom reports the boy fell off his bed and has been limping for the last 3 days. He did hit his head, but had no loss of consciousness and has been acting normally since his fall. You note retinal hemorrhages and several areas of bruising on the head, legs, thighs, and arms in varying stages of healing. 8 D) leukemia E) poor coordination Answer and Discussion Determining whether head injuries in children are accidental or a result of physical abuse is very important.

A 27-year-old female presents for her annual examination. Her BMI is 31 and she has hirsutism and reports difficulty with conception. Her periods are irregular. Based on her likely diagnosis, which of the following malignancies is she most at increased risk for? A) Ovarian carcinoma B) Colon cancer C) Pancreatic cancer D) Endometrial carcinoma E) Breast cancer Answer and Discussion Polycystic ovary syndrome (PCOS) is the most common endocrine abnormality in women of reproductive age. The syndrome is associated with chronic anovulation, abnormal menstrual bleeding, and infertility.

Stress incontinence is caused by a malfunction of the urethral sphincter that causes urine to leak from the bladder when intra-abdominal pressure increases, such as during coughing or sneezing. Causes for stress incontinence include pelvic prolapse, urethral hypermobility, or displacement of the urethra and bladder neck from their normal anatomic alignment. 3 resulting from alpha-adrenergic blocking drugs, surgical trauma, or radiation damage. Overflow bladder incontinence occurs as a result of urine retention with bladder distention.

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