Replacement
Female Reproductive System & Breast
0
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/G9_F1.jpg"}},{"insert":"\n\n"},{"insert":"You\u0027re in your clinic on a fine Tuesday morning, thinking back to the conference on \u0022Advances in Hormone Replacement Therapy\u0022 that you attended recently.\n"}]}
1
{"ops":[{"insert":"As you go over your notes, you marvel at how rapidly science is progressing.\r\n \r\nYou\u0027re reminded of the Red Queen from Lewis Carroll\u0027s Through The Looking Glass - \u0022Now, here, you see, it takes all the running you can do, to keep in the same place.\u0022 - when a sharp knock at the door interrupts your little literary sojourn.\n"}]}
2
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/G9_F3.jpg"}},{"insert":"\n\n"},{"insert":"Your first patient of the day is Ms. Hosseini, 60 years old. \r\n \r\nYou invite her in, gesturing for her to have a seat before asking, \u0022How can I help you today, Ms. Hosseini?\u0022\r\n \r\nShe sits down with a sigh, looking rather weary.\n\n\u0022Doctor, I\u0027ve been having hot flashes for around six months now, ever since I started missing my period. I figured they were a part of my menopause and would subside with time, but they\u0027ve really only been getting worse.\u0022\r\n \r\nYou find she has no history of smoking, hypertension or diabetes, and is a nulligravida. Her mother died of breast cancer age 56.\n"}]}
3
{"ops":[{"insert":"\u0022I recently met a friend who used to have similar problems. She said that her symptoms all but vanished with HRT. I\u0027d like to start taking this treatment too,\u0022 she continues.\n"}]}
4
{"ops":[{"insert":"How will you respond?\n"}]}
1. "Sure, let's go ahead and start you on HRT! There's nothing to worry about."
2. "Sure, you can take HRT, but first let's go over some of the important risks associated with it."
3. "I think we should wait a while; your symptoms may resolve spontaneously."
6
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9
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8
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5
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7
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