Reference no: EM132610027

1. A 65 years old multiparous female presents with pain in the lower abdomen and lower back while standing and walking since last 4 years. She is 10 years post menopause and had 3 vaginal deliveries. She is on HRT since last 4 years because of the postmenopausal symptoms. She has urinary frequency and has to get up at night to urinate. She feels a bulge in the vaginal area. She does not have dysuria or haematuria. She reports some loss of urine on coughing and sneezing.

a. What is the most likely diagnosis?

b. How does this condition develop elaborate your answer diagrammatically?

c. What is the differential diagnosis?

d. Develop management guidelines for this patient?

2. You have been asked to participate in a patient education program at your community's cancer society for patients who have undergone treatment for breast cancer. Your responsibility in this program is to help these breast cancer survivors reduce the risk of physical impairments and functional limitations associated with their surgery and any related adjuvant therapies. Outline the components of such a program, and explain the rationale for the activities you have chosen to include?