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Problem
You are a family doctor and a 40-year-old woman has come to you with complaints of palpitations, insomnia, hair loss and irritability. Have been suffering from these symptoms for the last 3 months, after a stressful experience (loss of business). Has noticed weight gain of 8 kgs in half a year. Physical examination: height 164 cm, weight 82 kg, BP 160/90 mmHg, heart rate 84 beats per minute. Total cholesterol 5 mmol/l, glucose 7 mmol/l. Has been smoking 10 cigarettes a day for 2 years.
A. Considering your patient's possible risk factors, plan a screening program.B. What are the risk factors in this patient?C. What diagnostic tests should be carried out considering the age group?D. What methods of detection of a particular nosology would you suggest to your patient (from safest to most invasive)?E. What is the frequency of the examination? (Who? What? When?).
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Analyze the key reasons why healthcare organization managers and leaders must understand and actively engage in the implementation.
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