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Permanent URI for this collectionhttps://hdl.handle.net/20.500.12503/30446
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Browsing Other by Author "Jacob, Sera"
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Item Phyllodes Tumor in Adolescent Female(2021) Jacob, SeraIntroduction: Phyllodes tumors are rare occurrences in the general population, accounting for only 0.3-1% of all breast tumors. It is even more uncommon to see it in a pediatric patient. Phyllodes tumors are commonly seen in middle aged women between the ages of 40 to 55. Case Presentation: A 17-year-old Asian American female presented with an incidental finding of a mass on her left breast that she found during a self-breast exam. She has no personal and family history of breast tumors or cancer. She began menarche at the age of 9. An ultrasound was ordered, and the patient was started on antibiotics. Ultrasound findings showed a mass measured to be 4.4 cm x 2.4 cm x 4 cm and a guided core fine needle biopsy was arranged. Biopsy results showed a benign fibroepithelial mass. Patient had the mass excised and the measurements were reported to be 5.2 cm x 4.5 cm x 3 cm. Pathology from the excision showed with that the mass had appearance consistent with benign phyllodes tumor. Patient will follow up every 6 months for the next 3 years to monitor recurrence. Conclusion: This case exhibits a unique presentation of phyllodes tumor in an extremely uncommon age group.Item Role of Screening Questionnaires in Reducing the Risk of Opioid Abuse(2021) Jacob, Sera; Hill, David; Gibson, John; Hadley, LescaPurpose An epidemic that is a growing concern, especially to health care providers, is the opioid epidemic in America. Opioid abuse is an issue that is affecting medical care all over the country, in urban and rural areas. It has been starting right in family medicine clinics, where it is daily goes by uncaught. Will the increased use of screening questionnaires reduce the risk of opioid misuse in adults ages 18 and older? Methods Patients were asked to anonymously complete an Opioid Assessment for Patients with Pain-Revised (SOAPP-R) worksheet. Patients were first asked permission and then they were free to complete the worksheet anonymously. A data table was kept updated with the amount of responses received. Results The results showed that after four weeks of data collection, 11 patients were screened out of 40 patients who were seen for opioid medication refills. Enhancement results were calculated to be 27.5% people screened for opioid abuse compared to prior to enhancement results which was 0% of people screened. Out of the 11 screening questionnaires, 2 people showed an increased risk of opioid misuse. Conclusions This project showed how many patients could be adequately screened for opioid misuse in a family medicine clinic in a rural town. I learned the benefits of how to conduct a quality improvement project. Next steps for the project would be that the clinic would conduct screenings periodically for patients to minizine opioid risk.