A 47 y/o male patient who is

A 47 y/o male patient who is a house painter whom you haven’t seen in several years presents with a chief complaint of tiredness with daytime sleepiness. He is married. His wife states that the patient snores loudly. He was told when he was 50 lbs. lighter that he could control his hyperlipidemia by diet. Past medical history: Anxiety, cholecystectomy, vasectomy. Family Hx: father deceased at age 45 from massive MI. Social Hx: occasional ETOH, denies substance abuse or smoking cigarettes but occasionally smokes a cigar, denies participation in any routine exercises. Discuss specificity & sensitivity with two examples from a primary care setting. Discuss positive predictive values with two examples from a primary care setting. Discuss risk factors and primary and secondary prevention for colon cancer.

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