Maria Rivera: Trying to Stay Quit

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In this case you will be asked to apply your knowledge by answering a series of questions based on the case.

Maria Rivera

Patient: Maria Rivera

Reason for Visit:

- Sprained ankle
History of Present Illness: - Asymptomatic

Medical History: - 26 years old

- 6 weeks pregnant

Family History: - Married with 2 children, ages 3 and 7

Psychosocial History: - Lives with husband of 8 years

Physical Exam Findings: - Sprained ankle, all other findings unremarkable

Smoking Information:

- Past history of smoking for 14 years

- Third quit attempt

- Quit around 3 weeks ago
View ReferencesHide References
Centers for Disease Control and Prevention. Cigarette smoking among adults -- United States, 2002. MMWR Morb Mortal Wkly Rep. 2004; 53(20): 427-431.
Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses --- United States, 2000--2004. Morbidity and Mortality Weekly Report (MMWR). 2008; 57(45): 1226–1228. Available at:
US Dept of Health and Human Services. Reducing Tobacco Use: A Report of the Surgeon General. Atlanta, Ga: Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, US Dept of Health and Human Services. 2000.
Wong LS, Green HM, Feugate JE, Yadav M, Nothnagel EA, Martins-Green M. Effects of "second-hand" smoke on structure and function of fibroblasts, cells that are critical for tissue repair and remodeling. BMC Cell Biol. 2004; 5(1): 13.