Family History Taking/Pedigree ConstructionAssignment


Mary Jones Fictitious Family History

Mary Jones, age 47, is presenting to the family practice office asa new patient due to a change in her insurance coverage. Herhistory is as follows; in the past she has had 2 normal screeningmammograms (last one performed 14 months ago) and all past papsmears have been negative (the last one performed 13 months ago).She has had two full term pregnancies and one documentedmiscarriage. She is currently an administrator in a communityhospital. She exercises regularly and has no chronic healthconditions. She has been married for 13 years.

For this assignment you will need to construct Mary Jones’s familypedigree. In order to do this, you will first need to take a familyhistory. Please provide a list of detailed questions you would askMary to construct her family pedigree. Once you have completed yourquestions you will then use the information below to construct thepedigree.

The following bulleted text contains information about Mary’sfamily members (you can choose / make up the ancestral backgroundsof the different family branches)

• Mary’s 1st child: Cathy Baker, age 31, healthy, has a son anddaughter ages 10 and 4. Cathy lives out of state, infrequentlycommunicates with her mother, was adopted and raised by herpaternal grandparents. There is no information about Cathy'sbiological father's health other than he is alive as are hisparents. Nothing else is known about his family history.

• Mary’s Twin son and daughter, age 8, o Son, Derrick - (twin A)has Down syndrome, is healthy (used to have problems with earinfections but this has resolved), no structural heart anomalies,wears glasses, is mainstreamed in 2nd grade classes with full timeteacher aide, receives speech services in school o Daughter, Tammie- (twin B) healthy, in 2nd grade, good student

• Miscarriage was two years prior to delivery of the twins. Themiscarriage occurred during the 1st trimester. Gender is unknown.No testing was performed on fetal tissue.

• Husband, David Jones, is 50 years old and healthy. He does nothave children from previous relationships.

• Mary has no brothers or sisters.

• Her mother, Martha Stewart, is 70 years old, has insulindependent diabetes, started taking insulin in early 50s, is obese,and on medications for high blood pressure o Her mother had 5siblings - 2 are still living: Sister, Hannah, died at age 8years from pneumonia Sister, Susan, died in her mid 70s fromcomplications of diabetes. She had 1 son who is in his 50's,apparently healthy and he has 4 adult children - health status andnumber of offspring unknown Brother, Bill Junior, died at age 3from pneumonia Living sister; Debbie, is in her late 60s, is alsoobese and takes insulin injections. She has 4 children: 3 boys and1 girl - health status and number of children unknown Livingbrother; Mike, is in his early 60's, is on dialysis, is analcoholic, has two sons - health status and number of childrenunknown (birth order: Hannah, Susan, Martha, Bill, Debbie,Mike)

• Her father, Bill Stewart, died last year at age 69, COD - liverfailure, was also said to have an enlarged heart, rarely drankalcohol, was slender in build, was on medication for arthritis inthe hips and knees. O Bill's only brother, David, is 67 years old,and has arthritis. He has one son who is healthy and he has 2sons.

• Mary’s Maternal grandmother, died in her 60's due to femalecancer
• Mary’s Maternal grandfather, died in his 60's, cirrhosis of theliver, was an alcoholic
• Mary’s Paternal grandmother died in her 80's, heart failure
• Mary’s Paternal grandfather, died in his late 50's, lung cancer,heavy smoker

I will rate it with thumbs up.
I need answers.