Case study 1
Elaine Goodwin is a 38-year-old G5 P5 LC 6presenting to your clinic today to discuss contraceptive options.She states that she is not interested in having more childrenbut her new partner has never fathered a child.Her medical history isremarkable for exercise-induced asthma, migraines, and IBS.Her surgical historyis remarkable only for tonsils as a child. Her social history is negative foralcohol, tobacco, and recreational drugs. She has no known drug allergies and takes only vitamin C.Hospitalizations were only for childbirth.Family historyreveals that her maternal grandmother is alive with dementia, while her maternal grandfather is alive with COPD. Her paternal grandparents are both deceaseddue to an automobile accident. Her mother is alive with osteopenia and fibromyalgia, and her dad is alive with a history of skin cancer (basal cell).Elaine has one older sister with no medical problems and one younger brother with no reported medical problems.
Height 5 7Weight148(BMI 23.1),BP 118/72 Pulse68
HEENT (head, ears, eyes, nose, throat): wnl (within normal limit)
Neck: supple without adenopathy
Lungs/CV (cardiovascular): wnl
Breast: soft, fibrocystic changes bilaterally,without masses, dimpling or discharge
Abd (abdomen): soft, BS (positive bowel sound), no tenderness
VVBSU (Vulvar vaginal bartholin skenes uretha): wnl, except1stdegree cystocele
Cervix: firm, smooth, parous, without CMT (cervical motion tenderness)
Uterus: RV (retroverted), mobile,non-tender,approximately 10 cm,
Adnexa: without masses or tenderness
Based on the case study scenario provided, complete a comprehensive well-woman exam and critically analyze to focus attention on the diagnostic tests (include explanation of the tests you might recommend).
Include your differential diagnosis. Be specific and provide examples. Use your Learning Resources and/or evidence from literature to support your explanations.
Some questions to answer in your post:
1. What other information do you need?
2. What has she used in thepast? Why did she stop amethod? How many partners in past 12months?
3. What are her current cycles like?
4. When was her last gyn examand what were the results ofthetests?
5. Are her migraines with or without auras?
6. What method has she considered.
7. What are you next steps/considerations?
8. What teaching should you do?
9. What methods are appropriate for Elaine?
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more