WestCoast NURS664B 2022 October Week 1 Discussion Latest

NURS664B Primary Care Women's Health Theory

Week 1 Discussion

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, #2 a post-menopausal 57-year old woman.

Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals, and other team members needed to complete patient care.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas. Please refer to evidence-based guidelines to support your decision-making.

In your peer replies, please reply to at least one peer who chose a different case study.

1.  A 29-year-old woman G0P0 comes to your clinic and complains of trying to conceive with her husband for over a year. She reports no prior health problems or surgeries. Her height is 5'6" and her weight is 165 lbs. with a BMI of 26.63. Her vital signs are WNL. Her LMP was 2 months ago, but she reports they have never really been regular since menarche (coming approximately every 6 weeks for the first 10 years), but have been irregular (coming at random intervals—sometimes 1 month, 2 months, or 3 months apart) for approximately 7 years. Her pregnancy test is negative. Upon physical examination, you note some acne and hirsutism on her face, as well as acanthoses nigricans on her neck. All other physical exam aspects are WNL.

What are your differential diagnoses?

What is your plan of care, and why?

What patient education is pertinent during this visit?

2.  A post-menopausal 57-year-old woman complains of intermittent, slight vaginal bleeding and vague pelvic pain unrelated to intercourse that has been occurring for approximately four months. She has been post-menopausal for five years and denies other health problems. Her vital signs are all WNL. She does not take any medications or hormones.

What additional information do you need to obtain?

What are your differential diagnoses?

What is your plan of care, and why?