NR 602 Week 6 Women's Health Grand Rounds Discussion; Polycystic Ovarian Syndrome

$18.00

Institution	Chamberlain
Contributor	J William

Description

SUBJECTIVE:

Chief Complaint: Annual checkup, and irregular menstrual cycle.

History of Present Illness: 39-year-old female presented with c/o irregular menstrual periods which have been more painful than before. She reports that for the past year ............. increased hair growth around her nipples, in her underarms and has even noted some increased hair on her arms and legs.

Allergies: No known allergies

Review of System: ……………continue

OBJECTIVE:

Vital Signs:

Vitals Recorded on: 06/06/2018 02:38 PM
Height: 63.00 in
Weight: 154.00 lb
BMI: 28.3
Blood Pressure: 117/57 mmHg
B/P Side: Left
B/P Position: Sitting
Pulse: 74 beats/min

Objective Notes:

Physical Exam:

ASSESSMENT:

Diagnosis: ICD-10 Codes: 1)E 28.2 Polycystic Ovarian Syndrome

PLAN:

Medications: OCP, Take one tab by mouth at the same time every day. Metformin 6oomg by mouth three times a day.

Patient Instructions:

Pathophysiology:

Diagnostic Studies:

Clinical Findings:

The American College of Obstetricians and Gynecologist Treatment Options:

Patient and Family Education:

Prevention:

Other possible diagnoses:

Endometriosis ICD10: N80
Congenital Adrenal Hyperplasia ICD10: E25.0
Discussion questions:

There are many gynecological disorders. Aside from what I mentioned, what other disorders, illnesses, or syndromes can cause the same symptoms?
In Polycystic Ovarian Syndrome; a patient who wants to become pregnant, what hormones can be given that are safe for her to become pregnant?
How can we become involve in preventing this disease?