5. A 23-year old woman has experienced recent onset of a spontaneous, bilaterial breast discharge and gradual cessation of menses. She reports normal growth and development and has never been pregnant.? Questions: 1) What conditions could be causing her symptoms? 2) What medical conditions (other than a prolactinom are associated with hyperprolactinemia? 3) Which medications raise prolactin? no references, just homework.
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Case Study:
5. A 23-year old woman has experienced recent onset of a spontaneous, bilaterial breast discharge and gradual cessation of menses. She reports normal growth and development and has never been pregnant.?
Questions:
1) What conditions could be causing her symptoms?
2) What medical conditions (other than a prolactinom are associated with hyperprolactinemia?
3) Which medications raise prolactin?
no references, just homework.
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- Case study: 22 year old women (previously adopted, not currently taking medications, negative medical history) presents with... ... hypertension, with periods of panic attacks and hormone flashes. She also presents with headache, hyperglycemia, hyperthyroidism, and gastrointestinal complaints. What is the diagnosis?Description A-45-year-old woman presents complaining of fatigue, 30 pounds of weight gain despite dieting, constipation, and menorrhagia. On physical examination, the thyroid is not palpable: the skin is cool, dry, and rough: the heart sounds are quiet; and the pulse rate is 50 bpm. The rectal and pelvic examinations show no abnormalities, and the stool is negative for occult blood. The clinical findings suggest hypothyroidism. Questions A. What other features of the history should be elicited? What other findings should be sought on physical examination? B. What is the pathogenesis of this patient's symptoms? C. What laboratory tests should be ordered, and what results should be anticipated? D. What are the possible causes of this patient's condition? Which is most likely? E. What other conditions may be associated with this disorder?Case study 2. pregnant (if you are male). Because of great advances in technology, your institution has granted you free access to amniocentesis and genetic testing for your unborn child; to test for genetic disorders and to avail of genetic counselling. Your test results show that your unborn child has a severe genetic disorder, osteogenesis imperfecta II or III, or what you call “brittle bone disease", wherein, very minimal pressure and exertion can result to multiple bone fractures. If Type II, bone malformities are extremely severe, which may lead to early prenatal You are 3 months pregnant (if you are female); or your wife is 3 months death. If Type III, other complications are stunted growth, possible mental retardation if the fracture occurs in the skull, progressive bone malformities. However, during gestation, it cannot be confirmed whether the disorder is Type II or Type III. The genetic counselling team has given you an option for termination of pregnancy. Will you terminate…
- Case ScenarioA 22-year-old woman, gravida 2, para 1, presents at the maternity clinic for a prenatal visit. She is unsure of her due date and states that her last menstrual period was about seven or eight months ago. She had one prenatal check-up in the community health center, although she does not have any records from her physician or nurse-midwife. She reports that she has had an uncomplicated pregnancy so far and that earlier ultrasonography indicated that she is going to have a girl. Her medical history is unremarkable aside from a full-term cesarean delivery performed in the government hospital four years ago because of “complete breech presentation.” She is not taking any prenatal vitamins. On examination, her vital signs are unremarkable, her fundal height measures 27 cm, the fetal heart rate is 165 beats per minute, and the fetus is cephalic by Leopold’s maneuvers. 1. What is your insight on the patient’s case concerning her pregnancy? 2. How can you best minimize risks…Case Study: o When Mary returns for a postpartal checkup. you notice red streaks on both legs along the course of her veins, and she has pain on dorsiflexion of her foot. You are concerned that she is developing thrombophlebitis. o Describe a plan of care that could have reduced this risk during labor and in the immediate postpartal periodCase Study 1 Situation: T.S, 24 years old, had last menstrual period on March 2, 2018. She has not menstruated for the past 4 months and reports positive home pregnancy test. T.S. reports increased urination, morning nausea and fatigue. T.S. has 2 other children so this would be her third pregnancy. Upon examination, T.S. is also noted to have softening of the cervix and bluish discoloration of the cervix, vagina and perineum. 1- From this data can you be sure T.S. is pregnant? Describe which signs of pregnancy T.S. may be exhibiting and explain each. What data is required in order to be sure that T.S. is pregnant? What is T.S.'s estimated due date (EDD) or estimated date of confinement (EDC)? 5- Define the terms "gravida" and "para" and how would you refer to your client's obstetrical history? 2- 3- 4-
- CASE:Chief Complaint: InfertilityBackground: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting apregnancy over the past 16 months with no success. Patient reports that several times she thought she could bepregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis:1. What specific parts of the female reproductive system is affected in this case? 2. What…State five Nursing diagnoses of a patient who is being prepared for total hysterectomy.Clinical Case: A 37-year-old female and her 37-year-old husband present with the complaint of a possible fertility problem. The couple has been married for 2 years. The couple has been trying to conceive since then and reports a high degree of stress related to their lack of success. The patient reports good health, stated that her periods were regular, having periods with a normal cycle. She works as a cashier, runs 12-24 miles each week for the last 2 years, and has no history of STDs, abnormal Paps, smoking, alcohol, or other drugs. She has had no surgery. The patient's partner also reports good health and reports no problems with erection, ejaculation, or pain with intercourse. He has had no prior urogenital infections or exposure to STDs. He has had unprotected sex prior to his current relationship but has not knowingly conceived. He has no medical problems or past surgery. He works as a long-distance truck driver and is on the road for 2-3 weeks each month. He smokes a pack of…
- Case study: 22 year old women (previously adopted, not currently taking medications, negative medical history) presents with... ...hypertension, with weakness and rapid onset of obesity. This patient also exhibits central fat pads, buffalo hump, plethora, thin skin, purple striae, easy bruising, osteoporosis, hyperglycemia/insulin resistance, and recurrent infections. What is the diagnosis?8:41 X Case Study 4 - Reproductive.docx : Case Study 4 - Reproductive Disorders Instructions: All questions apply to this case study. Your responses should be brief and to the point. Cite reference page(s) from Timby, Rosdahl, Drug Guide and ATI books. When asked to provide several answers, they should be listed in order of priority or significance. Do not assume information that is not provided. L. A. is a sexually active 15-year-old who lives in a suburban neighborhood with her parents and two younger sisters. She does not confide in her parents about her activities, but rather discusses them with her two best friends in high school, who also are sexually active. Last week a guest speaker at school discussed the topic of sexually transmitted diseases (STDs) which L. A. thought quite a bit about since the discussion. She has an appointment tomorrow for her annual gynecologic examination. In the privacy of the examination room, L. A. tells the nurse about her sexual activity and…PLEASE ANSWER ASAP write diagnostic statement for each ques (only 1-2 sentences each) 1. A hypertensive client states that she hasn't been taking her medication because it doesn't make her feel any better . Also, she says she has difficulty remembering to take it. 2. An elderly patient with left side paralysis has a red, broken area in the skin over his coccyx. The patient cannot turn himself in bed. 3. The client is 45 pounds overweight . He states that he is in a high stress job and doesn't have time to cook regular meals - he tends to eat fast food and snacks a lot . His job is sedentary , and he does not engage in any type of physical exercise or sport . Fo fun, he likes to " eat at a nice restaurant "