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OBGYN Dalisay Edwards (GRADED A)
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Dalisay Edwards – OBGYN CC – Night sweats, sleep problems, amenorrhea, G2P2 • Ovarian insufficiency / premature ovarian failure / craniopharyngioma? / prolactinemia / anovulation / pcos / turn er / intrauterine adhesions /depression / drugtest!! / night terrors(psych) Diagnosis – Ectopic pr...

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  • November 8, 2022
  • 6
  • 2022/2023
  • Case
  • Nurse jolly
  • A+

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  • obgyn dalisay edwards graded a

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Dalisay Edwards – OBGYN

CC – Night sweats, sleep problems, amenorrhea, G2P2

 Ovarian insufficiency / premature ovarian failure / craniopharyngioma? / prolactinemia /
anovulation / pcos / turner / intrauterine adhesions /depression / drugtest!! / night
terrors(psych)

Diagnosis – Ectopic pregnancy

Tests- FSH, PRL, cortisol-AM, TSH, lipid profile, MRI of head!!!/CT of head

2cc/10asc/3pmh/2sh

Problem Statement:

( Demographic description – chief complaint – Hx and PE key findings – risk factors )



Dalisay Edwards is a 42 year old G2P2 woman presenting with Night sweats and sleep problems and
Amenorrhea since the death of her mother 1 year ago. She has reported 5lbs weight gain. Physical exam
is unremarkable. The patient denies recreational drug use, cigarette use, or drinking alcohol.



CC: Dalisay Edwards is a 42 year old G2P2 woman presenting with Night sweats and sleep problems that
started 1 year ago.

HPI: She reported Night sweats and sleep problems since the sudden death of her mother 1 year ago.
She also reports Amenorrhea which started “9 or 12 months ago” as well as 5lbs weight gain.

Meds: none.

PMH: Patient denies smoking, drinking, and recreational drug use.

ROS: Only positive findings are seen in HPI

Physical Exam:

VS: Pulse – 80; BP – 122/62 (wide), RR – 12; T – 98.6F (37 C); SpO2 – 94%

Physical exam unremarkable.

ASSESSMENT/PLAN

Test Results:

 FSH: Consistent with post-menopausal levels
 PRL: Normal
 Cortisol AM: Normal
 TSH: Normal
 Free T4: normal
 Lipid profile: Mild increased cholesterol, atherosclerosis risk


This study source was downloaded by 100000849840424 from CourseHero.com on 11-08-2022 08:19:36 GMT -06:00


https://www.coursehero.com/file/62247402/OBGYN-Dalisay-Edwardsdocx/

,  Fasting Blood sugar: 110 (Pre-diabetic)



Management Plan

 Hormone replacement therapy
 Lifestyle change (prediabetes, atherosclerosis risk)




This study source was downloaded by 100000849840424 from CourseHero.com on 11-08-2022 08:19:36 GMT -06:00


https://www.coursehero.com/file/62247402/OBGYN-Dalisay-Edwardsdocx/

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