Case Study: Case Study: 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:
Case Study:
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.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?
- History of present illness: Patient is a 28 year old Caucasian female presenting to an outpatient clinic with complaints of weakness, numbness, tingling, and mild tremors (for the last 2 weeks) in her upper extremities, having trouble concentrating, fatigue, dizziness, and lacking balance for at least three and half months. Past medical history Breast fibroadenoma Mononucleosis Family history: Father has HBP Mother has Rheumatoid arthritis Social History No tobacco, illicit drugs, or alcohol history Patient has 2 children and lived with husband in Alaska for most of her adult life. Currently having trouble with home choirs and playing with children. Allergies None Medications Multivitamins Key Labs, images, or procedures performed in relation to current diagnosis. CBC: Hemoglobin: 10.8g/dL MRI with contrast: Inflammatory demyelination within the central nervous system. Currently inconclusive. Lumbar puncture (spinal tap): Elevated levels of IgG antibodies, and…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…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…
- 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 Scenario: Mrs. J. is a 25-y/o gravida 2, para 1, who was admitted at full term at 5:00 p.m. She stated that she had been having contractions at 8 to 10-minute intervals since 4 p.m. They lasted 25 seconds. She also stated that she had been having "a lot of false labor" and this makes her still able to feed and able to maintain a conversation and is getting excited. But now she hoped that this was "the real thing". Her membranes were intact. Mrs. J.'s temperature, pulse, and respirations were normal and her blood pressure was 115/70. The fetal heart tones were 140 and regular. The nurse examined Mrs. J. and found that the baby's head was at +1 station, and the cervix was 4 cm. dilated and 70 percent effaced. As the labor progresses, there will be some discomforts Mrs. J will experience. By accomplishing the table below, you will be able to anticipate these discomforts then may be able to apply measures to alleviate or assist Mrs. J to have a safe delivery. Stages of Labor Other…
- Case Scenario: Mrs. J. is a 25-y/o gravida 2, para 1, who was admitted at full term at 5:00 p.m. She stated that she had been having contractions at 8 to 10-minute intervals since 4 p.m. They lasted 25 seconds. She also stated that she had been having "a lot of false labor" and this makes her still able to feed and able to maintain a conversation and is getting excited. But now she hoped that this was "the real thing". Her membranes were still intact. Mrs. J.'s temperature, pulse, and respirations were normal and her blood pressure was 115/70. The fetal heart tones were 140 and regular. The nurse examined Mrs. J. and found that the baby's head was at +1 station, and the cervix was 4 cm. dilated and 70 percent effaced. By accomplishing the table below, you will be able to determine the progress of labor of Mrs. J. Give a short and concise description of each stage of labor using the attached table. Stages of Labor Other Name Description Duration 1st Stage Latent Phase Active…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?Patient C., 32 y/o, complains of excessive weight, shortness of breath, defective memory, performance decrement, feeling cold, emotional retardation. It is known from the case history that the patient is suffering from primary hypothyroidism. Objectively: the skin is dry, waxlike, swollen, periosteal reflexes are lowered, body mass index: 33.5 kg/cubic meter, TSH (thyroid-stimulating hormone) – 25 µU/dL (norm 0.5 -5.0). Obesity is homogenous. Arterial pressure: 150/100 mm column ob mercury. What type of obesity can be suspected?A. Endocrine hypothyroidB. Endocrine accompanying dysfunctions of hypothalamopituitary systemC. Alimentary constitutionalD. HypothalamicE. Androidal with the developed symptoms of metabolic syndrome