Ms. Jones, a 35-year-old female, presents to the clinic with complaints of fatigue, dizziness, and irregular menstrual cycles. Upon further assessment, it is revealed that she has a history of heavy menstrual bleeding. She also reports difficulty conceiving despite regular attempts at conception. Based on these symptoms, what hematologic and sexual disorders would you consider in your differential diagnosis, and what diagnostic tests would you order to confirm your suspicions?

Using the symptoms presented, research online to determine the nature of the disorder, its mechanism (what causes the disorder) and also any complications and treatment options that may exist.   A 30-year old patient presents with the following symptoms:   Presents as normal external male Presence of inguinal hernias reveal undescended testes Internal examination reveals uterine-like structure Genetic karyotyping revealed XY     Diagnosis:     Mechanism:     Possible Complications and Recommendations:

Susan, a medical assistant in an obstetrics and gynecology practice in Maryland, is scheduling an obstetric work-up for a 15-year-old patient, Joan. As Susan takes her medical history, she realizes that Joan is seeking medical help without her parents’ knowledge, despite the fact that she lives at home. It is clear to Susan that this patient knows the importance of seeking medical care at the onset of pregnancy and understands the proper use of birth control. Despite this, Joan says that she chose to become pregnant. Should Susan contact Joan’s parents? What can Susan do to encourage trust and ensure that medical care will continue for this mother and her fetus?

An 18-year-old woman consulted a physician because of her failureto initiate menses. She had experienced normal breast developmentat age 13, but no pubic or axillary hair had ever appeared. Her heightwas 5 feet 6 inches, weight 119 pounds, blood pressure 110/70,and pulse 60 beats/minute. Her physical examination confirmedthe presence of well-developed breasts and the external genitaliaof a normal female. However, the vagina ended in a blind pouch,and there was no evidence of a cervix, ovaries, or a uterus. Withinthe inguinal area, the examining physician could palpate a small,spherical mass on each side. Is this patient’s genotype most likelyXX, XO, or XY? Explain why the genotype you selected is consistent with the manifestations

Caitlyn had unprotected sex with her fiancé approximately 2 weeks after her last period and is worried that she might have become pregnant. She asks her physician if there are times during her monthly menstrual cycle when she might be more likely to become pregnant. She also asks how birth control pills prevent a woman from becoming pregnant. What will the physician tell Caitlyn?

A 17-year-old high school senior and a member of the varsity swim team is in the OB/GYN office inquiring about information on birth control pills to regulate her menstrual cycle for her active lifestyle. She states to the nurse that her cycles began at age 12 and occur every 28 to 32 days. She also complains that she has painful cramps and heavy flow the first couple of days, and that her cycle lasts 5 days. What should the nurse tell her? What self-care measures can the nurse suggest? What important request does this client have?