Case Study 1 Case Study: Contraception Elaine
Case Study 1 Case Study: Contraception Elaine Goodwin is a 38-year-old G5 P5 LC 6âpresenting to your clinic today to discuss contraceptive options. She states that she is not interested in having more childrenâbut her new partner has never fathered a child.âHer medical history isâremarkable for exercise-induced asthma, migraines, and IBS.âHer surgical historyâis remarkable only for tonsils as a child. Her social history is negative forâalcohol, tobacco, and recreational drugs. She has no known drug allergies and takes only vitamin C.âHospitalizations were only for childbirth.âFamily historyâreveals that her maternal grandmother is alive with dementia, while her maternal grandfather is alive with COPD. Her paternal grandparents are both deceasedâdue to an automobile accident. Her mother is alive with osteopenia and fibromyalgia, and her dad is alive with a history of skin cancer (basal cell).âElaine has one older sister with no medical problems and one younger brother with no reported medical problems. Height 5′ 7″âWeightâ148â(BMI 23.1),âBP 118/72 Pâ68 HEENT: wnl Neck: supple without adenopathy Lungs/CV: wnl Breast: soft, fibrocystic changes bilaterally,âwithout masses, dimpling or discharge Abd: soft, +BS, no tenderness VVBSU: wnl, exceptâ1stâdegree cystocele Cervix: firm, smooth, parous, without CMT Uterus: RV, mobile,ânon-tender,âapproximately 10 cm, Adnexa: without masses or tenderness Based on the case study scenario provided, complete a comprehensive well-woman exam and critically analyze to focus attention on the diagnostic tests then, Post your differential diagnosis. Include the additional questions you would ask the patient. Be sure to include an explanation of the tests you might recommend, ruling out any other issues or concerns and include your rationale. Be specific and provide examples. Use your Learning Resources and/or evidence from the literature to support
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