Postmenopausal Bleeding

Case Study: Postmenopausal Bleeding.

PATIENT: Thelma Smith is a 58-year-old African American female who presents to the office with the complaint of brown discharge for several days last week. Her medical history is remarkable for type 2 diabetes somewhat controlled with glipizide and metformin (last A1C 7.5). She is a G0, having never been able to get pregnant. She is up to date with mammograms and has had a colonoscopy 1 year ago, all normal. Her pap history is normal with her last pap 2 years ago reported an NILM HPV negative, atrophic changes, no endocervical cells noted.

Vital signs temperature 98.1 BP 140/88, pulse 82, respirations 12. She is 5’6” and 272 lbs. (BMI 43.90). Focused exam:

• Abdomen: soft, obese, + BS

• VVBSU: brown discharge noted,

• Cervix: brown blood noted coming from os, no cervical motion tenderness

• Uterus: unable to assess due to body habitus

• Adnexa: unable to assess due to body habitus

Use the Focused SOAP Note Template found in the Learning Resources to support Discussion. Based on the case study scenario provided, complete a SOAP note and critically analyze this and focus your attention on the diagnostic tests.

By Day 3

Based on your assigned case study, post a Focused SOAP NOTE with the following:

1. Differential diagnosis (dx) with a minimum of 3 possible conditions or diseases.

2. Define what you believe is the most important diagnosis. Be sure to include the first priority in conducting your assessment.

3. Explain which diagnostic tests and treatment options you would recommend for your patient and explain your reasoning.

Collepals.com Plagiarism Free Papers

Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.

Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS

Why Hire Collepals.com writers to do your paper?

Quality- We are experienced and have access to ample research materials.

We write plagiarism Free Content

Confidential- We never share or sell your personal information to third parties.

Support-Chat with us today! We are always waiting to answer all your questions.