A 23-year-old G0P0 woman presents to the office with complaints that s
A 23-year-old G0P0 woman presents to the office with complaints that she has not had a menstrual cycle in 7 months. Upon further questioning, she states that she has had irregular menses since menarche. She has also noticed an increase in facial hair and acne for many years. She denies any history of medical problems and has a strong family medical history of diabetes. On examination, she is noted to have a normal blood pressure (BP), pulse, respiratory rate, and temperature. She is obese with a body mass index (BMI) of 34 kg/m2. She is noted to have some hirsutism and acanthosis nigricans (of neck and inner thighs). Her pelvic examination is limited by her obesity but normal.
Discuss the major hormones that affect menstrual cycles.
Discuss the healthcare providers role in collecting a thorough menstrual history.
Discuss at least 3 differential diagnoses for abnormal uterine bleeding. Provide rationales for why the diagnosis is included and the best way to rule out the differential diagnosis.
Discuss the presumptive (most likely) diagnosis for the patients presentation. What is the treatment plan based on this diagnosis? Make sure to support with evidence
Schadewald, D. M., Pritham, U. A., Youngkin, E. Q., Davis, M. S., & Juve, C. (2020). Womens health: A primary care clinical guide (5th ed.). Pearson. Chapter 11 and 18
1/29/23, 2:10 PMRubric Detail 202250-9153 NURS_5335_A02: FNP WOMAN’S …https://hbu.blackboard.com/webapps/rubric/do/course/gradeRubric?mode=grid&isPopup=true&rubricCount=1&prefix=_449524_1&course_id=_50699_??1/2Rubric Detail A rubric lists grading criteria that instructors use to evaluate student work. Your instructor linked a rubric to this itemand made it available to you. Select Grid View or List View to change the rubric’s layout.?ExceedsExpectationsMeetsExpectationsDoes NotMeetExpectationsNo EortInitial Post:Identies andanswersDiscussionBoardprompt(s)and/orquestion(s)using 2 ormoreevidence-basedrationale.20 (20.00%) All of the listedconsiderations areclearly addressedand discussed incomprehensivedetailed mannerwith 2 or moreevidence-basedrationale.16 (16.00%) All of the listedconsiderations areclearly addressedand discussed in acomprehensivedetailed mannerwith 1 evidence-based rationale.10 (10.00%) One or moreof theconsiderationsare notaddressed.Some of therelevant datais missing0 (0.00%)No entriesor thecontent isnot relevantDepth ofCommentary:Responds to atleast twocolleaguesinitial posts.Includeevidence-basedrationale.Adds to theconversationwith answersposed tocolleagues20 (20.00%)Responds to atleast twocolleagues initialpost Providesexamples thatenhance topicunderstandingAnalyzes issuesand implicationsarising from topicReects insightinto own learning16 (16.00%)Responds to 1colleagues initialpost OR Restatesideas fromresources thatclarify topic ORIdenties issuesand implicationsarising from topicOR Little insightinto own learning10 (10.00%)Commentslimited toagree and/ordisagree ORNo issueidenticationOR Noevidence ofinsight intoown learning0 (0.00%)No entriesorresponsesEvidence ofUnderstanding20 (20.00%)16 (16.00%)10 (10.00%)0 (0.00%)Name:?Discussion Board RubricExitGrid ViewList View
1/29/23, 2:10 PMRubric Detail 202250-9153 NURS_5335_A02: FNP WOMAN’S …https://hbu.blackboard.com/webapps/rubric/do/course/gradeRubric?mode=grid&isPopup=true&rubricCount=1&prefix=_449524_1&course_id=_50699_??2/2?ExceedsExpectationsMeetsExpectationsDoes NotMeetExpectationsNo EortUses resourcesbeyond thoserequired by thecourse Knowledgegained wellincorporated intoresponsesConsistentreection of coursecontentUses requiredreadings & coursematerials Ideasstated clearly withsome connection toreadings Somereection ofcontentReadings &coursematerials donot supportopinion ordiscussion.Remarksunrelated totopicNoreadings &coursematerialsreectedDegree ofEngagement20 (20.00%)Interacts freelyand encouragesothers Frequentlyinitiates andgenerates furtherdiscussionResponds todiscussion in timelyfashion Providesleadership to groupResponds tocolleagues whocomment on initialposts16 (16.00%)Participates inongoing discussionUnevendistribution ofentriesOccasionallyinitiates or evokesfurther discussionResponds to mostdiscussion Activegroup member10 (10.00%)Not activelyinvolved indiscussionInfrequententries Verylittlecontributionto groupLittle or noinitiation ofdiscussionSeldomresponds0 (0.00%)Nocontributionto groupGrammar,Spelling, APA,Timeliness20 (20.00%) Grammaticallycorrect Easy toread/oworganized well Nospelling errors APAcitations/referencesutilized and arecorrect16 (16.00%) 1-2 Grammarerrors Flowdicult to follow 1-2 spelling errors APAcitations/referencesnot utilized and/or1-2 errors10 (10.00%)>2 GrammarerrorsDicult toread and/orillogical ow>2 spellingerrors APAcitations/references notutilized and/or>2 errors0 (0.00%)Fails topost initialdiscussion;or fails toreply.Name:Discussion Board RubricExit
Discussion Board #1: Menstruation
A 23-year-old G0P0 woman presents to the office with complaints that she has not had a menstrual cycle in 7 months. Upon further questioning, she states that she has had irregular menses since menarche. She has also noticed an increase in facial hair and acne for many years. She denies any history of medical problems and has a strong family medical history of diabetes. On examination, she is noted to have a normal blood pressure (BP), pulse, respiratory rate, and temperature. She is obese with a body mass index (BMI) of 34 kg/m2.? She is noted to have some hirsutism and acanthosis nigricans (of neck and inner thighs). Her pelvic examination is limited by her obesity but normal.
Discuss the major hormones that affect menstrual cycles.
Discuss the healthcare providers role in collecting a thorough menstrual history.
Discuss at least 3 differential diagnoses for abnormal uterine bleeding. Provide rationales for why the diagnosis is included and the best way to rule out the differential diagnosis.
Discuss the presumptive (most likely) diagnosis for the patients presentation. What is the treatment plan based on this diagnosis? Make sure to support with evidence.?
Follow Instructions and grading rubric and do not exceed 500 word count
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