For the Case Study Below, please answer the following questions. Question part 1: List 4 possible Differential Diagnosis and rationales What is the most likely diagnosis and why Question par

For the Case Study Below, please answer the following questions.
Question part 1:
List 4 possible Differential Diagnosis and rationales
What is the most likely diagnosis and why
Question part 2:
What would be your plan for this patient, Pharmacological and nonpharmacological treatment
Case Study:
Chief complaint-66-year-old female presents to the office with a 3 week history of spotting on 3 separate days in the last month. Only occurred one month.
PMH-Epilepsy, Hypothyroidism, Osteoarthritis, Hyperlipidemia, Rheumatoid Arthritis, Osteopenia, Dementia (Alzheimer’s type), Severe intellectual disability, Depression
Social History-Non-smoker, lives in single family home with 2 other ladies and a 24 hour caregiver, no history of sexual activity, low fat diet, minimal exercise
FMH-not known
Menstrual:: has had 3 episodes of spotting on 3 separate days in the last month. States that it occurs only once a month. Patient reports no fatigue, no fever, no significant weight gain, and no significant weight loss. She reports no dyspnea / shortness of breath, no cough, no sputum production, no hemoptysis, and no wheezing. She reports no chest pain, no palpitations, and no orthopnea. She reports no hematuria, no abnormal bleeding, no flank pain, no trouble urinating, no incontinence, no rash, no lesion, no discharge, no vaginal odor, and no vaginal itching.
Allergy-Guaifenesin, Entex LA
Medications-
Abreva 10% topical cream, Acetaminophen, Budesonide, Carbamazepine, Certavite, Cetirizine, Vitamin D3, Citrucel, Delsym, Benadryl, Donepezil, Fluoxetine, Ibuprofen, Lorazepam, Memantine, Phenytoin, Pravastatin, Resperidone, Valacyclovir
Bone Density-2021
Mammogram-2022
Vital Signs:
Ht. 5’3, Wt. 219, B/P 120/78, T-97.1, P-68, O2-96% RA BMI-38.8