Case study. Lucy. History of Present Illness (HPI): Lucy, a 64-year-old G3P3003 postmenopausal woman,

Case study. Lucy. History of Present Illness (HPI): Lucy, a 64-year-old G3P3003 postmenopausal woman, presents to the office as a new patient to establish care and for an annual well woman exam after recently moving to the area. She does not have her records. She relates a history of regular and negative cervical cancer screening until she had her first cotest 2 years ago indicating HPV positive, cytology negative results. She c/o vaginal dryness and dyspareunia. She has never been on hormone replacement therapy but would consider something to alleviate her symptoms. Prior medical history: Dyslipidemia, Osteopenia, Hypothyroidism, Uterine fibroids Prior surgical history: Hysterectomy – ovaries and cervix retained (2009) Current medications: rosuvastatin 10mg daily, levothyroxine 75mcg daily, Vitamin D3 (k2) 5,000 IU daily Allergies: Sulfa, CodeineCase study. Lucy. History of Present Illness (HPI): Lucy, a 64-year-old G3P3003 postmenopausal woman, presents to the office as a new patient to establish care and for an annual well woman exam after recently moving to the area. She does not have her records. She relates a history of regular and negative cervical cancer screening until she had her first cotest 2 years ago indicating HPV positive, cytology negative results. She c/o vaginal dryness and dyspareunia. She has never been on hormone replacement therapy but would consider something to alleviate her symptoms. Prior medical history: Dyslipidemia, Osteopenia, Hypothyroidism, Uterine fibroids Prior surgical history: Hysterectomy – ovaries and cervix retained (2009) Current medications: rosuvastatin 10mg daily, levothyroxine 75mcg daily, Vitamin D3 (k2) 5,000 IU daily Allergies: Sulfa, Codeine