Women\’s Health Week 3 Discussion

Main Posting:

Response to the case study discussion questions includes appropriate diagnoses with explanations of appropriate diagnostic tests and treatment options as directed, is based on evidence-based research where appropriate, and is incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources.
DO NOT POST A SOAP NOTE. 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

Case study Week 3:
Elaine Goodwin is a 38-year-old G1 P1 LC 1 presenting to your clinic today to discuss contraceptive options. She states that she is not interested in having more children but her new partner has never fathered a child. Her medical history is remarkable for exercise-induced asthma, seizure disorder (her last seizure was five years ago), and IBS. Her surgical history remarkable only for tonsils as a child. Her social history is negative for alcohol, tobacco, and recreational drugs. She has no known drug allergies and takes Lamictal (lamotrigine) and Trileptal (oxcarbazepine). Hospitalizations were only for childbirth.  Family history reveals that her maternal grandmother alive with dementia, while her maternal grandfather is alive COPD. Her paternal grandparents are both deceased due 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). Elaine has one older sister with no medical problems and one younger brother with no reported medical problems. 

• Height 5’ 7” Weight 148 (BMI 23.1), BP 118/72 P 68 
• HEENT:  wnl 
• Neck: supple without adenopathy 
• Lungs/CV: wnl 
• Breast: soft, fibrocystic changes bilaterally, without masses, dimpling or discharge 
• Abd: soft, +BS, no tenderness 
• VVBSU: wnl, except 1st degree cystocele 
• Cervix: firm, smooth, parous, without CMT 
• Uterus: RV, mobile, non-tender, approximately 8 cm, 
• Adnexa: without masses or tenderness 

SAMPLE SOLUTION

Women’s Health Week 3 Discussion
Differential diagnosis which is the creation and elimination of suspected diseases until the right diagnosis is made is an important step in ensuring the rights diagnosis is made. Differential diagnosis is based on clinical reasoning and uses the patient’s signs and symptoms to narrow down to a final diagnosis (Goh et al., 2019). This task looks at an example of the application of differential diagnosis for a patient that comes to the clinical care setting with contraceptive options. The case study of focus is that of Elaine Goodwill who is a 38-year-old G1 P1 LC1. From the differential diagnosis, the treatment…