Secondary Amenorhea Case Study

No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,

My parents have found this whole experience extremely difficult and exhausting. It breaks their hearts to see their child go through such anguish. They have struggled in trying to find her a firm diagnosis. VR has been to numerous pediatricians, clinical psychologists, psychiatrists, gynecologists and a multitude of other specialists. Finally, after two years of variable mental health symptoms and physical illnesses, VR was diagnosed with bipolar disorder. After much research and exploration, as a family, we learned that many cases of bipolar illness go undiagnosed due to the “normal” changes occurring within an adolescent’s body. At age 11, VR had obsessive thoughts and mild to moderate depression. It was at this age that she also experienced her first menstrual period. At age 12, her school performance began to drop and after extensive testing performed by school administration, she was given a diagnosis of attention

If a person visited their doctor and described the following symptoms, what would you determine their diagnosis to be? The woman is in her late teens and for the past six months she has been having problems with eating. When she eats she must cut her food into very tiny pieces; these pieces are then counted and separated into foods that are healthy and those which may not be as healthy on the plate. Once she has separated the foods she will not eat the unhealthy ones and discards them. Next she arranges the food in rows on her plate before beginning to eat. Once eating the food she only allows herself to have 7 bites of each food item so, as not to overindulge herself or stray

Ambrosia Treatment Center’s mission statements is “We strive to offer progressive treatment modalities to help the sick and suffering addict and alcoholic start their journey of recovery in a respectful, nurturing and comfortable way”.

Patient is a 33-year-old Latin American female who states that she started having milder "normal" headaches at age six or seven years old. Menarche was at age 13, but that did not change the quality or frequency of her headaches. She was pregnant twice without any change in the headaches during pregnancy and in the postpartum periods. She has never been on birth control pills. Her headaches started to become menstrual related three to four months ago. Prior to that, her headaches were mild and maybe once a month and not associated with her menses. They would be pan cephalic, stabbing with no systemic or neurological symptoms. The severity was 3/10. They did worsen with exertion. When winter came, her husband was

Change in mole/lesions she doesn't have any change of mole on her body. Also she doesn't have any change of lesions on her skin and hair.

Patient EM is a 5yrs 7months healthy looking young girl that presented to our clinic with her grandmother today. Grandmother states that her birth was uneventful. She was a normal delivery and has been growing well without any special health issues. She states that she has never been hospitalized but do have occasional runny nose and cough. She states that patient is up to date with her immunizations. Grandmother states that patient is in kindergarten and is doing well in school. She states that patient migrated from Puerto Rico few months back and seems to be adjusting ok. Grandmother states that she thinks that she meets all the milestones appropriate for her age. Grandmother state that patient is a picky eater but likes to eat fresh vegetables.

All I can do is have her speak to the doctor and then make an educated decision based on medical information.

A female patient aged thirty-one years old was admitted to a surgical ward with a 48 hour history of emesis and abdominal pain in an unspecified quadrant. There was no account registered regarding the possible existence of headaches, blurred vision, loss of consciousness or change in bowel habit. Her arterial blood pressure was measured at 110/65 mmHG and her pulse 88 beats per minute and regular. A provisional diagnosis of intestinal obstruction was originally made, however upon later reviewing the patients background, it was ascertained that she had a history of both weight loss and anorexia, hyperpigmentation of the skin was also observed, which is more suggestive of a primary adrenal insufficiency. The patient was managed overnight with the intravenous administration of 1500 ml of 0.9 per cent saline, and by the following morn her manifestations had resolved.

Considering Ms. A’s signs and symptoms, including the laboratory results, she has iron deficiency anemia. To be able to diagnose Ms. A’s condition, the physician has to perform a physical examination for signs of iron-deficiency anemia. These exams include checking the color and complexion of the skin, gum, and nailbeds to see if they are pale. Listening to the heart for rapid and irregular heartbeats, auscultation of the lungs for fast and uneven breathing, and palpation of the abdomen to check for the size of the liver and spleen are three more test that is done to diagnose iron deficient patients. Also, pelvic and rectal examination to check for internal bleeding.

The patient tells me that her menstrual cycles typically ranged from 21 to 26 days. The first day of her last menstrual cycle was June 15th. She admits to one episode of unprotected intercourse this month and is concerned for the possibility of pregnancy. She took a pregnancy test this morning with her first morning urine and she said that it looked as though there was a faint positive line. She re-took the test later and it seems as though it was negative. She has been feeling somewhat tired, but is working long hours and attributed her fatigue to that. She has also had some breast tenderness, which she can get with her menses. She has not had any spotting.

HPI: 24-year-old Caucasian female, domiciled, presents today for her annual wellness visit. Patient also complains of experiencing her first abnormal heavy menstrual flow last month.

In this article about dysautonomia, it tells Sophie’s, an 18-year-old female from New Zealand, story. When she was a very active person in school. She was in drama, theater, sports, and many more activities. The beginning of her fifth-grade year, Sophie started to get extreme chest pains and fainting sometimes would occur. By the end of that year the pain became much worse and the fainting started to increase more each day. This caused her to go to the doctor to have her heart checked on. However, her heart was normal. The doctor said, “Nothing was wrong, just girls her age and height had a tendency of fainting.” (Sophie) When I read this, it made me angry and question the doctor’s knowledge. How can a girl go through this just because she’s

Two large studies, one cataloguing 275947 cycles in 2702 females and another reporting on 31645 cycles in 656 females, support the observation that menstrual cycles in girls and adolescents typically range from 21 to approximately 45 days, even in the first gynaecologic year. In the first gynaecologic year, the fifth percentile for cycle length is 23 days and the 95th percentile is 90 days. By the fourth gynaecologic year, fewer females are having cycles that exceed 45 days, but anovulation (the state of not ovulating because of a medical condition, suppression by drugs or menopause) is still significant for some, with the 95th percentile for cycle length at 50 days. By the seventh gynaecologic year, cycles are shorter and less variable, with the fifth percentile for cycle length at 27 days and the 95th percentile at only 38 days. Thus, during the early years after

Successful, unique, opportunity, multibillion-dollar, and renowned are all perfect words to describe the Amway multinational organization. Created in 1959 by company founders, Jay Van Andel and Richard DeVos, Amway has since then developed into one of the most successful multilevel marketing businesses. Amway is known for being a direct sales company and one of its largest product divisions is Home Care where household cleaning products take part in some of their most successful products. One of their successful products which was put out into the market in September 1995 is the Super Concentrated Cleaning System. This product is a 3-in-1 unit which includes a spray gun and three