Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN: 9780134807355
Author: Marieb
Publisher: PEARSON
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Chapter 27, Problem 5CCS
23-Year-Old Female with Menstrual Irregularity
Jasmine Herrera, 23, has been referred to the endocrinology clinic. She is very overweight, with obvious acne and facial hair. She complains of irregular menstrual cycles. “My husband and I want to use the rhythm method," she says, “but I don’t have any rhythm!”
5. Jasmine’s blood tests reveal very high levels of androgens. She is diagnosed with polycystic ovary syndrome (PCOS). In this syndrome, the woman develops high levels of androgens and many vesicular follicles, but has reduced fertility because few follicles are ovulated and the timing of their release is unpredictable. Part of the profile of PCOS is that LH levels are high. How would this lead to androgen excess, and what clinical evidence of androgen excess does Jasmine have?
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Ann is a 57 y/o female who presents today with c/o vaginal dryness and dyspareunia. She says that this has been an issue for the last 2 years or so, but it has gotten worse. She went through natural menopause at the age of 53—and did not take any oral estrogens—she said it was her preference not to, and that she really did not have any systemic signs/symptoms of menopause—just the vaginal dryness for the last 2 years or so.
She says that she has used OTC products without benefit—and she uses Astroglide or some type of lubricant when she is sexually active with her husband—but it is still uncomfortable because she just thinks her tissue are so dry. Ann tells you that she usually does not have any itching or discharge but has in the last few days—which she attributes to a recent round of Amoxicillin for a tooth infection. So she thinks she may need something for that also—she has not used any OTC meds for the discharge.
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Chapter 27 Solutions
Human Anatomy & Physiology (11th Edition)
Ch. 27 - Prob. 3RQCh. 27 - 2. The usual site of embryo implantation is (a)...Ch. 27 - 4. Which of the following is correct relative to...Ch. 27 - 5. Secondary sex characteristics are (a) present...Ch. 27 - 6. Which of the following produces the male sex...Ch. 27 - 7. Which will occur as a result of nondescent of...Ch. 27 - Prob. 1RQCh. 27 - 9. Relative to differences between mitosis and...Ch. 27 - 10. Match the key choices with the descriptive...Ch. 27 - Prob. 12RQ
Ch. 27 - FSH is to estrogens as high levels of estrogens...Ch. 27 - 13. Which of the following does not add a...Ch. 27 - Prob. 11RQCh. 27 - Prob. 14RQCh. 27 - Prob. 15RQCh. 27 - Prob. 21RQCh. 27 - Prob. 16RQCh. 27 - Prob. 17RQCh. 27 - Prob. 18RQCh. 27 - Prob. 19RQCh. 27 - Prob. 20RQCh. 27 - 1. Gina Marciano, a 44-year-old mother of eight...Ch. 27 - Grant, a sexually active adolescent, visited his...Ch. 27 - Prob. 24RQCh. 27 - Prob. 25RQCh. 27 - Prob. 26RQCh. 27 - Prob. 1CCSCh. 27 - 23-Year-Old Female with Menstrual...Ch. 27 - Prob. 3CCSCh. 27 - 23-Year-Old Female with Menstrual Irregularity...Ch. 27 - 23-Year-Old Female with Menstrual Irregularity...Ch. 27 - 23-Year-Old Female with Menstrual...
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