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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Chapter 27 Solutions
Human Anatomy & Physiology Plus Modified Mastering A&P with Pearson eText -- Access Card Package 11th edition
- Mrs. Zexy Lucero, 30 years old, G1P0, 6 weeks by LMP presents at the lying in clinic for prenatal check-up. History revealed a Type 1 diabetes since 14 years of age, history of diabetic nephropathy and proliferative retinopathy and is bothered about the effects on her baby. Which of the following statements about diabetes in pregnancy needs further instructions? (SELECT ALL THAT APPLIES) a. Diabetes ketoacidosis is a common complication during the first trimester. b. Glycosylated hemoglobin levels are poor predictors of the risk of congenital malformations c. Proteinuria over 300 mg/dL is associated with increased risk of preeclampsia. d. The risk of fetal chromosomal abnormalities is increased.arrow_forwardDescription A-45-year-old woman presents complaining of fatigue, 30 pounds of weight gain despite dieting, constipation, and menorrhagia. On physical examination, the thyroid is not palpable: the skin is cool, dry, and rough: the heart sounds are quiet; and the pulse rate is 50 bpm. The rectal and pelvic examinations show no abnormalities, and the stool is negative for occult blood. The clinical findings suggest hypothyroidism. Questions A. What other features of the history should be elicited? What other findings should be sought on physical examination? B. What is the pathogenesis of this patient's symptoms? C. What laboratory tests should be ordered, and what results should be anticipated? D. What are the possible causes of this patient's condition? Which is most likely? E. What other conditions may be associated with this disorder?arrow_forwardA young woman has been experiencing unusually heavy menstrual bleeding for several years. She follows a strict vegan diet (no animal foods). She is at risk for what disorder, and why?arrow_forward
- Please tell me what the normal vital signs are for an adultarrow_forwardDescription of symptoms Find out what disease this patient has • Absent menstruation • Hirsutism Acne Depression • • Obesity Facial hair (hirsutism)arrow_forwardPatient Profile: Stanley is a college student taking up engineering in one of the university in Metro Manila. He lives alone in the dormitory and his province is Bicol. He was diagnosed of Syphilis. History: -Stanley is a 19-year-old male who presents to the STD clinic because he’s - had a sore on his penis for one week. -Last sexual exposure was three weeks prior, without a condom. -No history of recent travel. -Predominantly female partners (five in the last six months), and occasional male partners (three in the 1-2 years). -Last HIV antibody test (two months prior) was negative. Reports three children with two different women. All children were in the province taking care of by his parents. He is single and always on the go to mingle. Physical Exam: -No oral, perianal, or extra-genital lesions. -Genital exam shows an uncircumcised penis with a lesion on the ventral side near the frenulum. Lesion is red, indurated, clean-based, and non-tender. -Two enlarged tender right…arrow_forward
- DONT ANSWER THE SAME ANSWER ANYMORE. PLEASE INCLUDE REFERENCES I NEED IT. please make a justification/explanation of this nursing diagnosis according to maslow. include the references used also: DX: Risk for uterine infection related to abnormal uterine bleeding as evidenced by endometrial polyparrow_forwardDONT ANSWER THE SAME ANSWER ANYMORE. PLEASE INCLUDE REFERENCES I NEED IT. MAKE IT DETAILED. ONE PARAGRAPH ONLY please make a justification/explanation of this nursing diagnosis according to maslow. include the references used also: DX: Risk for uterine infection related to abnormal uterine bleeding as evidenced by endometrial polyparrow_forwardNurse Zasha is reviewing the Obstetrician-Gynecologists orders for Mrs. Zexy Lucero. 25 years old, G1P0, 37 weeks AOG admitted for watery vaginal discharge before the onset of regular uterine contractions. Internal examination revealed: cervix 3-4 cms dilated, 50% effaced, cephalic, station -1, with pooling of fluid in the vaginal canal on speculum examination. Which of the following activities are expected to be written in the doctor's orders and to be performed by Nurse Zasha? (Select all that apply) Administer an antibiotic per order and hospital protocol Monitor maternal vital signs frequently Monitor fetal heart rate continuously Perform vaginal examination every shift Perform cesarean section immediatelyarrow_forward
- A female patient age approximately 23-25 years and her body weight is quite normal, BMI is also normal. She don't have any major health related problems. Recently she diagnosed with Poly cystic ovary syndrome (PCOS) and healthcare professionals prescribe her with this medication named Rosen 28 plus, i attached the image below. My question is, if she continue this medication for longer periods of time does any complications occurs? Or is there any problems or health related complications occurs if she continues with this medication for longer time? I will rate you positive if you accurately answer my question. Thank you.arrow_forwardCASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg Temperature-37 degree Celsius PR-90 bpm RR-30 cpm FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1. Formulate 1 possible nursing diagnosis in the case scenario given( 1Actual/1Risk)arrow_forwardCASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg Temperature-37 degree Celsius PR-90 bpm RR-30 cpm FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1.What are the clinical manifestations present in your patient?arrow_forward
- Anatomy & PhysiologyBiologyISBN:9781938168130Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark WomblePublisher:OpenStax CollegeUnderstanding Health Insurance: A Guide to Billin...Health & NutritionISBN:9781337679480Author:GREENPublisher:Cengage