PCOS - AdolescentCase Presentation KelliL.McDermott...

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    Adolescent Case  Presentation Kelli L. McDermott LT   MC   USNR
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Case history 14 y/o female  CC: 3-6 months of irregular periods and  unexplained weight gain In USOH, has not been ill in last few  months PMH- not significant
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Case History HEADS interview negative Home: lives with parents, no sibs, gets along  fine Education: 9 th  grade, A-B student, has good  group of friends Activities: rows for school crew team, movies  & hanging out with friends
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Case History Drugs: never smokes, drank, or tried any drugs,  no friends hace either Diet: parents MD’s and help her eat a balanced  diet, she reports no increased eating habits  since weight gain Sex: never been active, never had a  girl/boyfriend Suicide: no h/o depression
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Case History Menstrual hx-  menarche at age 12 Regular periods over past year and then  irregular for about 6months; no periods for  about 3 months now Never been sexually active
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Case History FHx- NC, no female family member with  abnormal periods, no problems with cycle,  fertility.  No cancers
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Physical Exam VS: HR 65; RR18;  BP112/80; wt 93.5kg (>99 th %); ht 160cm (50 th %); BMI= 36 hyperpigmentation of posterior neck skin, nl  thyroid CV: S1+S2, no R/G/M, RR Lungs: CTA bilat Abd: obese, soft, +BS, striae across abdomen  and lower hips
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Physical Exam Ext: FROM, nl muscle tone, 2+ cap refill,  pulses normal Skin- dry but no lesions, rashes, acne  noted over face, chest, back, no excess  hair.  GU- no external abnormalities, Tanner 5,  normal clitoris
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QUESTIONS on H& P???
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How about a differential for  secondary amenorrhea?
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Differential Diagnosis Pregnancy PCO Hypothyroidism Ovarian tumor Pituitary tumor
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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PCOS - AdolescentCase Presentation KelliL.McDermott...

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