PathophysI_MDO_October1_2012_CaseDiscussion_Class (1)

Patient case a 26 year old women presents for a

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Patient Case A 26 year-old women presents for a routine gynecologic exam. She entered menarche at the age of 12. Her LMP was 3 months ago. Her periods are often irregular and occur about every 2- 3 months. All Pap smears have been normal to date. She takes no medications. She has never been pregnant, but would like to start a family in the next couple of years. On examination, you note facial and chest acne, increased facial and abdominal hair, and obesity.
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Patient Case – Questions What gynecologic disorder do you think this patient has and what supports this? Why is it important to identify the presence of PCOS?
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Patient Case – Questions What gynecologic disorder do you think this patient has and what supports this? Given this patient’s presenting signs and symptoms, she is likely to have PCOS. Supporting signs and symptoms include oligomenorrhea; signs of increased testosterone concentrations (facial and chest acne, hirsutism of the face and abdomen); obesity. What other information would be of assistance in further evaluating this patient? Documentation of whether or not this patient is ovulating (is she experiencing anovlulatory bleeding?). Evaluation for metabolic syndrome: fasting cholesterol panel; fasting blood glucose; blood pressure. Why is it important to identify the presence of PCOS? Planning for future fertility/pregnancy Creating a plan to reduce the patient’s risk for cardiovascular disease and diabetes in identifying the presence of the metabolic syndrome (if it exists).
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Patient Case A 26 year old women presents for a routine...

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