Case Study Of Health During Menopause Discussion
Your patient weighs 150 pounds at age 60. Her last menstrual cycle occurred at age 51. She has been taking Premarin for hot flash control since the start of menopause. She is unsure if she should stop taking this medication because she is now more than 5 years into menopause. She is concerned about her bone health if she stops. She is also concerned about the risk of cancer if she stays on it. She has noticed an uptrend of her lipid levels over the past 2 years. She is not certain the “cardiovascular (CV) protection” of the estrogen is still working.
What is the evidence about bone health during menopause after 5 years of hormone replacement therapy (HRT)?
What about the continuation of HRT after 5 years of use?
What plan for care would you design for her that also includes her concerns about her lipid levels? Case Study Of Health During Menopause Discussion
Complaint: A 19-year-old woman comes in for her annual women’s health examination and oral contraception refill. She has no physical complaints. She admits to being sexually active with her male partner of 1 month.
The patient has been sexually active since the age of 14. At age 15, she contracted chlamydia and received treatment. She did not return for follow-up after her antibiotic treatment. Her preferred method of contraception is combined oral contraceptives. She does not like to use condoms, because they ruin sexual spontaneity. She is allergic to doxycycline. Currently, she does not have medical insurance.
Assessment: Her vital signs are temperature 98.6Â°F, pulse 80, blood pressure (BP) 100/60 mm Hg, weight 100 pounds, and height 5’2″. Physical examination reveals external genitalia are without lesions, erythema, visible discharge, or the presence of nits or lice. Cervical speculum examination reveals a vaginal vault that is pink with and clear discharge. Cervix is anterior, midline, and pink, without lesions or visible discharge. Swab of the endocervix is sent for gonorrhea and chlamydia screening.
Laboratory Results: Laboratory results are positive for chlamydia, but negative for gonorrhea. Urine pregnancy test is negative.
What is the management plan for a patient with chlamydia?
What education does the patient need? Case Study Of Health During Menopause Discussion