Question

In: Nursing

A 45-year-old female patient comes to the office with increasing menstrual irregularity and decreased flow with...

A 45-year-old female patient comes to the office with increasing menstrual irregularity and decreased flow with hot flushes, mood changes, and decreased vaginal lubrication with sexual activity fasting 1 year . Based on her gynecologic history, what could be the cause of her disruptive symptoms

Solutions

Expert Solution

Many women experience vasomotor symptoms at or around the time of menopause. Hot flushes and night sweats are considered primary menopausal symptoms that may also be associated with sleep and mood disturbances, as well as decreased cognitive function. All of these symptoms may lead to social impairment and work-related difficulties that significantly decrease overall quality of life. Hot flushes have shown a great deal of variability in their frequency and severity in women. In some women, hot flushes persist for several months; in others, they may last for more than 10 years. Traditionally vasomotor symptoms were reported to begin 5 to 10 years prior to the cessation of the final menstrual cycle, corresponding with the initial decline in circulating gonadal hormones; however, night sweats in particular most often begin in perimenopause. The pathogenesis of hot flushes has not yet been fully elucidated, but the circuitry involving estrogen and neurotransmitters, norepinephrine and serotonin specifically, are hypothesized to play a major role in the altered homeostatic thermoregulatory mechanisms underlying these events. Menopause-associated vasomotor symptoms are associated with significant direct and indirect costs


Related Solutions

A 34 year old female with HIV comes to the office due to the appearance of...
A 34 year old female with HIV comes to the office due to the appearance of multiple tender nodules on her lower extremities over the past several weeks. The patient tried to squeeze open the lesions, but this led to profuse bleeding with no expression of pus. She works at a pet store in Mississippi and has regular contact with a variety of animals. Skin examination findings are shown below. Biopsy of the lesions reveals large endothelial cells forming vascular...
Jackson is a 12-year-old patient with a diagnosis of moderate asthma. He comes into the office...
Jackson is a 12-year-old patient with a diagnosis of moderate asthma. He comes into the office stating he has had to increase usage of his rescue inhaler over the past week ever since the weather warmed up. He denies any fever or mucus production but does report a dry cough. The nurse checks his vital signs and even though his respirations are unlabored at the moment, his resting O2 saturation is 91%. Discussion 9.1 Clearly identify the etiology of asthma....
A 55-year-old female patient comes into the clinic who was recently who was recently diagnosed with...
A 55-year-old female patient comes into the clinic who was recently who was recently diagnosed with type 2 diabetes after her visit to a health fair. As the nurse, you initiate patient education on basic diabetic care and the woman asks questions about diet and exercise and how these relate to blood glucose levels.  Find an appropriate piece of education material for this patient from the list of resources and explain to the patient why these are important.
Case #2 A 30 year old female patient comes to your retail pharmacy to pick up...
Case #2 A 30 year old female patient comes to your retail pharmacy to pick up a prescription for Tylenol #3 (acetaminophen + codeine) for pain control. You enter the prescription into the computer system and the computer’s interaction checker flags an interaction between Tylenol #3 and the patient’s fluoxetine prescription. Answer questions 1-3 regarding this case. . What would you expect to see if you give codeine to: a) a poor metabolizer for the enzym CYP2D6 and b) an...
Grace Santos is a 45-year-old female patient admitted to hospital 3 days ago with a diagnosis...
Grace Santos is a 45-year-old female patient admitted to hospital 3 days ago with a diagnosis of pneumonia. IV access was initiated 74 hours ago. The RN used a 20 g cathlon and was successful on her 2nd attempt at initiation. The IV is insitu in the right forearm. Grace has been on IV antibiotics now for 72 hours and has shown great improvement. Grace has been receiving cefuroxime 750 mg IV q8h x 5 days. Grace is allergic to...
Anne Chovy, a 57 year-old female, comes to the office with c/o of blood-tinged sputum; she...
Anne Chovy, a 57 year-old female, comes to the office with c/o of blood-tinged sputum; she reports having a productive cough for “about a month”.  Upon further questioning, Anne mentions that she has been having “really bad night sweats but thought it was probably due to menopause”.  She tells you she has lost 15 pounds since her annual check-up, which was 6 months ago.  She lives in a rural home with her spouse and is the volunteer coordinator at the county homeless shelter.  She...
The patient, Suzanne Morris, is a 43-year-old white female presenting with complaints of increasing abdominal cramps,...
The patient, Suzanne Morris, is a 43-year-old white female presenting with complaints of increasing abdominal cramps, stomach ache, and diarrhea that started 4 days ago. Ms. Morris arrived by private vehicle and has been here for 1 hour. Ms. Morris was diagnosed 10 days ago with peptic ulcer disease and prescribed triple combination therapy of amoxicillin, clarithromycin, and pantoprazole for H. pylori. She has been consistently taking the medications. Ms. Morris does not have any other significant previous medical or...
A 22-year-old woman comes to the office due to worsening cough. The patient has been coughing...
A 22-year-old woman comes to the office due to worsening cough. The patient has been coughing every day for the past several months, but over the last 4 weeks, the cough has worsened, with increased amounts of thick sputum and shortness of breath. Streaks of blood have been present in the sputum on several occasions. The patient also has a history of chronic sinusitis and repeated hospitalizations for airway infections. She takes pancreatic enzyme supplements for chronic diarrhea. She does...
A 22-year-old woman comes to the office due to worsening cough. The patient has been coughing...
A 22-year-old woman comes to the office due to worsening cough. The patient has been coughing every day for the past several months, but over the last 4 weeks, the cough has worsened, with increased amounts of thick sputum and shortness of breath. Streaks of blood have been present in the sputum on several occasions. The patient also has a history of chronic sinusitis and repeated hospitalizations for airway infections. She takes pancreatic enzyme supplements for chronic diarrhea. She does...
Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna...
Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna has a history of diabetes, obesity, and noncompliance with diet and medications to control her diabetes. She a single mother of three teenagers and smokes regularly. During the history review, Anna shares with you that she has not been feeling like herself for the past six months, she has been unusually tired and thought that she felt a lump in her right breast during...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT