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a 23yearold g0p0 woman presents to the office with complaints that she has not had a menstrual cycle in 7 months upon further questioning she states that she has had irregular menses since menarche she has also noticed an increase in facial hair and acne for many years she denies any history of medical problems and has a strong family medical history of diabetes on examination she is noted to have a normal blood pressure bp pulse respiratory rate and temperature she is obese with a body mass index bmi of 34 kgm2 she is noted to have some hirsutism and acanthosis nigricans of neck and inner thighs her pelvic examination is limited by her obesity but normal discuss the major hormones that affect menstrual cycles discuss the healthcare providers role in collecting a thorough menstrual history discuss at least 3 differential diagnoses for abnormal uterine bleeding provide rationales for why the diagnosis is included and the best way to rule out the differential diagnosis discuss the presumptive most likely diagnosis for the patients presentation what is the treatment plan based on this diagnosis make sure to support with evidence
SCIENCE
HEALTH SCIENCE
NURSING

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