SOLVED924

Discuss the pituitary-thyroid-ovary triad. Linda C (34 yo) is a resident at Project Room Key and a patient in the hotel-based clinic that serves unsheltered residents in Vallejo. Case Linda has a sz disorder, stable on Keppra with no seizures. She also has what she describes as chronic pain in her hands and L knee. She doesn’t remember being diagnosed with RA or OA and has taken acetaminophen for the pain. She does have stiffness in mornings for about 30-minutes as well as + Bouchard’s nodes. She ambulates without assistance. She has been told she is hypertensive in the past but never treated. The last two times we saw her, her BP was 140s/90s. Concurrently, she also has had worsening menorrhagia for the last 4-6 months. It is cyclic without spotting between cycles, but she saturates pads every 1-2 hours while menstruating and cycles last 4 days. She has not had any imaging. She has been told she was anemic in the past and a thyroid d/o but doesn’t have specifics. She did say she had a normal Pap smear (HPV unknown) two years ago in San Jose. She is sexually active with her husband and not sure whether she
SCIENCE
HEALTH SCIENCE
NURSING

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."