Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals, and other team members needed to complete patient care.
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas. Please refer to evidence-based guidelines to support your decision-making.
A 43-year-old G3 P3 White female presents complaining of hot flashes, amenorrhea for 4 months, and then this month she had spotting for 3 days. She has breast tenderness, vaginal itching, and dyspareunia. Her husband had a vasectomy 20 years ago. She wants to know what she can do for relief. Her last Pap was 2 years ago and was negative. Her last MMGM was 5 years ago and was negative. FSH is 39. Height 5′ 8″, weight 145 lbs.
What is your differential diagnosis?
What is your plan of care?
What complementary therapies might be helpful for this patient? Support with evidence-based literature.
