11/21/2011 2:00pm Identifying Data: This is the case of AO, a 46 year old Filipino housewife, married, Roman Catholic from Liwayway, Kaniogan, Pasig City. Source and Reliability: self with good reliability HISTORY Chief guardianship: randomized rate of f broken History of Present Illness: 9 long time PTC, patient used oral contraceptive pills and cease use due to its consequent headaches and fatigue 1 month after, patient shifted to injectable hormonal contraceptives, Depo-Provera, injected at 3-month intervals by a companionship physician at the nearby Health Center. 2 years PTC, patient discontinued use of injectable contraceptives concurrently when her husband left for Riyadh. 1 year PTC, patient experienced having irregular menses described as having variations in menstrual rhythm method length claiming that her period no longer occurred during her regular 27-day cycle. Her menses uttermosts for 2 days and consumes 5 pads on the second day. This was associated with headache (3/10) and irritability but claims to have no episodes of hot flushes, fatigue, dizziness, low back pain, vaginal dryness, and night sweats. Patient self medicated with Paracetamol, ergocalciferol mg, 1 tab OD which afforded temporary relief. Persistence of symptoms prompted confabulate at The Medical City.
Temporal Profile: Gynecologic History A.catamenial History The patients past menstrual period (PMP) was last October 2, 2011 and last menstrual period (LMP) was last November 10, 2011. She had her menarche at the maturate of 14 and had regular menstrual cycles with an interval of 27 days, durable for an average of 5 days and consuming 3 pads a day. Accompanying symptoms were not elicited. B.Pregnancy History Patient is a G5P5 5003, 46 year old who claims to have given birth to vanadium boorren with no peri- and postnatal complications. She claims to have given birth to her first child at the age of 27. However, given that her first child is 17 years of age, she gave... If you want to get a full essay, roam it on our website: Ordercustompaper.com
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