23-Year-Old Female with Menstrual Irregularity
Jasmine Herrera, 23, has been referred to the endocrinology clinic. She is very overweight, with obvious acne and facial hair. She complains of irregular menstrual cycles. “My husband and I want to use the rhythm method," she says, “but I don’t have any rhythm!”
5. Jasmine’s blood tests reveal very high levels of androgens. She is diagnosed with polycystic ovary syndrome (PCOS). In this syndrome, the woman develops high levels of androgens and many vesicular follicles, but has reduced fertility because few follicles are ovulated and the timing of their release is unpredictable. Part of the profile of PCOS is that LH levels are high. How would this lead to androgen excess, and what clinical evidence of androgen excess does Jasmine have?
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Chapter 27 Solutions
Human Anatomy & Physiology Plus Mastering A&P with Pearson eText -- Access Card Package (11th Edition) (What's New in Anatomy & Physiology)
- Mr. Morningstar has no history of serious medical conditions. Although he tested negative for RPR, HBsAg and HIV, he confided that he used to have sex with both men and women in the Bar he owned in Los Angeles a year ago. According to him, that was before his relationship with Ms. Decker. He also mentioned that before they travelled here in the Philippines two weeks ago, he shared a few bottles of beer and Kansas-style barbecue with his brother named Amenadiel in Midtown Missouri. He also offered you (the interviewer) a sachet of crystal clear methamphetamine. Will you accept Mr. Morningstar as a Donor for Patient Chloe Decker? What are the following parameters that you will consider in order to accept or defer Mr. Morningstar as a Donor for Patient Chole Decker? Justify your answers.arrow_forwardMr. Morningstar has no history of serious medical conditions. Although he tested negative for RPR, HBsAg and HIV, he confided that he used to have sex with both men and women in the Bar he owned in Los Angeles a year ago. According to him, that was before his relationship with Ms. Decker. He also mentioned that before they travelled here in the Philippines two weeks ago, he shared a few bottles of beer and Kansas-style barbecue with his brother named Amenadiel in Midtown Missouri. Will you accept Mr. Morningstar as a Donor for Patient Chloe Decker? What are the following parameters that you will consider in order to accept or defer Mr. Morningstar as a Donor for Patient Chole Decker? Justify your answers.arrow_forwardMr. B is a 57-year-old man who was admitted yesterday after starting to pass black stools. He has a two-day history of severe stomach pains and has suffered on and off with indigestion for some months. He is a life-long smoker, with mild chronic heart failure (CHF) for which he has been taking enalapril 5 mg twice daily for 2 years. He also recently started taking naproxen 500 mg twice daily for arthritis. He works a stressful job and drinks large amounts of caffeinated coffee daily. Yesterday his hemoglobin was reported as 9.3 g/dL, hematoocrit 30%, RBC's 3.2, platelets 162, INR 1.1 with Liver Function Test normal. He was mildly tachycardic (110 bpm) and had a slightly low blood pressure of 100/77 mmHg and was given 1.5 L of saline. He has just returned from an endoscopy this morning and has been newly diagnosed as having a bleeding duodenal ulcer. They took a biopsy to determine if he is positive for H-pylori. He has been written up for his usual medication for tomorrow if he is…arrow_forward
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- Patient Profile: Stanley is a college student taking up engineering in one of the university in Metro Manila. He lives alone in the dormitory and his province is Bicol. He was diagnosed of Syphilis. History: -Stanley is a 19-year-old male who presents to the STD clinic because he’s - had a sore on his penis for one week. -Last sexual exposure was three weeks prior, without a condom. -No history of recent travel. -Predominantly female partners (five in the last six months), and occasional male partners (three in the 1-2 years). -Last HIV antibody test (two months prior) was negative. Reports three children with two different women. All children were in the province taking care of by his parents. He is single and always on the go to mingle. Physical Exam: -No oral, perianal, or extra-genital lesions. -Genital exam shows an uncircumcised penis with a lesion on the ventral side near the frenulum. Lesion is red, indurated, clean-based, and non-tender. -Two enlarged tender right…arrow_forwardmenstrual cycle (put steps into week 1-4 categories )arrow_forwardSamira is a 26-year-old female with a history of intense dysmenorrhea. She experienced menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned, and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. If Samira still wishes to become pregnant, which treatment option may decrease her symptoms while allowing fertilization and implantation of an ovum? Progestin therapy Depo-Provera Estrogen-Progesterone patch Conservative surgeryarrow_forward
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