1Case: DianaDiana is a 48-year-old Hispanic woman (G4P1031) with irregular periods (variable interval, changing flow,dysmenorrhea), 30-pound weight gain over the last 10 years, and recent heavy, clotted 10-day menses. Last Pap smear 12 yearsago (normal). No medical or surgical history of note other than gallstones and a past cholecystectomy. Family history of fibroids(mother) and diabetes (sister).Subjective Data□Irregular periods (variable intervals, changing flow,dysmenorrhea relieved by ibuprofen).□30-pound weight gain over 10 years.□Recent heavy, clotted 10-day menses.□No current medications, allergies, or STI history.□Last Pap smear 12 years ago (normal).□Family history: fibroids (mother), diabetes (sister).Objective FindingsBP: 155/80, P: 99, RR: 18, T: 98.4°F._Weight: 206 lbs., Height: 66 in, BMI: 33.2 kg/m2(obesity).=Abdomen: Soft, non-tender, no masses.=GU: Normal vaginal mucosa, no cervical motionPreview Mode
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