Family Medicine 17- Postmenopausal Health

Family Medicine 17: 55-year-old postmenopausal female with vaginal bleeding Learning Goal: I'm working on a nursing discussion question and need the explanation and answer to help me learn. Essay Elements: One to three pages of scholarly writing in paragraph format, not counting the title page or reference page Brief introduction of the case Identification of the main diagnosis with supporting rationale Identification of at least two additional differential diagnoses with brief rationale for why these were ruled out Diagnostic plan with supporting rationale or references A specific treatment plan supported by recent clinical guidelines Please refer to the rubric for point value and requirements. In general, these elements must be covered as per the rubric. Patient Name: Sandra Parker Age: 55 Sex assigned at birth: female Gender identity: female Pronouns: she/her/hers Mrs. Parker is a 55-year-old postmenopausal female on daily estrogen and progesterone with a history of hypothyroidism on replacement who presents with intermittent light vaginal bleeding for the past two weeks without associated cramping. Her last menstrual period was three years ago. She is a G2P2 with menarche at age 11, and she has no history of abnormal Pap tests and no family history of cancers.The ideal summary statement concisely highlights the most pertinent features without omitting any significant points. The summary statement above includes: Epidemiology and risk factors (55-year-old female with no history of abnormal Pap tests and no family history of cancer) Key clinical findings about the present illness using qualifying adjectives and descriptive language: Intermittent light vaginal bleeding for two weeks No associated cramping On daily estrogen and progesterone G2P2 Menarche age 11 History of hypothyroidism on replacement