Comprehensive Clinical Case Review: Iron-Deficiency
Anemia Due to Menorrhagia in a 50-Year-Old Female
— Complete Diagnostic Workup, Management,
Patient Education, and Feedback from Expert
,
, HPI (History of Present Illness)
Ms. Jane Doe is a 50-year-old female who presents with a 3-month history of progressive
fatigue and shortness of breath. She reports that her fatigue is persistent throughout the day
and not relieved by rest or sleep. It has gradually worsened over time, making it difficult for her
to perform her usual daily activities, including climbing stairs and walking more than a block.
She also describes shortness of breath on exertion, particularly noticeable when walking uphill
or doing housework. She denies any chest pain but notes a sensation of mild chest tightness
occasionally when exerting herself. She denies orthopnea or paroxysmal nocturnal dyspnea, but
has noticed occasional mild bilateral leg swelling by the end of the day.
She denies cough, wheezing, hemoptysis, or fever. No history of recent upper respiratory illness
or travel. She also notes feeling more cold than usual, has had unintentional weight gain (~5 lbs
over the past 2 months), and reports irregular and heavy menstrual periods over the past 6
months, sometimes lasting up to 10 days.
She denies palpitations, dizziness, syncope, or recent trauma. No recent surgery or prolonged
immobility. She denies anxiety or depression but admits to feeling “a bit down” due to low
energy.
She has no prior history of heart or lung disease. She is a non-smoker, does not consume
alcohol, and has no significant occupational exposures.
Certainly! Here's the Past Medical History (PMH) section for this patient, based on a typical
structure and what might be relevant for a case like this:
Past Medical History (PMH)
• Medical Conditions:
o No known chronic illnesses
o No history of hypertension, diabetes, cardiovascular disease, or pulmonary
disease
o No known thyroid disorder
• Surgical History:
o Cesarean section ×1 (age 32)
o No other surgeries
• Gynecological History:
o Menarche at age 13
o Currently perimenopausal with irregular and heavy menstrual periods over the
past 6 months
o Gravida 2, Para 2
Anemia Due to Menorrhagia in a 50-Year-Old Female
— Complete Diagnostic Workup, Management,
Patient Education, and Feedback from Expert
,
, HPI (History of Present Illness)
Ms. Jane Doe is a 50-year-old female who presents with a 3-month history of progressive
fatigue and shortness of breath. She reports that her fatigue is persistent throughout the day
and not relieved by rest or sleep. It has gradually worsened over time, making it difficult for her
to perform her usual daily activities, including climbing stairs and walking more than a block.
She also describes shortness of breath on exertion, particularly noticeable when walking uphill
or doing housework. She denies any chest pain but notes a sensation of mild chest tightness
occasionally when exerting herself. She denies orthopnea or paroxysmal nocturnal dyspnea, but
has noticed occasional mild bilateral leg swelling by the end of the day.
She denies cough, wheezing, hemoptysis, or fever. No history of recent upper respiratory illness
or travel. She also notes feeling more cold than usual, has had unintentional weight gain (~5 lbs
over the past 2 months), and reports irregular and heavy menstrual periods over the past 6
months, sometimes lasting up to 10 days.
She denies palpitations, dizziness, syncope, or recent trauma. No recent surgery or prolonged
immobility. She denies anxiety or depression but admits to feeling “a bit down” due to low
energy.
She has no prior history of heart or lung disease. She is a non-smoker, does not consume
alcohol, and has no significant occupational exposures.
Certainly! Here's the Past Medical History (PMH) section for this patient, based on a typical
structure and what might be relevant for a case like this:
Past Medical History (PMH)
• Medical Conditions:
o No known chronic illnesses
o No history of hypertension, diabetes, cardiovascular disease, or pulmonary
disease
o No known thyroid disorder
• Surgical History:
o Cesarean section ×1 (age 32)
o No other surgeries
• Gynecological History:
o Menarche at age 13
o Currently perimenopausal with irregular and heavy menstrual periods over the
past 6 months
o Gravida 2, Para 2
