Gretchen Abernathy is a 38-year-old G2 P2 Caucasian female who presents to the clinic with complaints of frequent menstrual bleeding. Her menstrual…

Question Answered step-by-step Gretchen Abernathy is a 38-year-old G2 P2 Caucasian female who presentsto the clinic with complaints of frequent menstrual bleeding. Her menstrual calendar shows bleeding frequency 17-36 days, lasting 5-10 days in duration and on her heaviest day she needs to change her super tampon every 2 hours. She relates this has been getting worse since stopping her OCP’s when she had a bilateral tubal ligation 4 months after having her second child 9 months ago. She is upset as no one told her that weight gain could happen after and relates she has gained 27 lbs. since her surgery. She states that all this bleeding is making her tired and she cannot keep herself awake. Gretchen’s mother told her she probably just had “low iron” and if she took vitamins, she would feel better. -HEENT: wnl, hair dry, neck supple without adenopathy -CV: RSR without murmur or gallop -Lungs: clear to p&a. -Abd soft, non-tender, BS all 4 quadrant. -VVBSU: WNL -Cervix: firm, smooth, parous, w/o CMT -Uterus: mid mobile non tender, approximately 10 cm -Adnexa: without masses or tenderness -Extremities: negative homan’s, reflexes 2+ = bilaterally, no edemaQUESTIONS: -What testing do you want to order? -What is your differential diagnosis?  The results of the testing are as follows: -CBC: hgb 10.8 hct 32.1 platelets 210 -TSH  6.8, free T4 0.6 -Hcg negative -Ferritin 10 -Prolactin 16 -PT, PTT, fibrinogen – all within normal limits -FSH – 21 -LH – 21 -Progesterone 10 -Pelvic ultrasound uterus normal size 82 mm x 5 mm x 4.8 mm with a 2 mm endometrial stripe. No masses notedQUESTION:What are the next steps? Health Science Science Nursing NURS 6551 Share QuestionEmailCopy link Comments (0)