This is the case study. Elaine Goodwin is a 38-year-old…

Question Answered This is the case study. Elaine Goodwin is a 38-year-old… This is the case study. Elaine Goodwin is a 38-year-old G1 P1 LC 1 presenting to your clinic today to discuss contraceptive options. She states that she is not interested in having more children but her new partner has never fathered a child. Her medical history is remarkable for exercise-induced asthma, seizure disorder (her last seizure was five years ago), and IBS. Her surgical history remarkable only for tonsils as a child. Her social history is negative for alcohol, tobacco, and recreational drugs. She has no known drug allergies and takes Lamictal (lamotrigine) and Trileptal (oxcarbazepine). Hospitalizations were only for childbirth.  Family history reveals that her maternal grandmother alive with dementia, while her maternal grandfather is alive COPD. Her paternal grandparents are both deceased due to an automobile accident. Her mother is alive with osteopenia and fibromyalgia, and her dad is alive with a history of skin cancer (basal cell). Elaine has one older sister with no medical problems and one younger brother with no reported medical problems.  Height 5′ 7″ Weight 148 (BMI 23.1), BP 118/72 P 68  HEENT:  wnl  Neck: supple without adenopathy  Lungs/CV: wnl  Breast: soft, fibrocystic changes bilaterally, without masses, dimpling or discharge  Abd: soft, +BS, no tenderness  VVBSU: wnl, except 1st degree cystocele  Cervix: firm, smooth, parous, without CMT  Uterus: RV, mobile, non-tender, approximately 8 cm,  Adnexa: without masses or tenderness  What are three differential diagnosis for this patient related to gynecology and why?What diagnostic test would you recommend for this patient and why?What other concerns would you have for this patient and why? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)