Write the Assessment and plan part of this case ?(what medication recommended if any, which medication need to be discontinued if any? And why? What are problem listed ?
\nCase
\nChief Complaint: \u201cI have been having hot flashes for the past few months, and I just can\u2019t take it anymore.\u201d
\nHP: EP is a 50-year-old woman who reports experiencing two to three hot flashes per day, occasionally associated with insomnia. She also states she is awakened from sleep about two to three times per week needing to change her bed clothes and linens. Her symptoms began about 3 months ago, and over that time they have worsened to the point where they have become very bothersome. She states that her mother was prescribed a pill for this, but she is hesitant to take the same thing custom essay writing service because she heard on the news and from friends that the medication may not be safe. She also does not want to \u201cget her period back\u201d if possible. Successfully treated for depression in the past, she is currently controlled on paroxetine therapy. She exercises three times a week and tries to follow a low-cholesterol diet.
\nPMH
\n\u2022\tDepression
\n\u2022\tGERD
\n\u2022\tHTN
\n\u2022\tHypothyroidism
\nFH
\nMother died of stroke at age 67; father died of lung cancer at age 62. Patient has one brother, 52, and one sister, 48, who are alive and well, but both with HTN.
\nSH
\nMarried, mother of two healthy daughters, ages 21 and 25. She is an RN in a neighboring physician\u2019s office. She walks on her treadmill three times a week and is trying to follow a dietitian-designed low-cholesterol diet. She does not smoke and occasionally drinks a glass of red wine with dinner.
\nMeds
\n\u2022\tHydrochlorothiazide 25 mg PO once daily
\n\u2022\tOmeprazole 20 mg PO once daily
\n\u2022\tParoxetine 20 mg PO once daily
\n\u2022\tSynthroid 0.075 mg PO once daily
\nAllergy
\nNKDA
\nROS
\n(+) Hot flashes, occasional night sweats and insomnia, vaginal dryness. (\u2013) weight gain, constipation. LMP 12 months ago.
\nPhysical Examination (only pertinent noted)
\nGen: WDWN female in NAD
\nVS:BP 128\/86 mm Hg, P 78 bpm, RR 15, T 36.4\u00b0C; Wt 76.2 kg, Ht 5\u20326\u2033
\nGenit\/Rect: Pelvic exam normal except (+) mucosal atrophy; stool guaiac (\u2013)
\nExt
\n(\u2013) CCE; pulses intact
\nNeuro
\nNormal sensory and motor levels
\nLabs<\/p>\n
Na 136 mEq\/L\tHgb 12.7 g\/dL\tCa 9.3 mg\/dL\tFasting lipid profile
\nK 3.9 mEq\/L\tHct 39.3%\tAST 32 IU\/L\t\u2003 T. chol 190 mg\/dL
\nCl 104 mEq\/L\tWBC 6.5 \u00d7 103\/mm3\tALT 30 IU\/L\t\u2003 LDL 132 mg\/dL
\nCO2 25 mEq\/L\tPlt 208 \u00d7 103\/mm3\tTSH 2.46 mIU\/L\t\u2003 HDL 50 mg\/dL
\nBUN 10 mg\/dL\t\tFSH 87.8 mIU\/mL\t\u2003 Trig 180 mg\/dL
\nSCr 0.7 mg\/dL\t\tUPT (\u2013)
\nRandom Glu 98 mg\/dL
\nOther
\nPap smear and mammogram: Normal<\/p>\n","protected":false},"excerpt":{"rendered":"
Write the Assessment and plan part of this case ?(what medication recommended if any, which medication need to be discontinued if any? And why? What\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10601,10596,10882,479,537,172,478,10597,10599,10595],"tags":[10524,10522,10890,10561,10883,10889,10515,10521,10696,10518,10888,10887,10886,10885,10884,10525],"class_list":["post-125208","post","type-post","status-publish","format-standard","hentry","category-assignment-help-by-uks-no-1-writing-service","category-assignment-writers-canada-university-cost","category-free-ai-english-assignment-writers-china","category-nursing-course-hero","category-nursing-essay-pro","category-nursing-study-bay","category-nursing-study-pool","category-professional-assignment-writers-usa","category-uae-1-cheap-assignment-writing-service","category-write-a-word-essay","tag-apa-citation-format-assignment","tag-assignment-writers-australia-college-student","tag-best-nursing-case-study-writing-services","tag-buy-essay-usa","tag-case-study-nursing-writing-services-for-care-plans","tag-free-nursing-case-study-writing-services","tag-help-write-a-page-assignment","tag-i-need-someone-to-do-my-assignment-within-hours","tag-need-assistance-completing-the-assignment","tag-need-to-write-an-essay","tag-nursing-case-studies-with-answers","tag-nursing-case-study-paper-example","tag-nursing-case-study-template-examples-of-case-studies-nursing","tag-pharmacology-case-study","tag-soap-note-case-study","tag-write-pages"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/125208","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=125208"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/125208\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=125208"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=125208"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=125208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}