Author Question: Your patient is a 36-year-old female who is alert and complaining of abdominal pain. She states that ... (Read 131 times)

Mr.Thesaxman · **on:** Jul 2, 2018

Your patient is a 36-year-old female who is alert and complaining of abdominal pain. She states that she is having her period and that this pain is much different than the cramps I usually get. She describes the pain as achy throughout her pelvis and lower abdomen. She says that this has occurred the past three menstrual cycles and that she has experienced dyspareunia and spotting over the same period. She is G2P2 and has no other significant gynecologic history. Physical examination reveals pain with palpation over her entire abdomen; her skin is warm and dry. HR = 84, BP = 124/76, RR = 12, SpO2 = 99. Which of the following is the most likely diagnosis for this patient?

A) Uterine fibroids
B) Endometriosis
C) Primary dysmenorrhea
D) Polycystic ovary disease

Question 2

Concern with body image, development of identity, attraction to the opposite sex, and onset of self-destructive behaviors are most characteristic of:

A) preschoolers.
B) school-age children.
C) adolescents.
D) middle-age adults.