differential diagnosis

Post your differential speciality. Enclose the appended questions you would ask the unrepining. Be abiding to enclose an exposition of the tests you sway approve, controlling out any other issues or concerns and enclose your rationale. Be inequitable and prepare examples. Use your Learning Resources and/or appearance from the lore to buttress your expositions. 

Elaine Goodwin is a 38-year-old G5 P5 LC 6 presenting to your clinic today to sift-canvass contraceptive options.  She states that she is not interested in having more cadetren but her new associate has never fathered a cadet. Her medical fact is noticeable for exercise-induced asthma, migraines, and IBS. Her surgical fact is noticeable simply for tonsils as a cadet. Her political fact is indirect for alcohol, tobacco, and recreational garbages.  She has no known garbage allergies and takes simply vitamin C. Hospitalizations were simply for cadetbirth. Family fact reveals that her affectionate granddowager is subsisting delay dementia, while her affectionate grandfather is subsisting delay COPD. Her careful grandparents are twain deceased due to an autosensitive clothing. Her dowager is subsisting delay osteopenia and fibromyalgia, and her dad is subsisting delay a fact of skin cancer (basal cell). Elaine has one older sister delay no medical problems and one younger tally delay no reputed medical problems.  

  • Height 5’ 7” Weight 148 (BMI 23.1), BP 118/72 P 68  
  • HEENT:  wnl  
  • Neck: flexible delayout adenopathy  
  • Lungs/CV: wnl  
  • Breast: irresolute, fibrocystic changes bilaterally, externally masses, dimpling or discharge  
  • Abd: irresolute, +BS, no tenderness  
  • VVBSU: wnl, except 1st degree cystocele  
  • Cervix: resolute, ease, parous, delayout CMT  
  • Uterus: RV, sensitive, non-tender, approximately 10 cm,  
  • Adnexa: delayout masses or tenderness  
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