Ms. F, a 48-year-old AA, G2, P2, woman presented to the clinic for her annual exam. She states that she has been having “hot flashes” but her menses continue to be regular. She also notes that her periods are heavier, with clots and more cramping than she’s experienced before. She “doesn’t use contraception” because she assumes, at her age, she will not be at risk for a pregnancy.
The patient’s gait was affected 48 hours after onset and any slight head movement intensified the feeling of imbalance.
Mrs. M, a 58-year-old woman comes to your office as a new patient with a primary complaint of vaginal discharge.
Ms. P is an established patient who comes into the office for an annual exam. But, on review of systems, the 48-year-old patient complains that she has been experiencing “terrible” night sweats that are leaving her “exhausted” the next day.
Ms. R, a 62-year-old G0 woman presents to the office requesting a refill of her prescription of medroxyprogesterone acetate (MPA; Provera 2.5mg). Ms. R has experienced “annoying” intermittent spotting for years.
Two days after symptom onset, a patient’s skin is still mildly diaphoretic, he complains of fatigue, and he cannot tolerate food.
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