Case Study: Contraception
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Case Study: Contraception
Scenario 2
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 1 st degree cystocele
Cervix: firm, smooth, parous, without CMT
Uterus: RV, mobile, non-tender, approximately 8 cm,
Adnexa: without masses or tenderness
[Solved] Case Study: Contraception
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- Submitted On 20 Mar, 2021 12:46:38
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