MP 51 y/o female visits the clinic for menstrual period irregularities. She had a period last month after 6 months without it. Has been feeling hot flashes and mood changes. Menstrual changes are most likely related to menopause. The patient has a history of depression, and she is worried about mood swings. Tx was discussed with the patient to relieve vasomotor symptoms (mood changes) with Escitalopram Oxalate 10 mg once a day. Hormonal studies were ordered. Follow up with PCP in 2 months.
Based on your case study, post the following:
POST A Focused SOAP NOTE only and describe your case study.
Provide a differential diagnosis (dx) with a minimum of 3 possible conditions or diseases.
Define what you believe is the most important diagnosis. Be sure to include the priority in conducting your assessment.
Explain which diagnostic tests and treatment options you would recommend for your patient and explain your reasoning.
Also, share with your colleagues your experiences as well as what you learned from these experiences.