Polycystic Ovarian Syndrome
GM
SUBJECTIVE:
Chief Complaint: Annual checkup, and irregular menstrual cycle.
History of Present Illness: 39-year-old female presented with c/o irregular menstrual periods which have been more painful than before. She reports that for the past year she probably has had a total of 4 periods. Last Menstrual cycle was 2 months ago. She also reports that her hair is more thick and coarse, and she has noted increased hair growth around her nipples, in her underarms and has even noted some increased hair on her arms and legs.
Allergies: No known allergies
Review of System: ……………continue
OBJECTIVE:
Vital Signs:

• Vitals Recorded on: 06/06/2018 02:38 PM
• Height: 63.00 in
• Weight: 154.00 lb
• BMI: 28.3
• Blood Pressure: 117/57 mmHg
• B/P Side: Left
• B/P Position: Sitting
• Pulse: 74 beats/min

Objective Notes:
Physical Exam:
ASSESSMENT:
Diagnosis: ICD-10 Codes: 1)E 28.2 Polycystic Ovarian Syndrome

PLAN:
Medications: OCP, Take one tab by mouth at the same time every day.
Metformin 6oomg by mouth three times a day.
Patient Instructions:
Pathophysiology:
Diagnostic Studies:
Clinical Findings:
The American College of Obstetricians and Gynecologist Treatment Options:
Patient and Family Education:
Prevention:
Other possible diagnoses:

• Endometriosis ICD10: N80
• Congenital Adrenal Hyperplasia ICD10: E25.0

Discussion Questions:

1. There are many gynecological disorders. Aside from what I mentioned, what other disorders, illnesses, or syndromes can cause the same symptoms?
2. In Polycystic Ovarian Syndrome; a patient who wants to become pregnant, what hormones can be given that are safe for her to become pregnant?
3. How can we become involve in preventing this disease?