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Menopausal Symptoms and Sleep Disturbances, Exams of Health sciences

Chaminade UniversityHealth sciences

The case of a 45-year-old filipino woman who is experiencing fatigue, night sweats, and irregular menstrual cycles. The patient reports severe fatigue, difficulty sleeping, and waking up feeling sweaty. She has also noticed that her periods have stopped altogether. The patient's medical history, symptoms, and potential underlying causes, including the possibility of hormonal changes related to menopause. The detailed interview covers a wide range of topics, including the patient's family medical history, lifestyle factors, and any other associated symptoms. This comprehensive assessment aims to identify the root cause of the patient's concerns and develop an appropriate treatment plan.

Typology: Exams

2023/2024

Available from 06/24/2024

Tutor001
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Dalisay Edwards ihuman,Best Solution.
Go to bottom on document for final review.
1. How can I help you today?
a. I am not sleeping well and am tired. I wake up all sweaty. I am worried something
is wrong.
2. Do you have any other symptoms or concerns we should discuss?
a. My periods have stopped.
3. When did your fatigue/tiredness start?
a. It has been getting worse over the last couple of months. But I am just not sleeping.
4. What are the events surrounding the start of your fatigue/tiredness?
a. It started when I started not sleeping well.
5. Did your fatigue/tiredness begin following surgery or medical procedure?
a. No
6. Does anything make your fatigue better or worse?
a. I would assume a good night’s rest would help.
7. Do you have any other symptoms associated with your fatigue?
a. Like what?
8. How severe is your fatigue?
a. Severe enough that I came in.
9. Have you had fatigue problems like this before?
a. No
10. Dose your fatigue come and go?
a. Not really
11. Do you feel more fatigued in the morning?
a. No, I don’t feel well rested but by the end of the day I really feel tired.
12. What treatments have you had for your fatigue?
a. None
13. When did your night sweats start?
a. I think over a year ago, but they have been worse recently
14. How many times per night djo you have night sweats?
a. Maybe 3 or sometimes 4
15. What are the events surrounding the start of your night sweats?
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  1. How can I help you today? a. I am not sleeping well and am tired. I wake up all sweaty. I am worried something is wrong.
  2. Do you have any other symptoms or concerns we should discuss? a. My periods have stopped.
  3. When did your fatigue/tiredness start? a. It has been getting worse over the last couple of months. But I am just not sleeping.
  4. What are the events surrounding the start of your fatigue/tiredness? a. It started when I started not sleeping well.
  5. Did your fatigue/tiredness begin following surgery or medical procedure? a. No
  6. Does anything make your fatigue better or worse? a. I would assume a good night’s rest would help.
  7. Do you have any other symptoms associated with your fatigue? a. Like what?
  8. How severe is your fatigue? a. Severe enough that I came in.
  9. Have you had fatigue problems like this before? a. No
  10. Dose your fatigue come and go? a. Not really
  11. Do you feel more fatigued in the morning? a. No, I don’t feel well rested but by the end of the day I really feel tired.
  12. What treatments have you had for your fatigue? a. None
  13. When did your night sweats start? a. I think over a year ago, but they have been worse recently
  14. How many times per night djo you have night sweats? a. Maybe 3 or sometimes 4
  15. What are the events surrounding the start of your night sweats?

a. I have no idea

  1. Does anything make your night sweats better or worse? a. Not really
  2. Dop you have any pain or other symptoms associated with your night sweats? a. No
  3. Do your night sweats keep you from sleeping? a. Yes
  4. How often do you have night sweats? a. Every night
  5. Is there any pattern to your night sweats?
  1. Do you have problems with dizziness, fainting, spinning room, seizures, weakness, numbness, tingling, or tremor? a. No
  2. Do you have any problems with nervousness, depression, lack of interest, sadness, memory loss, or mood changes, or ever hear voices or see things that you know are not there? a. NO
  3. Do you have the sensation of a pounding heart in your chest? a. NO
  4. Do you experience chest pain discomfort or pressure; pain/pressure/dizziness with exertion or getting angry; palpitations; decreased exercise tolerance, or blue or cold fingers and toes? a. No
  5. Can you tell me about any current or past medical problems you have had? a. I don’t and haven’t had any
  6. Have you ever been hospitalized? a. Just for the birth of my children
  7. Have you had any recent blood or lab tests? a. NO
  8. Were there any complication when you gave birth to your child? a. NO
  9. Have you ever had a previous ectopic pregnancy? a. NO
  10. When and was the result of you last gyn exam a. I don’t actually remember. It was a couple months after my mother passed away, I was check out in a different clinic.
  11. Any previous medica, surgical, or dental procedures? a. No, none
  12. Have you recently traveled? a. No
  13. Are you postmenopausal? a. I don’t know, I just know I haven’t had a period in a long time.
  14. What is your educational background? a. Why do you need to know that
  15. What is your highest level in school a. 12
  16. Tell me about your work? a. I don’t work outside of the home.
  17. Do you now or have you ever smoked or chewed tobacco? a. NO
  18. Do you drink alcohol? a. Uh no, Well, only a little on holidays
  19. Do you use any recreational drugs? a. No. Absolutely not
  1. What symptoms is the most distressing to you? a. I am tired and cant sleep
  2. Anyone else developed these symptoms? a. No
  3. Does this affect your life a. I am tired and worried
  4. Do you have any problems with an itchy scalp, skin changes, moles, thinning hair or brittle nails? a. NO
  5. Do you have nay problems with headaches that don’t go away with aspirin or Tylenol double or blurred vision, difficulty with night vision, problems hearing, ear pain, sinus problems, chronic sore throats, or difficulty swallowing? a. No
  6. Have you noticed any breast discharge, lumps, scaly nipples, pain swelling or redness? a. No
  7. Do you experience SOB, wheezing, difficulty catching your breath, chronic cough, or sputum production a. No
  8. Do you have problems with N/V/C/D coffee ground in your vomit, dark tarry stool, bright red blood in your bowel movements, early satiety, or bloating. a. NO
  9. When you urinate, have you noticed any pain, burning, blood, difficulty starting or stopping, dribbling, incontinence, urgency during the day or night, or any changes in freque3ncy? a. No
  10. Do you have problems with muscle or joint pain, redness, swelling, muscle cramps, joint stiffness, joint swelling or redness, back pain, neck or should pain, or hip pain? a. No
  11. Have you noticed any bruising, bleeding gums, nose bleeds or other sites of increased bleeding? a. No
  12. Do you take anything to help you sleep a. No
  13. If you wake in the middle of the night, are you able to fall asleep again? a. Yes
  14. Can you describe a typical nights sleep? a. I fall asleep almost immediately. Then about 2 hours later I wake up feeling all hot and sweaty. I take off the blankets, fall back to sleep and then wake up freezing and pull the blankets back on. I will do that multiple times a night. Sometimes I need to change my bedclothes because they are so drenched with sweat. I get less sleep than when I had to get up for my babies.
  15. On average how many hours per night do you sleep? a. I am in bed for 8 hours but I think I barely get 4 hours of good sleep.
  16. Is your sleep refreshing? a. Not really