Reference no: EM133877231
Case Study: Ms. Taylor Patient: Ms. Alicia Taylor, 47-year-old female Chief Complaint: Heavy, painful periods; fatigue; and pelvic pressure History: G2P2, regular menses until the past year Last menstrual period: 18 days ago, still spotting intermittently Known uterine fibroids (diagnosed 3 years ago), now measuring 8 cm Mother diagnosed with breast cancer at age 52 Current Symptoms: Reports bloating and pressure in lower abdomen Occasionally has difficulty voiding and has urinary urgency States "my clothes feel tighter, and I feel worn out all the time" Anxiety about possible cancer or hysterectomy Physical & Lab Findings: Abdomen: Firm, enlarged uterus palpable above symphysis pubis Pelvic ultrasound: Multiple fibroids, largest 8.2 cm intramural Hemoglobin: 9.5 g/dL Pap smear: Normal Breast exam: No palpable masses, routine mammogram ordered Vitals: BP 118/76, HR 84, Temp 98.4°F Discussion Prompt Choose ONE of the following categories and respond in detail:
1. Assessment and Diagnosis Based on Ms. Taylor's symptoms and test results, summarize the likely diagnosis and the diagnostic tools (labs, imaging, physical exam findings) that confirm it. What other reproductive conditions or cancers should be ruled out based on her age, history, and symptoms?
2. Interprofessional and Multidimensional Nursing Care What are the nursing priorities.