Reference no: EM132890842

Patient Name:Fiona Miller

Date of Birth:4/13/1994

Clinical Notes: Patient reports to the clinic with increasing dysmenorrhea. She describes the pain as cyclical, increasing in intensity during menstruation. The pain started as mild cramps several years ago, but has progressively become more severe and is now debilitating. The patient denies any abnormal vaginal discharge.

Current vital signs: BP 110/82, HR 68 bpm, Temperature 98.4°F
Her gynecologist completes a pelvic exam and notes no structural abnormalities of the vagina or cervix. The gynecologist suspects endometriosis or polycystic ovarian syndrome and recommends imaging studies for diagnosis and treatment.

Discussion 1: Why would the physician order imaging tests instead of lab tests?

Discussion 2: If Ms. Miller has polycystic ovarian syndrome, what other symptoms might you expect her to exhibit?

Discussion 3: Ms. Miller's MRI report shows lesions surrounding the ureters, round ligaments, and bladder. Which of the physician's diagnoses is correct and why?

Discussion 4: Why might hormonal birth control be a good treatment option for Ms. Miller?

Discussion 5: Should Ms. Miller be concerned about her chances of becoming pregnant in the future? Why or why not?