WEEK ONE DIS ONE NR508 ADVANCED PHARMACOLOGY 2
week one dis one nr508 advanced pharmacology
Emily, a relatively healthy 5’5”, 32-year-old young woman weighing 190 pounds, presents to
your clinic with hirsutism, anovul
...
WEEK ONE DIS ONE NR508 ADVANCED PHARMACOLOGY 2
week one dis one nr508 advanced pharmacology
Emily, a relatively healthy 5’5”, 32-year-old young woman weighing 190 pounds, presents to
your clinic with hirsutism, anovulation, oligomenorrhea, and at times amenorrhea. Biochemical
blood tests reveal elevated luteinizing hormone (LH, without a mid-cycle surge) and androgen
elevation.
She mentions that she also has a family history of irregular cycles, and that her grandmother
experienced early menopause. She also states that she is sexually active, occasionally smokes
(1 pack/month), and desires to be prescribed one medication to mitigate her symptoms, as well
as, prevent her from becoming pregnant.
Please provide a list of differential diagnoses, as well as an indication of your primary
diagnosis.
Once this has been completed, please indicate and describe your chosen
pharmacological treatment with inclusion of dose and mechanism of action of your
chosen prescription.
Dr. Turpin and Classmates,
Primary Differential Diagnosis #1: Polycystic Ovarian Syndrome. Polycystic Ovarian
Syndrome (PCOS) is characterized by an imbalance of sex hormones (androgens) combined with
irregular periods, hirsutism, and obesity with possible infertility and potential ovarian cysts.
With the advent of epidemic obesity and its relationship with metabolic syndrome as well as
insulin resistance more research has been focused on PCOS as it relates to the pathology of this
disease process. In the past PCOS was dealt with by specialists but it is now seen most often in
the primary care offices for more aggressive treatment.
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