O Menopausal Symptoms

• Vasomotor symptoms (hot flashes, night sweats)

• Irregular menses

• Episodic amenorrhea

• Sleep disturbances

• Vaginal dryness

• Depression

Less Common Symptoms

• Irritability

• Arthralgia

• Myalgia Diagnosis

• Amenorrhea for 1 year

• Fivefold increase in LH

Patient Encounter, Part 2: Medical History, Physical Exam, and Diagnostic Tests

BW's work-up reveals the following additional information:

PMH: Osteoarthritis of the lower back for 5 years controlled on acetaminophen 500 mg two tablets by mouth 3 to 4 times daily; hypothyroidism since age 25, currently controlled

FH: Father: Alive with HTN and CHD (MI at age 60). Mother: Alive with hypothyroidism and GERD. Siblings: Two sisters alive and well

SH: Occupation: nurse; nonsmoker; drinks one to two glasses of red wine with dinner on the weekends; denies illicit drug use

Meds: Acetaminophen 500 mg two tablets by mouth 3 to 4 times daily; synthroid 0.075 mg by mouth once daily; multivitamin by mouth once daily

ROS: (+) hot flashes, night sweats, vaginal dryness and itching; (+) insomnia, myalgias, bowel changes, weight gain, constipation

Anxiety and Depression 101

Anxiety and Depression 101

Everything you ever wanted to know about. We have been discussing depression and anxiety and how different information that is out on the market only seems to target one particular cure for these two common conditions that seem to walk hand in hand.

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