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DISCUSSION 1 Select one of the following case studies to address . In the subject line of your post , please identify which prompt you

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DISCUSSION 1 Select one of the following case studies to address . In the subject line of your post , please identify which prompt you are responding to, for example, #1 Maria, 49yearold female, annual exam . Discuss what questions you would ask the patient , what physical exam elements you would include , what further testing you would want to have performed ,differential and working diagnosis , treatment plan , including inclusion of complementary and OTC therapy , referrals and other team members needed to complete patient care . Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence -based research in support of your ideas . 1. Maria , a 49 -year -old female ,presents to at the clinic for her annual physical exam . Her history notes she is GSPS , all NSVDs without pregnancy or delivery complications .Her LMP was two months ago , but her periods have recently become irregular over the last year. She has been separated from her husband for two years and has not been sexually active since the separation . Maria had a bilateral bunionectomy at age 25. Maria's mother is 57 years old and has HTN since age 55. Maria's father died from colon cancer 10 years ago at age 57. Maria's VS are WNL and her BMI is 28. She reports no current health complaints or problems except for some mild right knee pain for which she occasionally takes ibuprofen with relief . Her last Pap smear was negative seven years ago and she has never had a mammogram \" Based on this information , what will you perform and order today for Maria as part of her annual PE ? ' What is your rationale for ordering those tests , and why ? Please refer to evidence -based guidelines to support your decision -making for this scenario . 2. Denise , a 19 -year -old female presents to the clinic for an annual physical exam . She is GOPO , and for six months has been using the Mirena IUD for contraception and to help her manage her menorrhagia and dysmenorrhea . She is now experiencing amenorrhea as a normal side effect of the Mirena IUD . She and her boyfriend broke up four months ago and she has had two new male

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