HCS 216 Week 4 Reproductive System – Analyzing a Progress Note

HCS 216 Week 4 Reproductive System – Analyzing a Progress Note

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HCS 216 Week 4 Reproductive System – Analyzing a Progress Note

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Reproductive System – Analyzing a Progress Note

Part 1

Using the following progress note, define the bolded terms within the chart provided. 

This patient is being assessed in the office by her OB-GYN.

Progress Note

Patient is a 25 y.o. female that presents for treatment of endometriosis. She has severedysmenorrhea with an abnormal menstrual cycle for 3 years. There is a history of one pregnancy which was ectopic which did not require removal of the fallopian tubes. Anultrasound of the ovaries was performed 1 month prior to rule out ovarian cysts which was negative. Pregnancy test is negative.

Plan: repeat ultrasound, estradiol and progesterone levels. Will discuss possibility ofuterine biopsy and surgical referral.