1) Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. 2) Also, answer the following question in a separate small paragraph with one reference. Question: She does not have insurance how much is an IUD? Discussion Family Medicine 32: 33-year-old with painful cycles During the interview and health history taking for dysmenorrhea, it is important to inquisitive about the presenting symptoms. This would include the relationship of symptoms to the start and ending of menstrual cycle, characteristics of the pain and relieving factors (if there are any), amount of bleeding that is experienced, report of fevers accompanying the symptoms, STI and sexual history, pain with intercourse, chronic diseases and medications the patient is taking, including over the counter medications (Hawkins, Roberto-Nicholas & Stanley-Haney, 2020). Patients with dysmenorrhea can have a multitude of symptoms that may be present. Throbbing, aching, persistent pain in the lower abdomen that can radiate to the back are the most common symptom presentation. Patients’ pain usually begins 1-3 days before menses and peaks around 24 hours after the onset. Pain can continue up to 3 days after the beginning of menses (Hawkins, Roberto-Nicholas & Stanley-Haney, 2020). Diagnostic tests that can be conducted include chlamydia, gonorrhea and/or wet mount screening if appropriate. The primary diagnosis would be primary dysmenorrhea with differential diagnosis including: endometriosis, ovarian cysts and intrauterine polyps. The first line treatment for dysmenorrhea would be an NSAID. NSAIDs should be started at the start of menses and can continue taking them up to two days into the menstrual cycle. Cyclic combined hormonal contraceptives can also be used as second line treatment. Heat application and education on premenstrual guidelines for diet and other recommendations can also be used. The patient should have yearly physicals conducted and pap smears per established guidelines (Hawkins, Roberto-Nicholas & Stanley-Haney, 2020). Hawkins, J., Roberto-Nicholas,D. & Stanley-Haney, J. (2020). Guidelines for nurse practitioners in gynecologic settings (12th ed.). Springer Publishing. ISBN-13: 9780826173263 less
2 pages Yoga assignment : APA formmat Select one of the Yamas (Ahimsa, Satya, Asteya, Brahmacharya, Aparigraha...
Running Head: ANALYSIS OF TOYOTA FINANCIAL STATEMNET AND COSTINGSYSTEMSAnalysis of Toyota financial statement and their costing systemNameInstructorC...
Determine the necessary inputs and the desired outputs of your proposed project in at least 300 words and write a conclusion...
History and evolution of information systemsMEBC 1020 – History and evolution of information systems (1.1 Forum)History and evolution...
Sovereign citizens are extremists who believe in a type of alternate government (Berger,1, 2016). Because they do not conform to the ways of the Unit...
Complete the following textbook problems:Ch. 17, p.493, # 1Ch. 17, p.494, # 7Ch. 17, p.494, # 11...
The house was a mansion, chandlers balconies, indoor and outdoor swimming pools, something we coul...
Akamai - Pages 178-181
https://www.akamai.com/ Case Chapter Reference:
Chapter 3: E-Commerce...
a. Using the data in the table above, GDP is equal
to _______.b. Using the data in the table above, NX (Net
exports) i...
You are to select 1 business that does not already have a Web site, and develop an Internet strategy for it. Most large...
Project Technology Governance PlanResources: Baltzan, P., and Phillips, A. (2015). Business Driven Inform...
InstructionsFor this assignment, you will continue to work with the scenario you began in Chapters 1-5. Reread the information fr...
Other samples, services and questions:
Calculate Price
When you use PaperHelp, you save one valuable — TIME
You can spend it for more important things than paper writing.
