NR 601 iHuman Week 6 Heather Stanton

CC: 48 y/o with fatigue & irritability

Heather Stanton iHuman week 6

iHuman Heather Stanton Preview

A previously healthy 48-year-old woman, gravida 2 para 2, presents with complaints of significant fatigue and mood irritability. She has experienced 12 months of absent menstruation following a period of irregular, infrequent menstrual cycles. Over the past year, she has also noticed frequent nighttime awakenings accompanied by brief hot flashes lasting about five minutes, an 8-pound weight gain, gradual development of brittle nails, and symptoms of vaginal dryness and itching. Her vital signs are stable, and physical examination reveals vaginal atrophy, with no other notable findings.