1
Week 9 Discussion Post
1 CASE
STUDY
A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on
yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats,
and genitourinary symptoms. She had felt well until one month ago, and she presented to her
gynecologist for her annual GYN examination and to discuss her symptoms. She has a history of
ASCUS about five years ago on her pap; other than that, Pap smears have been normal. Home
medications are Norvasc 10 mg QD and hydrochlorothiazide (HCTZ) 25 mg QD. Her BP today
is 150/90. She has regular monthly menstrual cycles. Her LMP was one month ago.
The advanced practitioner will encounter patients that have signs and symptoms that could
be multiple diagnoses, and the practitioner must find the underlying cause of the symptoms to
treat the patient successfully. Based on the information provided in the scenario the patient could
be experiencing early phase of the menopausal transition, causing her signs and symptoms.
However, the patient’s hypertension is uncontrolled, and her weight should be addressed. The
advanced practitioner provides holistic treatments to the patient; pharmacotherapeutics and
therapies should be addressed to improve the patient’s health care.
Page 1 of 6
, 2
2 PHARMACOTHERAPEUTICS
The early phase of the menopausal transition is entered when a woman with a previously
regular cycle experiences irregularity in her intermenstrual interval of 7 days or more (Santoro &
Johnson, 2019). With the LMP being a month ago the practitioner should ask the patient to give a
Page 2 of 6
Week 9 Discussion Post
1 CASE
STUDY
A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on
yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats,
and genitourinary symptoms. She had felt well until one month ago, and she presented to her
gynecologist for her annual GYN examination and to discuss her symptoms. She has a history of
ASCUS about five years ago on her pap; other than that, Pap smears have been normal. Home
medications are Norvasc 10 mg QD and hydrochlorothiazide (HCTZ) 25 mg QD. Her BP today
is 150/90. She has regular monthly menstrual cycles. Her LMP was one month ago.
The advanced practitioner will encounter patients that have signs and symptoms that could
be multiple diagnoses, and the practitioner must find the underlying cause of the symptoms to
treat the patient successfully. Based on the information provided in the scenario the patient could
be experiencing early phase of the menopausal transition, causing her signs and symptoms.
However, the patient’s hypertension is uncontrolled, and her weight should be addressed. The
advanced practitioner provides holistic treatments to the patient; pharmacotherapeutics and
therapies should be addressed to improve the patient’s health care.
Page 1 of 6
, 2
2 PHARMACOTHERAPEUTICS
The early phase of the menopausal transition is entered when a woman with a previously
regular cycle experiences irregularity in her intermenstrual interval of 7 days or more (Santoro &
Johnson, 2019). With the LMP being a month ago the practitioner should ask the patient to give a
Page 2 of 6
