Chief Complaint: “I bleed for a long time whenever I get my periods”
History of Present Illness: The patient is a 36-year-old Caucasian woman who presents to the clinic today complaining of excessive bleeding for the past two consecutive months compared to her previous menstrual cycles. Her period normally occurs every 28 days and lasts for 5 to 6days, but she states that the last two recent cycles had lasted approximately 10 days. The current two cycles consist of moderate bleeding for eight days followed by light bleeding for the two days. She does not know what brought on the abnormal bleeding, but notes that it started about three months ago after she was in a motor vehicle accident. She was a restrained passenger in a “severe” automobile accident on a highway with an estimated speed of approximately 70-75 mph about 2 months ago. After seeking emergent care, she was prescribed heparin injection to be done at home for a period of three month after surgery. She complains that her current symptoms are beginning to interfere with her daily activities and she is concerned that her IUD may be causing her to bleed. She has not tried any over the counter medication to control the bleeding. She denies fever, nausea and vomiting. Denies headache or dizziness. Denies bruising or hemoptysis, denies any recent weight loss or pelvic pain, no associated chest pain or shortness of breath. …show more content…
Last menstrual period 10/26/2017, she describes it as heavy flow, lasted 10 days
2. Last pap-smear 7/2016, normal
3. Menarche: Age 14
4. First sexual encounter at age 17, sex with men, identifies as heterosexual.
Current Health Status:
• Allergies: No known drug allergies. Denies food, animals and latex
History of Present Illness: The patient is a 36-year-old Caucasian woman who presents to the clinic today complaining of excessive bleeding for the past two consecutive months compared to her previous menstrual cycles. Her period normally occurs every 28 days and lasts for 5 to 6days, but she states that the last two recent cycles had lasted approximately 10 days. The current two cycles consist of moderate bleeding for eight days followed by light bleeding for the two days. She does not know what brought on the abnormal bleeding, but notes that it started about three months ago after she was in a motor vehicle accident. She was a restrained passenger in a “severe” automobile accident on a highway with an estimated speed of approximately 70-75 mph about 2 months ago. After seeking emergent care, she was prescribed heparin injection to be done at home for a period of three month after surgery. She complains that her current symptoms are beginning to interfere with her daily activities and she is concerned that her IUD may be causing her to bleed. She has not tried any over the counter medication to control the bleeding. She denies fever, nausea and vomiting. Denies headache or dizziness. Denies bruising or hemoptysis, denies any recent weight loss or pelvic pain, no associated chest pain or shortness of breath. …show more content…
Last menstrual period 10/26/2017, she describes it as heavy flow, lasted 10 days
2. Last pap-smear 7/2016, normal
3. Menarche: Age 14
4. First sexual encounter at age 17, sex with men, identifies as heterosexual.
Current Health Status:
• Allergies: No known drug allergies. Denies food, animals and latex