pcos诊疗及英文病例问诊 教程文件.pptVIP

Polycystic ovarian syndrome;Case study_clinical dialogue;Case summary;She also complained about excessive facial hair, which requires her to shave at least once several days, and a lot of hair on her abdomen an arms as well. She denied any change in her voice or increase in the size of her muscles. She has been morbidly obese since she was a young teenager. ;She denied any headaches, blurred vision, or discharges from her nipples. She also denied any hyper- or hypothyroidism symptoms. She has never had any surgery in the past. She was unable to conceive despite one year of actively trying. She is not currently taking any medication and has never used any form of contraception. ;8. Have you noticed any changes on your voice or excessive hair loss? ? ----I dong’t think so . 9. Have you any problems with your thyroid gland? ----Not that I know of . 10. Have you ever experienced something like dry skin fatigue, mood swings or any depression ? ---No, not really 11. what about headaches, vision change, or discharge from your nipples? --no . ;12. Well , let’s talk a little bit about your weight change over time ? ----I have been overweight for most of my life. I was on the heavy side since I was a kid and I gained another 40 to 50 pounds after college(1pounds=0g) . 13. Have you done anything to control your weight? ? ----I am trying to excise and eat healthy , but I havn’t had any type of surgeries .;14. Is there anything else that you would like to talk about? ----Not for now.. 15. Very good,next ,we wuld need to do a physical examination including pelvic ----Alright.;Physical examination including pelvic exam;1. Miss Wang,based on your history and examination today ,you most likely have a condition called PCOS, or polycystic ovarian syndrom. ----What is that? 2. Well ,PCOS is a condition that causes irregular menstrual periods because monthly ovulation is not occurring.In addition, your levels of male hormo