Understanding PCOS - A Case Study
Explore the case study of a 26-year-old woman presenting with symptoms of PCOS including excessive hair growth and prolonged bleeding. Learn about her medical history, menstrual cycles, and lifestyle factors influencing her condition.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
Patient Details Name: Age: Residence: Education: Occupation: Husband: Age: Education: Occupation: SES: Mrs. X, 26 years Attebele, 12thstandard, Housewife Mr Y, 30 years Graduate, Accountant (Private company), Upper middle class
Chief Complaints Excessive facial & body hair growth - 3 m Prolonged bleeding - 15 days. Giddiness 1 day
Presenting illness Prolonged bleeding - 15 days. Clots + No Dysmenorrhoea Previous cycles: 6-8 / 45-60d, Irregular, Increased facial hair growth for which has taken lazer treatment. No history of similar illness in the past
History of presenting illness No h/o acne, hair loss, change of voice No h/o cold intolerance, constipation No h/o nipple discharge, visual disturbances No h/o decreased libido No h/o extreme exercise
Menstrual & Obstetrics History Menarche-12 years, Previous Menstrual cycles: 6-8 / 45-60 d, Irregular Using 3-4 pads per days, Not associated with clots and dysmenorrhea. Nulligravida
Marital history Married since 2 years, Non consanguinous marriage Presently not planning for children.
Past history Not a k/c/o hypertension, diabetes mellitus, tuberculosis, bronchial asthma, epilepsy Not a k/c/o thyroid disorders or any chronic illnesses No h/o drug allergy No h/o any surgeries in the past
Family history: Both parents have diabetes mellitus well controlled on medication No history of infertility in the family (one elder brother only)
Personal history Mixed diet Appetite and sleep normal Sedentary lifestyle Weight gain of 5 kgs over 6 months Normal bowel and bladder habits Coital history:Normal, not using contraception. Does not smoke, no alcohol
General physical examination Patient is sitting comfortably on bed, Average built, well nourished. She is conscious, co-operative and well oriented to time, place and person Height 156cm Weight 64.5kg BMI 26.5kg/m2 Waist circumference 90cm
General Physical Examination PR 88/min, regular rhythm, normal character and volume BP 122/74 mmHg, measured in left upper arm, sitting position RR 16/min, regular Temperature afebrile No pallor, icterus, cyanosis, clubbing, lymphadenopathy, pedal edema
General Physical Examination Facial hair +(upper lip, chin) Modified Ferriman gallwey score - 8 (upper lip, chin, chest and abdomen) Acanthosis nigrans+ B/L breast- normal, no discharge, Tanner V Thyroid normal Spine and gait normal Scalp hair normal
Systemic examination CNS no focal neurological deficits CVS No abnormality detected. RS B/L normal vesicular breath sounds heard, no added sounds
Abdomen examination Inspection Abdominal obesity + Umbilicus central and inverted Coarse hair growth seen over midline from xiphisternum to pubic symphysis All quadrants move correspondingly with respiration No visible scars, sinuses or dilated veins
Abdomen examination Palpation No local rise of temperature Soft, non tender No mass palpable No organomegaly Percussion Tympanic note heard all over abdomen Auscultation Normal bowel sounds heard
Abdomen examination Per Speculum Examination Cervix and vagina appears healthy Minimal bleeding present from the os Bimanual Pelvic Examination Uterus is normal in size, Anteverted, Mobile, Fornices free, no mass, no tenderness. No cervical motion tenderness
Summary 26 year old Housewife with AUB under evaluation She is an obese lady with prolonged cycles, excessive facial hair growth, mFG 8, no known medical/ surgical history, systemic and abdominal examination normal
Provisional Diagnosis AUB under evaluation ?PCOS
Investigations Urine Pregnancy Test:Negative Complete hemogram Normal OGCT: 108mg/dl TSH:3.53 IU/mL PRL:18.5 ng/ml Ultrasound:Bilateral PCOs,Uterus Normal,AF s 20-25 on both sides,ovarian volume RO: 29.6cc and LO:22.2cc.
