How to Answer History Present Illness Questions (Complete Guide)

This question focuses on applying theory to practical scenarios.

What This Question Is About

This question relates to history present illness and requires a structured academic response.

How to Approach This Question

Focus on explaining concepts clearly and supporting them with examples.

Key Explanation

This topic involves history present illness. A strong answer should include explanation, application, and examples.

Original Question

History of present illness: Patient N.B., a 43-year-old Asian, come to the clinic referred by primary provider because of heavy menstruation which started several months ago, patient stated that she was menstruating regularly, however its heavy that last 5 days with clots, and she became anemic that cause her hemoglobin drop to 8g %, patient did not bring the previous lab result. Patients then verbalized pelvic pain 8/10 in pain scale, like squeezing, crampy type every time she has menstruation more on her right lower abdomen to be exact. She was seen by previous OB-gyn and prescribed Provera 10 mg one tablet by mouth once a day for 10 days for heavy menses 2 months ago and per patient menstruation a little bit better, not heavy but still have pelvic pain , she took Advil, and the pain comes occasionally but not severe. Patient has previous ultrasound from 10/18/2023 which revealed heterogenous uterus posterior surface of uterus as ill-defined mass suspected either from endometrium or myometrium, nature is unknown, both ovaries were normal, at the time endometrium was 4-5mm. Vitals sign: BP: 109/65, HR 71, Temp: 97.4, RR:19, weight 109 lbs, height 59.0 inches. primary diagnosis and diffrential

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