• CASE STUDY: 21 year old Filipino college student living in a dorm wanting to know what birth control is and what are good options for her (Last Names M through Z).
• Identify the patient’s chief complaint.
• Identify what physical exams and diagnostic tests would be most appropriate to gather more information about the patient's condition. Be specific and explain your reasoning.
• Explain how the results would be used to make a diagnosis.
• Identify three to five (3–5) possible conditions that may be considered in a differential diagnosis for the patient. Explain your thinking.
Full Answer Section
- Reviewing past medical history: Checking for any underlying health conditions that might influence birth control choices.
- Blood pressure measurement: Standard for some hormonal birth control methods.
- Pelvic exam (optional): This can be done at the patient's discretion, especially if she has concerns about vaginal health or plans for a Pap smear during the visit.
Using the Information for Diagnosis:
Since the patient doesn't present any specific medical complaints related to birth control, the focus is on gathering information to recommend the most suitable method. A healthcare provider will likely ask questions about:
- Menstrual cycle: Regularity, duration, and flow.
- Sexual history: Frequency, number of partners, and risk assessment for sexually transmitted infections (STIs).
- Medical history: Existing medical conditions and medications.
- Lifestyle factors: Smoking habits and preferences for convenience and effectiveness.
This information helps the healthcare provider:
- Rule out any medical contraindications: Certain medical conditions might make some birth control methods unsuitable.
- Assess risk factors for complications: Certain factors might influence the choice of birth control method (e.g., smoking and increased blood clot risk).
- Determine desired features: The patient's preferences regarding ease of use, effectiveness, and side effects will be considered.
Differential Diagnosis (Not Applicable Here):
In a typical medical case, a differential diagnosis involves considering several possible conditions that might explain a patient's symptoms. However, in this scenario, there's no diagnosis to be made. The focus is on providing information and recommending suitable birth control options based on the patient's individual needs and preferences.
Conclusion:
A healthcare provider can recommend appropriate birth control methods for the patient based on a conversation about her medical history, lifestyle factors, and desired features in a contraceptive method. No physical exams or diagnostic tests are typically required in a healthy young woman with no specific concerns.
Sample Answer
Case Study: Birth Control Options for a College Student
Chief Complaint:
The patient's chief complaint is wanting to know about birth control methods and suitable options for her situation.
Physical Exams and Diagnostic Tests (Not Necessary in this Case):
In this case, a physical exam and diagnostic tests are not typically necessary to determine suitable birth control options for a healthy young woman with no specific medical concerns. However, a healthcare provider may perform a brief physical exam in some situations, such as: