Polycystic Ovarian Syndrome (PCOS) Analysis
Polycystic Ovarian Syndrome (PCOS) Analysis
Polycystic Ovarian Syndrome (PCOS) Analysis
DISCUSSION POST Reply
A 35-year-old female presents to the clinic after months of difficulty with excessive hair on the back and face, weight gain, in addition to struggling to getting pregnant.
Diagnostic: Polycystic Ovarian Syndrome (PCOS)
PCOS is a condition in which the ovaries are producing abnormal amount of male androgens or sex hormones that are usually present in women in small amounts. The name polycystic ovary syndrome describes the numerous small cysts (fluid-filled sacs) that form in the ovaries.
Diagnostics and Testing
· Pelvic Exam
· Blood test for hormone levels (FSH 3-9 mlU/ml, LH 2-10 mlU/ml, Estradiol 27-161 pg/ml)
· Pelvic Ultrasound- indication for polycystic ovarian syndrome, making it more difficult to become pregnant.
· Fasting cholesterol and triglyceride levels (<200 mg/dl LDL, >50mg/dl HDL)
· Glucose Tolerance test (>100 mg/dl)
Management
· According to Cash et al. (2021), positive RSV, consult to a physician for Palivizumab (Synagis) immunoprophylaxis is expensive and limited for infants with a viral infection
· Bronchodilators and antibiotics are not helpful in patients with RSV.
· Most RSV infections go away on their own in a week or two.
· Symptomatic treatment Tylenol syrup (160mg/5ml) – 2.5ml, 4-6 hours for fever as needed but no four doses in 24 hours.
· Humidifier o2-2lit/minute if needed. (IF Spo2<92%)
· Nasal saline three drops in each nostril while supine PRN to relives dryness of nasal mucosa.
· Hospital-grade nasal suction bulb for aspirations
· Good hand hygiene practice, reducing home environment pollution and parentral smoking and Respi isolations
· Encourage with exclusive breastfeeding and adequate complementary feeding and nutrition and adequate hydration
· Calm and Comfort environment for to get adequate Rest and sleep.
· Make sure compliance with immunization according to CDC guideline (2023) of Hib, RV,Hep-B, DTaP,PCV,Cvid 19,and influenza to prevent Penumonia in children
· Give a f/u call in 12-24 hours to check the Feeding and respiratory status of the child. Follow up in 1-2 weeks
