Osteoporosis

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My patient is a 55-year-old woman presenting to the clinic complaining of episodes of feeling “hot and sweaty” during the day and is waking up at night soaked with perspiration. Because her sleep is so disrupted, she is tired all day and is having trouble concentrating at work. She says that the episodes are becoming unbearable and is seeking treatment for them. In a very thorough assessment I will gain information in regards to possible Osteoporosis.
To help collect data in exploring the possibility of menopause I would ask M.B. three questions:
1. To start out I would need to ask when the first day of her last menstrual cycle was and if she’s been experiencing any irregularities. “Menopause starts gradually and is usually associated with changes in menstruation, including menstrual flows that are increased, decreased, and/or irregular.” (Lewis, Dirksen, Heitkemper, Bucher & Camera, 2011, p. 1354)
2. Also assessing if she’s had any gynecological surgeries throughout her life is beneficial in seeing if her symptoms are possibly related to menopause. These surgeries would include a...

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