Cardiac dysrhythmlas 67) 67. The wife of a client who

C.F is 48 year old G2P2 retired female presenting today with complaints of persistent fatigue and irritability accompanied by episodic night sweats, frequent nightime awakenings, mood swings, and vaginal dryness and itching. She reports no PMH or active medical problems. Last annual physical exam was 11 months ago and was noted for irregular menstrual cycles and sporadic temperature dysregulation. PFH includes father alive with HTN and MDD. Mother past 2 years ago from diabetes complications, CAD, and OSA.Sister is alive with type 2 diabetes, retina disorder and hypothyroidism. Brother is a live with HTN and non-hodgkins lymphoma. Son has generalized anxiety disorder and daughter has no medical issues. On physical examination, C.F appears slightly unkempt, fatigued and irritable. Thyroid lacks enlargement, asymmetry, nodules. Nails on toes and fingers are brittle. Gradual 8-pound weight gain within the past year.Immunizations are up to date. Vitals signs are stable.

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."