Scenario: A 22-year-old patient presents to the clinic with secondary amenorrhea

Scenario:
A 22-year-old patient presents to the clinic with secondary amenorrhea

Scenario:
A 22-year-old patient presents to the clinic with secondary amenorrhea for 4 months. She has reported that she gained about 40 pounds in the past 10 months and her period started to become more and more irregular. Onset of menarche was age 13 and has had menstrual cycle from 30-45 days, but lately she’s been having menses every 35-65 days with the latest being 4 months apart. She is unsure of what’s going on. During your physical exam you noted some facial hair and acne. You suspect patient might have PCOS.
Based on your working diagnosis, patient’s HPI, and your physical assessment, create 2-4 page write-up discussing the following information:
Definition of PCOS. What is this condition? Why is this important to address?
Prevalence and risk factors
PCOS can be a risk for developing what types of health complications?
Presentation
Pathophysiology
Physical assessment and testing to confirm diagnosis
Provide at least 1 differential diagnosis and an exam and/or lab test to rule out this diagnosis.
Treatment or management of PCOS for a patient who is currently not planning a pregnancy
Treatment or management of PCOS for a patient who is currently planning a pregnancy
basically almost same information, but for paper portion answering the question in a paragraph from