Clippery Slope: A Case Study

Thanks for participating in the week’s discussion. Truly we are left with a small information to solve a huge problem in case scenario #4. I must say in most cases, the challenges in the real word looks similar. Therefore, as an advanced nurse practitioners we should strive to obtain a thorough menstrual, medical, and family history to prevent misdiagnosis. Ideally, menarches start at age 12 years and four months, and secondary amenorrhea should be suspected from performing strenuous exercise (athlete’s amenorrhea), anorexia, bulimia, pituitary lesions, or hereditary conditions (Fenstermacher &Hudson, 2016). In addition, pregnancy should be ruled out although her sexual lifestyle was not documented, and no drug history. However, patient’s height