Case 2: D.R., a 51-year-old woman, has been having sudden feelings of warmth over her chest accompanied by a patchy flushing of her skin and increased sweating for the past month, especially after...

Please quickly


Extracted text: Case 2: D.R., a 51-year-old woman, has been having sudden feelings of warmth over her chest accompanied by a patchy flushing of her skin and increased sweating for the past month, especially after drinking coffee or wine or if she is upset. She now visits her physician because she has been waking up shivering from a perspiration-drenched gown nightly for the past week. D.R. does not take any medications. She has not had a menstrual period for at least 6 months; her physical examination was normal for a 51-year-old woman. 1. What is the possible problem/diagnosis in D.R.? D.R. has tried lifestyle modifications for management of her hot flushes without much relief. Her physician is recommending hormone therapy. 2. What are the possible risks with hormone therapy? 3. Name two the estrogen and progesterons used in hormone replacement therapy.


Extracted text: 4. Should she be started on estrogen alone/ combination of estrogen and progesterone? State the reason. 5. What are the contraindications for the starting ET/EPT? Does the patient have any contraindications for ET/EPT?