Final answer:
In this case, emergency orders would include a pelvic exam and blood tests. The physical exam would involve a pelvic exam and checking for signs of hormonal imbalance. Diagnostic tests may include blood tests and an ultrasound. Therapy options could include hormonal contraceptives and NSAIDs. The location for this would be the student health center. The final order would involve providing a diagnosis and treatment plan. A possible diagnosis would be polycystic ovary syndrome (PCOS).
Step-by-step explanation:
Emergency orders:
- The doctor should perform a pelvic exam to assess for any abnormalities.
- The doctor should order blood tests to check hormone levels and rule out any underlying conditions.
Physical Exam:
- The doctor should perform a pelvic exam to assess the condition of the reproductive organs.
- The doctor should also check for any signs of hormonal imbalance, such as excess facial hair or acne.
Diagnostic tests:
- Blood tests should be ordered to measure hormone levels and rule out any underlying conditions.
- An ultrasound may be recommended to evaluate the structure of the reproductive organs.
Therapy:
- Treatment options may include hormonal contraceptives to regulate the menstrual cycle.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to reduce heavy bleeding and alleviate cramping.
Location:
- The student health center on Gabrielle's college campus.
Final order:
- The doctor should provide Gabrielle with a diagnosis and treatment plan based on the results of the diagnostic tests.
Dx:
- Possible diagnosis could be polycystic ovary syndrome (PCOS), which is a hormonal disorder that can cause irregular and heavy menstrual bleeding.
- Further tests would be needed to confirm the diagnosis.