Which is the most appropriato next step

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Reference no: EM133819681

Problem

A32-year-old woman comes lo tho office because of: a 5-month hislory occasi ional headacho and pain in hor abdomen and oints, She also reports episodes of double vision, bloating. diarrhea, and dyspareunia. Sho has missed several days of work because of these symptoms, The patient previously undenwvent complete gastroenterologic, gynecologic, and neurologic avaluabons, all- 9 which disclosed no abnormalitios. Medical history is remarkable for seasonal allergies treated with diphenhydramine as needed. Menslrual periods are irregular; the patient's last menstrual peniod was 3 wecks ago. Get the instant assignment help. Sho is soxually active with two male partners., Vital signs are temperaturo 37,3*C (99.2'F), pulso 98/min, respirations 16/min, and blood prossure 110/70 mm Hg. Visual acuity is 20/40 In both oyes with corrective lenses Physical examination discloses no abnormalities. Which is the most appropriato next step?

Reference no: EM133819681

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