Melanie Potter iHuman (48 y/o with fatigue and irritability)

Melanie Potter iHuman (48 y/o with fatigue and irritability)

A previously healthy 48-year-old woman, gravida 2 para 2, presents with complaints of extreme fatigue and mood irritability. She has experienced 12 months of amenorrhea following a period of irregular, infrequent menstrual cycles. Over the past year, she has also had frequent nighttime awakenings accompanied by occasional hot flashes lasting about 5 minutes, an 8-pound weight gain, and gradual development of brittle nails along with vaginal dryness and itching. Her vital signs are stable, and physical examination reveals atrophic changes in the vaginal area, with no other significant findings