[Expert Solution]: Monica is a 43-year-old African- American…

Monica is a 43-year-old African- American G3P2102. She is currentlyseparated from her husband of 20 years and is working full-time as a legal secretary. About 8 monthsago, Monica started having irregular periods with heavier than usual flow until she stopped havingperiods or any vaginal bleeding about 3 months ago. She is currently recovering from a “stomach flu”however, she reports daily nausea, vomiting, bloating and decreased appetite over the past 3 weeks.She is worried because she has gained 12 pounds over the last 3 months “due to menopause”. Shecomes to the clinic today to discuss menopause symptoms and hormone replacement therapy.Prior medical history: Hypertension (2010)- well controlled on current antihypertensivePrior surgical history: Cholecystectomy (2015)Current medications: Lisinopril 10mg daily. Allergies: NoneOB- GYN History: NSVD x 2 (2015, 2019) healthy female 6lb 8oz; healthy female 7lbs 6oz. First trimestermiscarriage (9 weeks) in 2014. Menarche age 15, cycle length-7 days- frequency every 28 days- 5-6 padsper day. No history of sexually transmitted infections (STDs). No history of abnormal pap (last pap 2years ago).LMP: Approximately 3 months ago. Contraception history: Condoms; past use of oral contraceptives.Social history: Lives with her elderly father, 2 daughters. Separated from her husband for 6 months.Family history: Mother deceased (age 60)- breast cancer. Father alive (age 70)- hypertension.Review of Systems (ROS): Unremarkable with exception of as noted in HPI.Physical Exam (PE)VS: BP: 130/78, P: 78, RR: 18, T: 36.1 Weight: 152 lbs.Physical exam is unremarkable with exception of a palpable 12- 14 weeks size uterus on bimanual. Youcheck a for a fetal heartbeat and obtain a heart tone of 145 via doppler. The intake nurse reports that aurine pregnancy test came back positive.Monica is in disbelief. 3 differentials tests needed treatment plan subjective objective