PATIENT PRESENTATION Chief Complaint “My gynecologist said I should have a check-up since I am tired all the time. History of Present Illness Louise Jackson is a 49-year-old woman who presents to her primary care physician after her gynecologist recently diagnosed her with polycystic ovarian syndrome (PCOS) during an evaluation for amenorrhea. She complains of increasing fatigue, which she attributes to being overweight. She states her last appointment with her PCP was over 2 years ago.