Module 7 Case: A 32-year-old Female
Module 7 Assignment: Case Study Analysis
An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient.
Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.
An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.
In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factoring in the diagnosis, and you explain the implications to patient health.
To prepare:
For this case study, you will examine a case study and analyze the symptoms presented. You will identify the elements that may be factored in the diagnosis, and you will explain the implications to patient health.
In particular, explain the following:
- The factors that affect fertility (STDs).
- Why inflammatory markers rise in STD/PID.
- Why prostatitis and infection happens. Also, explain the causes of a systemic reaction.
- Why a patient would need a splenectomy after a diagnosis of ITP.
- Anemia and the different kinds of anemia (i.e., micro and macrocytic).
NB: If the bullet point does not respond to your case, please do not address it.
If your last name starts with A-M, please discuss this case.
A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.
Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, ¬ Neuts & Lymphs, sed rate 46 mm/hr, C-reactive protein 67 mg/L CMP wnl
Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2 99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with the reddened cervix and + bilateral adenexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram-negative diplococci.
Rubric
Develop a 3-4 -page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned (omit section that does not pertain to your case, faculty will give full points for that section):
- How do you know/ if I have knowledge of this information? / common knowledge information, you must include references for this statement. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references
- Explain the factors that affect fertility (STDs). The response accurately and thoroughly describes the patient\’s symptoms.
- The response includes accurate, clear, and detailed explanations of the processes related to women\’s and men\’s health, infections, and hematologic disorders and is supported by evidence and/or research, as appropriate, to support the explanation.
- Explain why inflammatory markers rise in STD/PID. The response includes an accurate, complete, detailed, and specific analysis of the concepts and principles of pathophysiology across the life span and is supported by evidence and/or research, as appropriate, to support the explanation.
- Explain why prostatitis and infection happen. Also, explain the causes of a systemic reaction. The response includes an accurate, complete, detailed, and specific explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation.
- Explain why a patient would need a splenectomy after a diagnosis of ITP. The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation.
- Explain anemia and the different kinds of anemia (i.e., micro and macrocytic). The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation.
Please use references that have been published in the past 5 years if possible. Please use primary research and references rather than patient webpages.