Case Study Analysis

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Case study Analysis

Please do the assignment within the 2-page limit asked for Assignment (1- to 2-page case study analysis)

Your Case Study Analysis is related to the scenario provided. You need at least 3 primary references, points supported by citation and associated current, primary reference provided after each essay. Textbook readings are very helpful.

 

Scenario 1: 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. The pelvic exam demonstrates copious foul-smelling green drainage with the reddened cervix and + bilateral adnexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram-negative diplococci.

The case reflects PID. One would suspect the patient is not forthcoming or the husband is not monogamous.

 

1. The factors that affect fertility (STDs).

2. Why inflammatory markers rise in STD/PID.

3. Why infection happens.

4. Explain the causes of a systemic reaction from infection (Lab values, Vital Signs, physical presentation, and exam). 

 

Required Reading:

  • McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
    • Chapter 24: Structure and Function of the Reproductive Systems (stop at Tests of reproductive function); Summary Review
    • Chapter 25: Alterations of the Female Reproductive System (stop at Organ prolapse); pp. 787–788 (start at Impaired fertility) (stop at Disorders of the female breast); Summary Review
    • Chapter 26: Alterations of the Male Reproductive System (stop at Hormone levels); Summary Review
    • Chapter 27: Sexually Transmitted Infections, including Summary Review
    • Chapter 28: Structure and Function of the Hematological System (stop at Clinical evaluation of the hematological system); Summary Review
    • Chapter 29: Alterations of Erythrocytes, Platelets, and Hemostatic Function, including Summary Review
    • Chapter 30: Alterations of Leukocyte and Lymphoid Function, including Summary Review
  • Low, N. & Broutet N. J. (2017). Sexually transmitted infections – Research priorities for new challengesLinks to an external site.. PLoS Medicine, (12), e1002481

Kessler, C. M. (2019). Immune thrombocytopenic purpuraLinks to an external site.. Retrieved from https://emedicine.medscape.com/article/202158-overview

Nagalia, S. (2019). Pernicious anemiaLinks to an external site.. Retrieved from https://emedicine.medscape.com/article/204930-overview#a3

Stauder, R., Valent, P., & Theurl, I. (2019). Anemia at older age: Etiologies, clinical implications and managementLinks to an external site.. Blood Journal, 131(5). Retrieved from http://www.bloodjournal.org/content/131/5/505?sso-checked=true

Credit Line: Anemia at older age: Etiologies, clinical implications and management by Stauder, R., Valent, P., & Theurl, I., in Blood Journal, Vol. 131/Issue 5. Copyright 2019 by American Society of Hematology. Reprinted by permission of American Society of Hematology via the Copyright Clearance Center.

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