Female Patient Cases 2
University:
St. Thomas University
Female Patient Cases 2
Paper Instructions
For this Discussion, your instructor will assign you a case number.
- Case 1
- Case 2
- Case 3
Cases
- L.R. is a 28-year-old female patient who was evaluated at the clinic because she presented thin and white vaginal discharged which was increased after sexual intercourse.
- The vaginal discharge has a pH of 5.2, positive KOH test and clue cells (more than 40% of epithelial cells) on microscopic examination.
- O.R. is a 42-year-old female patient that was evaluated by you at the office today. After your evaluation you concluded that she has Toxic Shock Syndrome.
Make a list of minimum 5 Sexually Transmitted Infections (STI’s) with:
Questions for the case
- List your Primary diagnosis with ICD 10 number.
- Discuss three differential diagnoses for AUB with ICD 10 numbers for each.
- Discuss patient education.
- Develop the management plan (pharmacological and nonpharmacological).
- Discuss and described the pathophysiology and symptomology/clinical manifestations of TSS.
- Discuss three differential diagnoses for AUB with ICD 10 numbers for each.
- Discuss patient education.
- Develop the management plan (pharmacological and nonpharmacological).
- Discuss the causative organism for each one.
- Discuss and described the pathophysiology and symptomology/clinical manifestations of each.
- Discuss patient education.
- Develop the management plan (pharmacological and nonpharmacological).
Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case
- An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
- Name the different family developmental stages and give examples of each one.
- Describe family structure and function and the relationship with health care.
NOTE Must use Case #2.
Submission Instructions
Your instructor will assign you your case number and you will post on the case number you have been assigned. Case # 2
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources
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Sample Answer
Toxic shock syndrome (TSS) is related to menstruation and tampon use. Menstrual blood provides a growth medium for Staphylococcus aureus and Streptococcus. Exotoxins produced from the bacteria cross the vaginal mucosa to the bloodstream via microabrasions from tampon insertion or prolonged use (Ishola et al., 2023). The key clinical features of TSS are Fever >102° F; Hypotension < systolic blood pressure 90mm Hg or orthostatic syncope; Diffuse rash similar to sunburn; Peeling of skin in the soles of the feet and the palms of the hands, which occurs 1 to 2 weeks after onset of the illness.
The differential diagnoses for AUB are Menorrhagia (N92. 0), Irregular menstruation with breakthrough bleeding (N92.6), and Adenomyosis (N80. 03). Menorrhagia is heavy menstrual flow with blood loss greater than 80 mls and prolonged menstrual periods but occurs in regular intervals. Breakthrough bleeding occurs due to a high progesterone/estrogen ratio. This leads to an atrophic and ulcerated endometrium due to a lack of estrogen, causing frequent, irregular bleeding. Adenomyosis is characterized by painful menstrual bleeding, heavy menstrual flow, pelvic pain, and uterine enlargement (Pados et al., 2023).
Patient education for a patient with DUB includes enlightening the patient on the role of oral contraceptive pills (OCPs) in managing dysfunctional bleeding (Achanna & Nanda, 2022). The management plan for AUB should include Combined oral contraceptives to reduce menstrual loss and Iron supplements if a patient has a low hemoglobin level.
Health assessment should incorporate a patient’s physiological, mental, social, cultural, and spiritual parameters. Cultural assessment should include ethnic/racial background, major beliefs and values, health beliefs and practices, language barriers, and communication styles. Spiritual assessment should include a patient’s spirituality and religion, including spiritual beliefs that will affect the health care received.
The family developmental stages include:
- Beginning family- Establishing a marriage.
- Early childbearing family- Father, mother, and infant.
- Family with pre-school children
- Family with school-aged children
- Family with teenager(s)
- Launching family- Releasing children as young adults
- Middle-aged family
- Aging family- Adjusting to retirement
A family structure is composed of two or more people who are emotionally involved with one another and live in close geographical proximity (Feinberg et al., 2022). A family’s relationship with healthcare includes Health promotion, Health, and illness decision-making, Recognition of health disruption, First aid, Supervision of medications, Illness care, Rehabilitation, and involvement with community health.
References
- Achanna, K. S., & Nanda, J. (2022). Evaluation and management of abnormal uterine bleeding. The Medical Journal of Malaysia, 77(3), 374–383.
- Feinberg, M., Hotez, E., Roy, K., Ledford, C. J. W., Lewin, A. B., Perez-Brena, N., Childress, S., & Berge, J. M. (2022). Family Health Development A Theoretical Framework. Pediatrics, 149(Suppl 5), e2021053509I. https //doi.org/10.1542/peds.2021-053509I
- Ishola, F., Mangat, G. K., Martinez, K., Mohammed, Y. N., & McKany, M. (2023). Atypical Case Presentation of Toxic Shock Syndrome. Cureus, 15(8), e44429. https //doi.org/10.7759/cureus.44429
- Pados, G., Gordts, S., Sorrentino, F., Nisolle, M., Nappi, L., & Daniilidis, A. (2023). Adenomyosis and Infertility A Literature Review. Medicina (Kaunas, Lithuania), 59(9), 1551. https //doi.org/10.3390/medicina59091551
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