The factors that affect fertility (STDs).

In  this Week  you will have a case study. 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.

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, has begun to have LLQ pain and notes bilateral lower back pain. And 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 reddened cervix and + bilateral adenexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram negative diplococci.

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 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).

If the bullet point does not respond to your case, please do not address it.

Assignment (3- to 4-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

• Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.

• Any racial/ethnic variables that may impact physiological functioning, How these processes interact to affect the patient.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements


Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

Written Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation.

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list

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