Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

Advance health Module 7 Discussion

Case#2

Complain: I have pain during intercourse and urination”

History of illness: A 19-year-old female reports to you that she has “sores” on and in her vagina for the last three months.

Drug History: She tries to practice safe sex but has a steady boyfriend and figures she doesn’t need to be so careful since she is on the birth control pill

Subjective: states “I have sores and bumps on the inner creases of my thighs and pelvic area”. “There is yellowish discharge from the sores that comes and goes”

Vitals: temperature: 100.2°F; pulse 92; respirations 18; BP 122/78; weight 156 lbs, 25 lbs overweight; height 5′3″

General: patient appears to have good hygiene; minimal makeup, pierced ears, no tattoos; well nourished (slightly overweight); no obvious distress noted

HEENT: Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.

Lungs: within normal limits, appropriate lung sounds auscultated, clear and equal bilaterally

Cardio: S1S2 without rub or gallop

Breast: INSPECTION: no dimpling or abnormalities noted upon inspection
• PALPATION: Left breast no abnormalities noted. Right breast: denies tenderness, pain, no abnormalities noted.

Lymph: Inguinal Lymph nodes: tenderness bilaterally, numerous, 1 cm in size

Abd: tender during palpation; the left lower quadrant was very tender during palpation; patient denies nausea or vomiting

GU: labia major and minor: numerous ulcerations, too many to count; some ulcerations enter the vaginal introitus; no ulcerations in the vagina mucosa; cervix is clear, some greenish discharge; bimanual exam reveals tenderness in left lower quadrant; able to palpate the left ovary; unable to palpate the right ovary; no tenderness; uterus is normal in size, slight tenderness with cervical mobility

MS: Muscles are smooth, firm, symmetrical. Full ROM. No pain or tenderness on palpation.

Neuro: No obvious deficits and CN grossly intact II-XII

Once you received your case number, answer the following questions:

1.
What other subjective data would you obtain?

2.
What other objective findings would you look for?

3.
What diagnostic exams do you want to order?

4.
Name 3 differential diagnoses based on this patient presenting symptoms?

5.
Give rationales for your each differential diagnosis.

6.
What teachings will you provide?

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

WK 4

DQ1 Review the peer-reviewed article below and attached and any other additional articles to make a total of 3 or 4 Teixeira, S. M. A., Ferré, G. C., da Cruz Sequeira, C. A., Santos, J. M., Guerra, M. M., & Lluch, M. T. (2025). Randomized Controlled Trial to Evaluate the Efficacy

Orgstruc

Identify and describe each type of organizational structure (functional, service line, matrix and flat) Create an organizational chart for each organizational structure discussed above and describe which one applies to the clinical site or your work environment. Develop simple mission statements that could be supported by each type of structure

Appendix I: Action Plan and Translation Tool

 Appendix I: Action Plan and Translation Tool  The next step in your DNP project development process is the completion of the Appendix I: Action Plan and Translation Tool document. This tool is your actual work plan that you will present to the organization. In your plan, you will outline the

Caring for Chinese, Filipino, & Vietnamese Populations

Describe health and illness practices that may augment problems associated with the treatment of hypertension for Chinese-American clients.  Describe the locus-of-control variable that some Filipino Americans have that may influence health-seeking behavior. Describe the importance of folk medicine and folk healers to Vietnamese Americans. 

Research and Evidence 4

 an abstract that summarizes the work you have done previously and create a policy for interprofessional evidence-based care within your organization. 

Cardiovascular Disorders

 In this exercise, you will complete a MindMap to gauge your understanding of this week’s content. Select one of the possible topics provided to complete your MindMap. myocardial infarction congenital heart disease (may select ASD, VSD, or PDA) peripheral arterial disease peripheral vascular disease valvular heart disease cardiomyopathy (may select

unit 10 discussion

see attached Ethical Considerations Discuss ethical considerations and equality in the pediatric population. Instructions: 1. Research ethics and equality in the pediatric psychiatric population using scholarly articles. 2. Choose a pediatric psychiatric diagnosis and discuss the following topics in your discussion a. Discuss the specific diagnosis. b. Discuss symptoms/ screening

HIT 2100 MOD 2 ASSN

INFO ATTACHED Has your last name changed or have you mispelled your name? Click  here to request an update to the name on your account. Email: [email protected] Username: KHemphill01 Password- 1$Torm87

nur

I need your expertise  Telehealth Medicine For this assignment, answer the following questions: · What are the Pros and Cons to telehealth? · How will you approach and perform a telehealth assessment? · What are the limits to telehealth? · What is the difference between the provider’s need for a

Nursing HOMEWORK

FOCUSED SOAP NOTE FOR ANXIETY, PTSD, AND OCD PREPARE: · Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders. · Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused

Quin assessment 3

Quin assessment 3 Practicum Focus Sheet, Assessment 3 1 Practicum Focus Sheet Assessment 3 Note: Expect to spend at least 2 hours with the patient, family, or group you’ll be working with during this portion of your practicum, exploring issues of technology, care coordination, and community resources associated with the

Quin assessment 2

quin assessment 2 Practicum Focus Sheet, Assessment 2 1 Practicum Focus Sheet Assessment 2 Note: Expect to spend at least 2 hours with the patient, family, or group you’ll be working with during this portion of your practicum, exploring issues of patient safety, quality, and costs associated with the health

Quin assessment 1

Quin assessment 1 Practicum Focus Sheet, Assessment 1 1 Practicum Focus Sheet Assessment 1 Note: Expect to spend at least 2 hours with the patient, family, or group you’ll be working with during this portion of your practicum, assessing the health problem you’ve defined from a leadership, collaboration, communication, change

Roch week 2 ppt

Roch week 2 ppt  Instructions For this assignment you are going to identify a complex healthcare ethical dilemma facing the professional nurse in our multi-dimensional healthcare environment. This ethical dilemma can be one that you have observed in your current practice setting or one that you have observed in the

WK5 ASSIGNMENT HP-216

COMPLETE WITH INFO PROVIDED WK5 ASSIGNMENT HP-216  Instructions 1. Using Medical Terms, Abbreviations, and Acronyms on the Job As we have determined, there are many terms, abbreviations, and acronyms that health care professionals need to know and understand as part of their job responsibilities. It is important for you to

WK5 ASSIGNMENT HP-214

COMPLETE WITH ALL INFO PROVIDED Reimbursement Methodologies – Week 5 Lecture 2   Clean vs. Dirty CMS1500/UB04 Claims   A clean claim is a submitted claim without any errors or other issues, including incomplete documentation that delays timely payment. There are several required elements for a clean claim, and medical

Chapter 8 – Change in Organization

Change in an Organization This chapter involves change and the response to change in an organization. If you feel uncomfortable already you probably are in the majority. Let’s read the scenario below and try to understand why change is so difficult.  Scenario: Imagine the days before COVID when we were