patho case study 1: | Nursing

Clinical Requirement:

assignment1patho.docx CASE STUDY ANALYSIS An understanding of the factors surrounding women’s and men’s health 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 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 factors in the diagnosis, and you explain the implications to patient health.  RESOURCES Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.  WEEKLY RESOURCES Note: These readings are intended to serve as supplementary to the Lecturio content provided in this course. Please refer/review these supplementary resources should you need help in reinforcing concepts and in preparation for completing this week’s Assessments. · 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 · Low, N. & Broutet N. J. (2017).  Sexually transmitted infections – Research priorities for new challenges Links to an external site. .  PLoS Medicine, (12), e1002481 To prepare: By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Announcements” section of the classroom for your assignment from your Instructor. The Assignment (1- to 2-page case study analysis) In your Case Study Analysis related to the scenario provided, 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. BY DAY 7 OF WEEK 10 Submit your Case Study Analysis Assignment by  Day 7 of Week 10. 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 (available at  https://academicguides.waldenu.edu/writingcenter/templatesLinks to an external site. ). All papers submitted must use this formatting. SUBMISSION INFORMATION Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the  Turnitin Drafts from the  Start Here area.  1. To submit your completed assignment, save your Assignment as  WK10Assgn2_LastName_Firstinitial 2. Then, click on  Start Assignment near the top of the page. 3. Next, click on  Upload File and select  Submit Assignment for review. 4. WEEK 10 5. Week 10: Assignment 2: Case Study Analysis Assignment 6. By Day 1 of Week 10, choose a case study scenario for this term and assign the scenario to your students in your section. Please post by copying and pasting the case study scenario in the “Course Announcements” section of the course. Students will need their assigned scenario to complete the Assignment for this week.  Note : These case study scenarios will be rotated throughout each term to reduce any academic integrity issues.  For each term, please use one case study scenario at a time. Please contact your lead faculty member if you have any questions. 7. Scenario 1: A 30-year-old female presents to the emergency room with a chief complaint of yellow, creamy vaginal discharge and difficulty with urination.  She states these symptoms started about 3 days ago, and she thought she had a urinary tract infection. She denies pelvic pain.  The patient had unprotected sexual intercourse in the last two weeks with her new partner. She denies any lower back pain or foul-smelling urine or frequency. PMH is negative. 8. Vital signs T 98.8 F Pulse 80 Resp 22 O2 sat 99% on room air. Cardio-respiratory exam unremarkable for murmurs, rubs, clicks, or gallops. Abdominal exam negative for any pain or tenderness to deep palpation.  Pelvic exam demonstrates mucopurulent vaginal discharge and erythema to cervix with some bleeding noted to the cervix when touched with the swab.  No masses on bimanual exam. 9. Scenario 2: 65-year-old man presents to primary care center with a 5-day history of urinary dribbling, low back pain, peroneal pain, myalgias, and fevers with chills. He reports one episode of urinary incontinence this week.  He denies any hematuria.  Urinalysis with positive nitrites and trace bacteria.  Patient has a history of a recent UTI.  He also reports that his prostate has been enlarged and he had a recent transurethral surgery.   Vital signs T 103.0 F, pulse 120, respirations 26.  10. Scenario 3:  Patient is a 58-year-old man who presents to the clinic with complaints of not being able to obtain an erection.  He reports that the symptoms have been worsening and his wife told him to be seen by the provider.  The patient denies any dysuria, fever, or abdominal pain.  He has a history of diabetes type 2 and hypertension.  The patient is currently taking Metformin 500 mg po twice daily and Lisinopril 20 mg po daily.  He reports that he has been having some issues at work and is under a lot of stress.  Upon exam peripheral and femoral pulses are present.  Scrotum is normal.  Normal size testes.  Penis is circumcised.  UA is unremarkable. 11. Scenario 4: Patient is a 52-year-old female who presents to the clinic with complaints of vaginal dryness, hot flashes, and insomnia worsening over the last few months.  Her LMP was 10 months ago but she did notice some minor menstrual bleeding about 6 months ago but nothing since.   Her mother’s menopause happened at 48 years old.  Patient denies any other symptoms.  BP 134/78, pulse 80, temp 98.4, oxygen sat 96%. 12. Scenario 5: A 58-year-old male presents to the primary care clinic. He reports that he is here to get his annual exam.  He reports that he has had some increased fatigue and noticed some difficulty with his urine stream.   His family history is remarkable for prostate cancer through his father.  His father died at 62 from prostate cancer.  He smoked 2 packs of cigarettes daily for 20 years.  He recently quit smoking a year ago when he began having shortness of breath.  Labs reveal a normal urinalysis and CBC, a PSA of 5.0. A DRE reveals an enlarged, nodular prostate. 13. PLEASE REMEMBER Just a reminder that APA 7th edition format is required. Please make sure to follow the proper format. Below are some resources to help you. If you need further assistance, please reach out to the Writing Center:  https://academicguides.waldenu.edu/writingcenter Links to an external site. APA Resources: https://apastyle.apa.org/instructional-aids/reference-examples.pdf Links to an external site. https://apastyle.apa.org/instructional-aids/reference-guide.pdf Links to an external site. https://apastyle.apa.org/style-grammar-guidelines/paper-format/student-annotated.pdf Links to an external site. Thanks,