How will you explain the hcg results to your patient

Reference no: EM133546083

Assignment:

Tonia is an 18-year-old female who presents to your office complaining of two months of amenorrhea. Her pregnancy test is positive and her LMP indicates she is 5.6 weeks EGA. She reports she has had some bleeding for the past 3 days, that started as spotting, but has continued to be a light period- like bleeding today.

She denies any pain. She indicates plans to continue the pregnancy.

1. Subjective:

a. What other relevant questions should you ask regarding the HPI?

b. What other medical history questions should you ask?

c. What other social history questions should you ask?

2. Objective:

a. Describe all elements of the head-to-toe assessment you will perform for her initial prenatal visit

b. Explain what test(s) you will order and perform, and discuss your rationale for ordering and performing each test.

3. Assessment/ Diagnosis:

a. What are your presumptive and differential diagnoses, and why?

b. Any other diagnosis or differential diagnosis you would like to add?

c. Assume you ordered an HCG today and the result was 1200. Shereturns to the clinic in 2 days and her HCG results is 550. What wouldbe her diagnosis?

4. Plan:

a. How will you explain the HCG results to your patient?

b. Explain treatment guidelines and side effects including any possibleside effects of the medication and treatment(s), partner notification, and follow-up plan of care.

c. What patient education is important to include for this patient? (Consider when can the patient resume sexual activity, birth controloptions, when she can resume trying to conceive again).

Reference no: EM133546083

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