How would the np treat this patient

Reference no: EM133648198

Women's Health

A 21-year-old female college student presents to your clinic with a chief complaint of abdominal pain, foul-smelling vaginal discharge, and fever and chills for the past 4 days. She denies nausea, vomiting, or difficulties with defecation. The last bowel movement was this morning and was normal for her. Nothing has helped with the pain despite taking ibuprofen 200 mg orally several times a day. She describes the pain as sharp and localizes the pain to her lower abdomen. Past medical history is noncontributory. GYN/Social history + for having had unprotected sex while at a fraternity party. Physical exam: a thin, ill-appearing, anxious-looking white female who is moving around on the exam table and unable to find a comfortable position. Temperature 101.6F orally, pulse 120, respirations 22 and regular. Review of systems negative except for chief complaint. A focused assessment of the abdomen demonstrated moderate pain to palpation left and right lower quadrants. The upper quadrants are soft and non-tender. Bowel sounds diminished in bilateral lower quadrants. Pelvic exam demonstrated + adnexal tenderness, + cervical motion tenderness, and copious amounts of thick greenish secretions.

Questions:

What are initial differential diagnoses for this patient and why?
What additional information should be obtain?
What additional physical assessments or diagnostic testing should be completed?
How would the NP treat this patient?
What patient teaching will be incorporated into the visit?
What additional screenings or follow-ups would you schedule for this patient?

Reference no: EM133648198

Questions Cloud

What are strategies readers can use when comprehension fails : How might L1 reading ability help an English Learner learn to read in English? What are three strategies readers can use when comprehension fails?

Provide a simple budget and strategic initiative for kaiser : Provide a simple budget and strategic initiative for Kaiser Permanente. What budget categories such as staffing? How does it relate to the strategic Initiative?

Does a hospital have a different duty to an indigent person : Does a hospital have a different duty to an indigent person who comes to the emergency room than to a person who has insurance? Explain your answer fully.

What else do you think is motivating the character of pt : What else do you think is motivating the character of PT? What other emotions could you use to portray his character, if you were an actor?

How would the np treat this patient : What additional physical assessments or diagnostic testing should be completed? How would the NP treat this patient?

Describe thoughts and feelings about full integrative review : Describe your thoughts and feelings about full integrative review keeping. Assess your readiness to complete an integrative review.

Describe the chain of infection : Define endemic, epidemic, and pandemic infection. Give a specific example of each. Describe the Chain of Infection.

How are learning disabilities defined : How are learning disabilities defined, and what are some of their causes? How can having a child with a learning disability impact the family?

How do i add the amazon audible book to my work cited page : How do I add the Amazon Audible book to my work cited page "The New Jim Crow" Mass Incarceration in the Age of Colorblindness, 10th Anniversary Edition.

User Account

All Pages