Reference no: EM133502659
Assignment: STDs and Female Fertility Case study
In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided. You do not need to complete the items that are marked out. Students will receive full credit for those items that are marked out.
1. The factors that affect fertility (STDs).
2. Why inflammatory markers rise in STD/PID.
3. You do not need to complete the followings, as these do not apply to the case:
4. Why prostatitis and infection happens. Also explain the causes of systemic reaction.
5. Why a patient would need a splenectomy after a diagnosis of ITP.
6. Anemia and the different kinds of anemia (i.e., micro and macrocytic).
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. All papers submitted must use this formatting.
Scenario: 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. She has begun to have LLQ pain and notes bilateral lower back pain. She 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.