Posted: March 12th, 2022

STD – 67-year-old female presents

Assignment Topic:
STD – 67-year-old female presents with chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet. She states she feels unsteady when she walks.
– PMH includes hypothyroidism well controlled on Synthroid 100 mcg/day. No hx of HTN or CHF.
– Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air.
– Physical exam revealed pale, anxious female appearing older than stated years.
– HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly swollen with loss of normal rugae. Turbinates pale but no swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated.
– Cardiac-regular rate and rhythm with soft II/VI systolic murmur.
– Respiratory- lungs clear with no adventitious breath sounds.
– Abdomen-soft, non-tender with positive bowel sounds.
– Liver edge palpated two finger breadths below right costal margin.
– Lab data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume, plasma iron, and ferritin levels high, folate, TIBC are normal.
– Most of the patients in this clinic are with the above symptoms, some worse than others. B12 deficiency, thrombocytopenia, muscle wasting, which causes neuropathy correct?
You think STD. What STDs are there?
How could the individual have contracted STD? Are STDS isolated to one population? Did you look at the question and misguided by the thyroid, age, cardiac? The majority of the patients in our clinic have the symptoms listed above, some more severe than others. Which of the following causes neuropathy: B12 deficiency, thrombocytopenia, or muscle wasting?
You consider STD. What types of STDs are there?
How may the person have gotten an STD? Is STDS exclusive to a single population? Did you misinterpret the Question Assignment because of the thyroid, age, or cardiac?

1. Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned (omit section that does not pertain to your case, faculty will give full points for that section):
a. Explain the factors that affect fertility (STDs)
i. The response accurately and thoroughly describes the patient symptoms.
ii. The response includes accurate, clear, and detailed explanations of the processes related to women’s and men’s health, infections, and hematologic disorders and is supported by evidence and/or research, as appropriate, to support the explanation.
b. Explain why inflammatory markers rise in STD/PID
i. The response includes an accurate, complete, detailed, and specific analysis of the concepts and principles of pathophysiology across the life span and is supported by evidence and/or research, as appropriate, to support the explanation.
c. Explain why prostatitis and infection happen. Also explain the causes of systemic reaction.
i. The response includes an accurate, complete, detailed, and specific explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation.
ii. This needs to be answered as it is not relating specifically to the case study but in general. Make sure to explain the systemic reaction to prostatitis as well as what is prostatitis and why it happens.
d. Explain why a patient would need a splenectomy after a diagnosis of ITP.
i. The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation.
ii. First explain what is anemia and then the two types micro and macro. Which one did this patient have and why?
e. Explain anemia and the different kinds of anemia (i.e., micro and macrocytic).
i. The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation.

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