Posted: August 1st, 2022

A 32-year-old female presents to the ED

Case:
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. The emergency department receives a visit from a woman who is 32 years old and whose primary complaint is that she is experiencing fever, chills, nausea, vomiting, and vaginal discharge. She claims that she began experiencing these symptoms approximately three days ago, but she misdiagnosed herself as having the flu. She has also been noticing pain in both of her lower backs, which she attributes to her LLQ. She claims that she does not have dysuria, frequency, or pee that smells nasty. She confirms that she is married and that she has a sexual relationship with her spouse. 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.

For this assignment, you will examine a case study and analyze the symptoms presented:

• You will develop a potential diagnosis. You will identify the elements that may be factors in the diagnosis (any patient factors like gender, race, or ethnicity that contribute to the diagnosis.) and you will explain the implications to patient health. Discuss the factors that affect fertility (STDs).
• Discuss why inflammatory markers rise in STD/PID

Assignment ( 2 or 3-page case study analysis + introduction, + conclusion, and references pages)

Develop the work, putting each question with its answer individually, Not explain altogether….. Plagiarism document…
Include citation, the statements with citation, References at least 4 and not more than 5 years ago …..
Using formal APA writing,using the 7th Edition

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