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.<\/div>\n
Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, \u00ac Neuts & Lymphs, sed rate 46 mm\/hr, C-reactive protein 67 mg\/L CMP wnl<\/div>\n
Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2<\/div>\n
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.<\/div>\n
In your Case Study Analysis related to the scenario provided, explain the following:<\/div>\n
\u2022
\t<\/span>The factors that affect fertility (STDs).<\/div>\n\u2022
\t<\/span>Why inflammatory markers rise in STD\/PID.<\/div>\n\u2022
\t<\/span>Why prostatitis and infection happens. Also explain the causes of systemic reaction.<\/div>\n\u2022
\t<\/span>Why a patient would need a splenectomy after a diagnosis of ITP.<\/div>\n\u2022
\t<\/span>Anemia and the different kinds of anemia (i.e., micro and macrocytic).<\/div>\nDay 7 of Week 10<\/div>\n
Submit your Case Study Analysis Assignment by Day 7 of Week 10<\/div>\n
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 (available at https:\/\/academicguides.waldenu.edu\/writingcenter\/templates). All papers submitted must use this formatting.<\/div>\n