Instructions: Below find a case study for your report and include the following:
A thorough understanding of the topic
A critical assessment of all questions
At least two differential diagnoses, if applicable
At least two pharmacologic treatment modalities, if applicable
A well-developed treatment plan
A thorough patient education plan
The body of your paper needs to be 3-4 pages long. This does NOT include the title page and reference page. Papers that are more than 4 pages long will not be accepted. You must reference a minimum of two scholarly sources on your paper.
Use current APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas.
CASE STUDY:Case Study Option #3: PRENATAL COMPLICATION
Ms. Jacobs, a 34-year-old, G1P0, AB1, presents to your office with c/o right lower quadrant
pain, spotting, and intermittent cramping. She denies nausea or vomiting. Her last BM was
yesterday and it “looked normal.” She shares that she thinks her last normal period was about
6 or 7 weeks ago. She says she has been very busy at work. She shares that she is
monogamous with one boyfriend. She has had 3 lifetime partners.
Additional history she provides includes the following: NKDA, no meds at present, and has
been hospitalized before for pelvic pain due to PID and treated with antibiotics. A second
hospitalization was for an ectopic pregnancy and her left tube was removed.
Her physical exam reveals: Patient anxious, temp 99.2 F, BP 105/62, and pulse is 95.
Examination of abdomen reveals bowel sounds present, no masses, distention, or rebound
tenderness. She has mild discomfort in the right lower quadrant. Pelvic exam reveals right
adnexal tenderness without adnexal mass. Uterus is normal size without discomfort on
cervical motion. Rectal exam is negative with heme-negative stool.
1. What are your differential diagnoses? What is your final diagnosis?
2. What aspects of her history and physical exam led you to your diagnosis?
3. What are the risk factors for ectopic pregnancy?
4. Where can ectopic pregnancies occur and how frequently do they happen?
5. What labs/diagnostic tests will you order and why?
6. What is your plan of management for an ectopic pregnancy?
7. What education and counseling will you give to this patient?
