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Why a patient would need a splenectomy after a diagnosis of ITP.

June 9, 2021
Christopher R. Teeple

M‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍odule 7 Assignment: Case Study Analysis Must have at least 3 credible resources including the text book. Attached is the rubric and required readings. An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient. Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.. An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans. In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. To prepare: By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Assignment (1- to 2-page case study analysis) In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided (not all may apply to each scenario): • The factors that affect fertility (STDs). • Why inflammat‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ory markers rise in STD/PID. • Why prostatitis and infection happens. Also explain the causes of systemic reaction. • Why a patient would need a splenectomy after a diagnosis of ITP. • Anemia and the different kinds of anemia (., micro and macrocytic). Scenario below: Module 7: Case Study Analysis Assignment By Day 1 of Week 10 Scenario 1: 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 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 adnexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram negative diplococci. This is the case you will be graded from, faculty can choose a case and in the past (I cannot see into the assignment) the rubric had questions mixed in from several cases. As you can see, you are provided the 3 points asked to develop and I will grade on these. Ignore questions in the rubric if they do not ‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍pertain to our case.

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