NRNP 6552 Week 4 Case Study Discussion: Common Gynecologic Conditions, Part 1 – STI Investigation - Grade One Essays

NRNP 6552 Week 4 Case Study Discussion: Common Gynecologic Conditions, Part 1 – STI Investigation

NRNP 6552 Week 4 Case Study Discussion: Common Gynecologic Conditions, Part 1 – STI Investigation

Case Study: STI Investigation

Susan Lang is a 24-year-old Caucasian female presenting to the clinic for regular care. She works full-time as an administrative assistant, and relates she loves her job. She has no medical or surgical history, takes no medication, and has no allergies. Family history is non-contributary. Social history is remarkable for cigarette smoking at a rate of ½ packs per day (PPD) since age 14, / EtOH only on weekends, 6-8 hard liquor/ daily, and marijuana

smoking. Gyn history is onset of menses age 13, menses every 28-32 days, lasting 4-6 day and using 3 tampons daily. She has some cramping during her menses for which she takes otc Pamprin. She jogs 3-4 times a week, wears seatbelts when in the car, and “occasionally” uses sunscreen. Susan relates she has been having some postcoital bleeding for the past 6 weeks and has had a sore throat for past 3 weeks. She did have a fever for a day or two, but Tylenol took care of it and she thought it was allergies. NRNP 6552 Week 4 Case Study Get Adherence Paper Help

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Susan’s vital signs are taken and were temperature 97.8, pulse 68, BP 112/64, height 5’6” and weight 118 lbs. (which was the same as last year). BMI 19.04

  • HEENT: WNL except some anterior cervical adenopathy bilaterally, and throat appears
  • Lung: clear to auscultation
  • CV: regular sinus rhythms without murmur or gallop
  • Abd: soft, non-tender, liver normal, NRNP 6552 Week 4 Case Study
  • Breasts: fibrocystic changes bilaterally, no masses, dimpling, redness or discharge, no adenopathy, and bilateral nipple piercings.
  • VVBSU: wnl, slight frothy yellow discharge by cervix, clitoral piercing noted
  • Cervix: friable, some petechia no cervical motion
  • Uterus: mid mobile, non-tender
  • Adnexa: without masses or tenderness
  • Perineum: wnl
  • Rectum: wnl
  • Extremities: full rom, skin clear, no edema, reflexes 1+.
  • Neurological: CN II-12 grossly intact. NRNP 6552 Week 4 Case Study

NRNP 6552 Week 4 Case Study Discussion: Common Gynecologic Conditions, Part 1 – STI Investigation

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