**i-Human Patients Case Study: Assessing the Genitourinary and Reproductive Systems**
—
**Patient Case: Camilla Franklin**
**Patient Overview:**
– **Name:** Camilla Franklin
– **Age:** [Age provided in i-Human case]
– **Gender:** Female
– **Chief Complaint:** [Complaints detailed in i-Human case]
– **Presenting Symptoms:** [Symptoms detailed in i-Human case]
### Health History Collection
1. **Chief Complaint and Presenting Symptoms:**
– Detailed description of symptoms, onset, duration, and progression.
– Any associated symptoms (e.g., fever, pain, discharge).
2. **Sexual History:**
– Sexual activity, history of recent partners, use of contraceptives, and protection methods.
– History of sexually transmitted infections (STIs) or any recent changes in sexual health.
3. **Menstrual History:**
– Last menstrual period, menstrual cycle regularity, and any abnormalities.
– History of menstrual pain or irregular bleeding.
4. **Past Medical History:**
– History of genitourinary or reproductive system disorders.
– Previous surgeries, particularly related to the reproductive system.
5. **Family History:**
– Any hereditary conditions related to genitourinary or reproductive health.
6. **Lifestyle Factors:**
– Use of tobacco, alcohol, or recreational drugs.
– Exercise habits and diet.
7. **Medications and Allergies:**
– Current medications and any known allergies.
### Physical Exams and Diagnostic Tests
1. **Physical Examination:**
– **General Examination:** Vital signs (temperature, pulse, respiratory rate, blood pressure).
– **Abdominal Exam:** Inspection, palpation (especially in the lower quadrants), percussion, and auscultation.
– **Pelvic Exam:** Inspection, palpation, and assessment of discharge characteristics. Examination of the cervix, vaginal walls, and adnexa.
– **Rectal Exam (if indicated):** To assess for any abnormal findings in the rectal area.
2. **Diagnostic Tests:**
– **Laboratory Tests:** Complete blood count (CBC), urinalysis, vaginal swab for cultures, and STI screening.
– **Imaging:** Pelvic ultrasound or CT scan of the abdomen and pelvis if needed.
– **Additional Tests:** Based on physical findings, additional tests such as a Pap smear might be warranted.
### Differential Diagnosis
1. **Pelvic Inflammatory Disease (PID):**
– Often characterized by lower abdominal pain, fever, and abnormal discharge.
– Confirmatory tests include elevated inflammatory markers (e.g., C-reactive protein) and findings on pelvic examination.
2. **Sexually Transmitted Infections (STIs):**
– Gonorrhea and Chlamydia can present with similar symptoms.
– Positive cultures for gram-negative diplococci may suggest gonorrhea.
3. **Urinary Tract Infection (UTI):**
– Although less likely due to the absence of dysuria and the presence of other symptoms, it should be considered.
4. **Endometriosis:**
– Consider if symptoms persist or are unexplained by the initial findings.
5. **Ovarian Cysts or Tumors:**
– Consider if imaging reveals masses or if symptoms are not aligned with PID.
### Clinical Guidelines and Diagnosis
– **Diagnosis:** Based on clinical guidelines, PID diagnosis is supported by clinical symptoms, physical exam findings (e.g., bilateral adnexal tenderness), and laboratory results (e.g., positive tests for STIs).
– **Guidelines:** Follow guidelines from reputable sources such as the Centers for Disease Control and Prevention (CDC) or the American College of Obstetricians and Gynecologists (ACOG) for diagnostic and treatment protocols.
### Treatment Plan
1. **Medication:**
– **Antibiotics:** Broad-spectrum antibiotics as per CDC guidelines for PID treatment.
– **Pain Management:** Analgesics to manage pain and discomfort.
2. **Health Promotion:**
– **Education on Safe Sex Practices:** Discuss prevention of STIs and the importance of consistent and correct use of protection.
– **Follow-Up Care:** Schedule follow-up visits to monitor treatment response and resolution of symptoms.
3. **Patient Education:**
– **Symptom Management:** Inform the patient about potential side effects of medications and when to seek further medical attention.
– **Lifestyle Modifications:** Encourage healthy lifestyle practices, including stress management and regular exercise.
4. **Referral:**
– If symptoms persist or complications arise, consider referral to a specialist (e.g., gynecologist).
### References
– Centers for Disease Control and Prevention. (2023). Pelvic inflammatory disease (PID). Retrieved from [CDC website].
– American College of Obstetricians and Gynecologists. (2023). Practice bulletin: Pelvic inflammatory disease. Retrieved from [ACOG website].
– [Additional scholarly references as required].
—
Make sure to document your findings and decisions in the i-Human EHR section according to the platform’s requirements. This assignment should be completed in APA format and adhere to the provided guidelines.
I-HUMAN PATIENTS CASE STUDY: ASSESSING THE GENITOURINARY AND REPRODUCTIVE SYSTEMS
Patients are frequently uncomfortable discussing with healthcare professionals issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies can help prepare advanced practice nurses to accurately assess patients with problems in these areas.
For this i-Human Patients Case Study Assignment, you will examine and work with a patient with a condition of the genitourinary and/or reproductive system.
RESOURCES
Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
· By Day 1 of this week, your Instructor will assign an i-Human Patients case for this Assignment. Note: Please see the Course Announcements section of the classroom for your i-Human Patients Assignment.
· Review this week’s Learning Resources on the genitourinary and reproductive systems.
· Access and review this week’s i-Human Patients case study. Based on the provided patient information, think about the health history you would need to collect from the patient.
· Consider what physical exams and diagnostic tests would be most appropriate to gather more information about the patient’s condition.
· Reflect on how the results would be used to make a diagnosis.
· Identify three to five (3–5) possible conditions that may be considered in a differential diagnosis for the patient.
· Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
· Develop a treatment plan for the patient that includes health promotion and patient education strategies.
Assignment
As you interact with this week’s i-Human Patients patient, complete the assigned case study. For guidance on using i-Human Patients, refer to the i-Human Graduate Programs Help link within the i-Human Patients platform.
Assignment 10
Week 10 assignment
Week 10 assignment
Welcome to week 10. This week, you will assess the GU and Reproductive systems. You will have two assignments.
1. Ihuman- Camilla Franklin
2. Practicum Plan
To prepare:
· Review Camilla Franklin i-Human Patients case for this Assignment.
· Review this week’s Learning Resources on the genitourinary and reproductive systems.
· Access and review this week’s i-Human Patients case study. Based on the provided patient information, think about the health history you would need to collect from the patient.
· Consider the most appropriate physical exams and diagnostic tests to gather more information about the patient’s condition.
· Reflect on how the results would be used to make a diagnosis.
· Identify three to five (3–5) possible conditions that may be considered in a differential diagnosis for the patient.
· Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
· Develop a treatment plan for the patient that includes health promotion and patient education strategies.
Tips for this week:
1- Remember not to include a SOAP documentation in management, ONLY management with peer review APA references.
2- Remember you MUST document in I-Human EHR section for the SOAP
image1.jpeg
The post i-Human Patients Case Study: Assessing the Genitourinary and Reproductive Systems appeared first on Destiny Papers.
