Answered: 1. Make a SYPHILIS PATHOPHYSIOLOGY…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Question

1. Make a SYPHILIS PATHOPHYSIOLOGY FLOWCHART with EXPLANATION using the case scenario.

Transcribed Image Text:CLINICAL SCENARIO NURSING HEALTH HISTORY: PATIENT'S PROFILE Name of Patient: Sex: Civil Status: Patient TM Male Age: Religion: Nationality: Time: 32 years old not stated Single November 30, 2021 Dr. Primo "Sa tingin ko nagka allergy ako pero hindi ko matukoy kung saan?" Filipino 09:45 AM Date Admission: Attending Physician: Chief Complaint: HISTORY OF PRESENT ILLNESS Five (5) days prior to consultation TM stated that he began developing a rash on his stomach that is now on the palms of his hands and soles of his feet. The rash is not painful or itchy. He said that he had this strange little "ulcer-like" thing on his penis a couple weeks ago but it went away and never really hurt. He is single and sexually active with three to four concurrent male partners. He has had unprotected sex with "at least one of his partners" in the past couple of weeks. He doesn't know the sexual histories of his current or past sexual partners, and admits to over 20 lifetime partners. He endorses rectal and oral sex. He doesn't ever recall being tested for HIV, and knows he received all his childhood vaccines, "because my mom told me." He has never been vaccinated against HPV stating, "That's a woman's disease," and unsure if he ever has received hepatitis A or B vaccine. PAST MEDICAL HISTORY & SURGICAL HISTORY None FAMILY HISTORY His father had hypertension and passed away from CVA 3 years ago; and his mother is still living and has type 2 diabetes mellitus. SOCICAL HISTORY MSM with multiple partners; (+) Ethanol, (-) Tobacco, (+) Marijuana, (-) Illicit drugs ALLERGY No known drug allergies HOME MEDICATIONS Ibuprofen 200mg PO PRN pain (has taken 3 doses last day) PHYSICAL EXAMINATION VITAL SIGNS: T°: 38.5°C, PR: 80, RR: 18bpm, BP: 135/85mmHg, pO2: 96%, Ht: 5'8", Wt: 62kg GENERAL: NAD, awake, alert SKIN: Diffuse mucocutaneous rash noted on abdomen, back, upper extremities (including palms of hands) and soles of feet; macules are easy to blanch and are not associated with any area of fluctuance HEENT: PERRLA; EOMI; mucus membranes are moist and neck is supple without any evidence of lymphadenopathy PULMONARY: Clear auscultation with no wheezing or ronchi CANDIOVASCULAR: NSR; no m/ r/ g ABDOMEN: NTND with no rebounding or guarding; (+) BS; noted rash

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