CASE: Chief Complaint: Infertility Background: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting a pregnancy over the past 16 months with no success. Patient reports that several times she thought she could bepregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis 1. Discuss the specific structure involved as to: a. The structure/ anatomy b. The function/ physiology 2. What are the risk factors/ causes of the medical condition? 3. What are the ways to prevent these risk factors/ causes?

CASE: Chief Complaint: Infertility Background: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting a pregnancy over the past 16 months with no success. Patient reports that several times she thought she could bepregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis 1. Discuss the specific structure involved as to: a. The structure/ anatomy b. The function/ physiology 2. What are the risk factors/ causes of the medical condition? 3. What are the ways to prevent these risk factors/ causes?

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter15: Obstetric And Gynecologic Surgery

Section: Chapter Questions

Problem 4CS

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CASE:Chief Complaint: InfertilityBackground: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting apregnancy over the past 16 months with no success. Patient reports that several times she thought she could bepregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis:1. What specific parts of the female reproductive system is affected in this case? 2. What…
CASE:Chief Complaint: InfertilityBackground: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting a pregnancy over the past 16 months with no success. Patient reports that several times she thought she could be pregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis 1. Explain briefly the terminologies/statements in the case (bold and underlined) 2. What…
Case ScenarioA 22-year-old woman, gravida 2, para 1, presents at the maternity clinic for a prenatal visit. She is unsure of her due date and states that her last menstrual period was about seven or eight months ago. She had one prenatal check-up in the community health center, although she does not have any records from her physician or nurse-midwife. She reports that she has had an uncomplicated pregnancy so far and that earlier ultrasonography indicated that she is going to have a girl. Her medical history is unremarkable aside from a full-term cesarean delivery performed in the government hospital four years ago because of “complete breech presentation.” She is not taking any prenatal vitamins. On examination, her vital signs are unremarkable, her fundal height measures 27 cm, the fetal heart rate is 165 beats per minute, and the fetus is cephalic by Leopold’s maneuvers. 1. What is your insight on the patient’s case concerning her pregnancy? 2. How can you best minimize risks…
History of present illness: Patient is a 28 year old Caucasian female presenting to an outpatient clinic with complaints of weakness, numbness, tingling, and mild tremors (for the last 2 weeks) in her upper extremities, having trouble concentrating, fatigue, dizziness, and lacking balance for at least three and half months. Past medical history Breast fibroadenoma Mononucleosis Family history: Father has HBP Mother has Rheumatoid arthritis Social History No tobacco, illicit drugs, or alcohol history Patient has 2 children and lived with husband in Alaska for most of her adult life. Currently having trouble with home choirs and playing with children. Allergies None Medications Multivitamins Key Labs, images, or procedures performed in relation to current diagnosis. CBC: Hemoglobin: 10.8g/dL MRI with contrast: Inflammatory demyelination within the central nervous system. Currently inconclusive. Lumbar puncture (spinal tap): Elevated levels of IgG antibodies, and…
Clinical Case: A 37-year-old female and her 37-year-old husband present with the complaint of a possible fertility problem. The couple has been married for 2 years. The couple has been trying to conceive since then and reports a high degree of stress related to their lack of success. The patient reports good health, stated that her periods were regular, having periods with a normal cycle. She works as a cashier, runs 12-24 miles each week for the last 2 years, and has no history of STDs, abnormal Paps, smoking, alcohol, or other drugs. She has had no surgery. The patient's partner also reports good health and reports no problems with erection, ejaculation, or pain with intercourse. He has had no prior urogenital infections or exposure to STDs. He has had unprotected sex prior to his current relationship but has not knowingly conceived. He has no medical problems or past surgery. He works as a long-distance truck driver and is on the road for 2-3 weeks each month. He smokes a pack of…
Case study: A 23 years old woman has tiny cysts in ovaries. Her menstruation is regular and the amount of blood in first two days is normal but decreasing in the rest days. She has normal values of ( TSH, FSH,LH). What are the reason of low blood and recommendations for her? As She prefers not to use medications.
Case Study:5. A 23-year old woman has experienced recent onset of a spontaneous, bilaterial breast discharge and gradual cessation of menses. She reports normal growth and development and has never been pregnant.?Questions:1) What conditions could be causing her symptoms?2) What medical conditions (other than a prolactinom are associated with hyperprolactinemia?3) Which medications raise prolactin?no references, just homework.
Case Study: o When Mary returns for a postpartal checkup. you notice red streaks on both legs along the course of her veins, and she has pain on dorsiflexion of her foot. You are concerned that she is developing thrombophlebitis. o Describe a plan of care that could have reduced this risk during labor and in the immediate postpartal period
Description A-45-year-old woman presents complaining of fatigue, 30 pounds of weight gain despite dieting, constipation, and menorrhagia. On physical examination, the thyroid is not palpable: the skin is cool, dry, and rough: the heart sounds are quiet; and the pulse rate is 50 bpm. The rectal and pelvic examinations show no abnormalities, and the stool is negative for occult blood. The clinical findings suggest hypothyroidism. Questions A. What other features of the history should be elicited? What other findings should be sought on physical examination? B. What is the pathogenesis of this patient's symptoms? C. What laboratory tests should be ordered, and what results should be anticipated? D. What are the possible causes of this patient's condition? Which is most likely? E. What other conditions may be associated with this disorder?
History of present illness: Patient is a 32 year old male presents to an outpatient clinic with localized stiffness and as mentioned in his chief complaint, “achy pain” of his right elbow for the last 2 months. Patient indicated the tenderness intensifies while playing tennis (he plays tennis regularly with friends 2-3 times a week) and when he does gardening around the house. Past medical history GERD Family history: Father has high blood pressure and mother has Lupus. Social History Drinks alcohol socially, mostly beer with friends (no more than 2 beers per occasion). No tobacco or recreational drug history. Allergies Peanut butter Medications Multivitamins Ibuprofen 400 mg when needed. Key Labs, images, or procedures performed in relation to current diagnosis. Elbow X-Ray: Normal. No calcium deposits in tendons. MRI: Normal. No tears or injury to soft tissue. EMG: Normal. No nerve compression. Elbow Ultrasound: Showed swelling of the bursae. Key Physical Examination…
Discuss the nursing interventions for a patient with endometriosis.
A. Application: Answer the following questions based on the data presented in graphs or illustrations. Use the previous knowledge on the reproductive system as your basis. Preeclampsia is a condition that can develop in a woman after 20 weeks of pregnancy. It involves the development of hypertension or high blood pressure, an abnormal amount of 1. Preeclampsia Risk in Pregnancy Risk Factors Risk Ratio First pregnancy Mother over 40 years of age Family history of preeclampsia Chronic hypertension 3:1 protein in urine, and swelling. 3:1 Based on the information, which statement does not agree 5:1 with the data in the table? 10:1 A. A pregnant woman with chronic hypertension is at greater risk of developing preeclampsia than a pregnant woman with chronic kidney failure. В. Chronic kidney disease 20:1 Diabetes mellitus 2:1 Twin birth 4:1 A pregnant woman having her first baby is at greater risk of developing preeclampsia than a pregnant woman with diabetes mellitus failure. C. A pregnant…