Patient History • "A week before period starts, l experience lower abdominal pain that radiates into the lower back and both legs. I have been trying to get pregnant for the past two years with no success." Medical History • T.R. is 29 years old white female who is at the OB/Gyn office. She has painful irregular periods that start a week before menstruation starts. The menstrual flow is heavy (need to change pads every 2 hours) with dlots. She explained that she has been trying to get pregnant for the past two years. Physical Exam Abdomen Exam • LLQ and RLQ palpation: Tendemess Female exam No tears, swelling of vaginal canal Normal cervical mucous, cervix of normal length, and no obstruction to cervical opening No signs of infection internally/externally of vagina and labia Questions 1. Research: What is the most common cause of chronic pelvic pain and infertility in women of reproductive-age? How frequent is this disease?

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
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Patient History
"A week before period starts, I experience lower abdominal pain that radiates into the lower
back and both legs. I have been trying to get pregnant for the past two years with no success."
Medical History
• T.Ris 29 years old white female who is at the OB/Gyn office. She has painful irregular periods
that start a weck before menstruation starts. The menstrual flow is heavy (need to change pads
every 2 hours) with dots. She explained that she has been trying to get pregnant for the past
two years.
Physical Exam
Abdomen Exam
. LQ and RLO palpation: Tenderness
Female exam
No tears, swelling of vaginal canal
Normal cervical mucous, cervix of normal length, and no obstruction to cervical opening
No signs of infection internally/externally of vagina and labia
Questions
1. Research: What is the most common cause of chronic pelvic pain and infortility in women of
reproductive-age? How frequent is this disease?
2 is this disease estrogen-dependent? What ussue is stimulated to grow abnormaliy? Where
can this tissue implant and grow? Explain the pathophysiology of the discase.
3. How does this disease cause pain? Explain.
4 When is surgery necessary and what is surgicaly removed? Why is t nocessary to remove
the tissue?
5. How does the disease cause inforbiity? Explain.
. Explain how treatments with oraliintravaginal contraceptiivos, such as progesterone-based
Mirena, heip with disease symptoms heavy menstnuat Plow and pain).
Transcribed Image Text:Patient History "A week before period starts, I experience lower abdominal pain that radiates into the lower back and both legs. I have been trying to get pregnant for the past two years with no success." Medical History • T.Ris 29 years old white female who is at the OB/Gyn office. She has painful irregular periods that start a weck before menstruation starts. The menstrual flow is heavy (need to change pads every 2 hours) with dots. She explained that she has been trying to get pregnant for the past two years. Physical Exam Abdomen Exam . LQ and RLO palpation: Tenderness Female exam No tears, swelling of vaginal canal Normal cervical mucous, cervix of normal length, and no obstruction to cervical opening No signs of infection internally/externally of vagina and labia Questions 1. Research: What is the most common cause of chronic pelvic pain and infortility in women of reproductive-age? How frequent is this disease? 2 is this disease estrogen-dependent? What ussue is stimulated to grow abnormaliy? Where can this tissue implant and grow? Explain the pathophysiology of the discase. 3. How does this disease cause pain? Explain. 4 When is surgery necessary and what is surgicaly removed? Why is t nocessary to remove the tissue? 5. How does the disease cause inforbiity? Explain. . Explain how treatments with oraliintravaginal contraceptiivos, such as progesterone-based Mirena, heip with disease symptoms heavy menstnuat Plow and pain).
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