Case Studies In Health Information Management
3rd Edition
ISBN: 9781337676908
Author: SCHNERING
Publisher: Cengage
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A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy.
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What is the rationale for using danazol, a gonadotropin inhibitor?
A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy.
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Why do you think oral contraceptives could also be used as a treatment?
A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy.
Is surgical treatment an option, why? Why not?
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- A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy. Compare the hormonal controls of the male reproductive cycle with the hormonal controls of the female reproductive cycle. How are they the same? How are they different?arrow_forwardDONT ANSWER THE SAME ANSWER ANYMORE. PLEASE INCLUDE REFERENCES I NEED IT. MAKE IT DETAILED. ONE PARAGRAPH ONLY please make a justification/explanation of this nursing diagnosis according to maslow. include the references used also: DX: Risk for uterine infection related to abnormal uterine bleeding as evidenced by endometrial polyparrow_forwardSharon, aged 26 years, had been married for two years. Menarche was at age 14 with regular periods. When she was 24 her periods became irregular and she was started on the combined oral contraceptive pill. Wishing to become pregnant, she had stopped taking the pill one year earlier but her periods did not return. Her partner’s sperm count was normal. The following investigations were carried out (reference ranges are given in brackets): LH 21 IU/L (2–15) FSH 42 IU/L (1–15) Prolactin 350 mU/L (50–700) (a) What do the high gonadotrophins suggest in this case? (b) What is Sharon’s principal option to achieve a pregnancy?arrow_forward
- DONT ANSWER THE SAME ANSWER ANYMORE. PLEASE INCLUDE REFERENCES I NEED IT. MAKE IT DETAILED. please make a justification/explanation of this nursing diagnosis according to maslow. include the references used also: DX: Risk for uterine infection related to abnormal uterine bleeding as evidenced by endometrial polyparrow_forwardList the routine lab work orders for a patient admitted in labor.arrow_forwardA G1P0 pregnant client presents at the prenatal clinic: What is the Expected Date of Delivery (EDD) using Naegele’s Rule for a woman who has had their Last Menstrual Period (LMP) on: LMP: Mar. 28, 2021arrow_forward
- A G1P0 pregnant client presents at the prenatal clinic: What is the Expected Date of Delivery (EDD) using Naegele’s Rule for a woman who has had their Last Menstrual Period (LMP) on: LMP: July 27, 2021arrow_forwardA G1P0 pregnant client presents at the prenatal clinic: What is the Expected Date of Delivery (EDD) using Naegele’s Rule for a woman who has had their Last Menstrual Period (LMP) on: LMP: September 3, 2011arrow_forwardA G1P0 pregnant client presents at the prenatal clinic: What is the Expected Date of Delivery (EDD) using Naegele’s Rule for a woman who has had their Last Menstrual Period (LMP) on: LMP: April 20, 2021arrow_forward
- A G1P0 pregnant client presents at the prenatal clinic: What is the Expected Date of Delivery (EDD) using Naegele’s Rule for a woman who has had their Last Menstrual Period (LMP) on: LMP: January 15, 2020arrow_forwardI was admitting Darlene Jenkins, a pregnant, unmarried,14-year-old to the prenatal clinic. This was her first visitand she was already in her third trimester. A quick historyrevealed multiple factors putting both her and her fetus at risk for health problems: lack of family (or other) support (home-less, occasionally staying with an older girlfriend), father of the baby unknown, multiple sexual partners, diet consistingmainly of fast food, no prenatal vitamins, little to no exercise,and history of smoking (2 packs of cigarettes per day) andalcohol consumption (“beer 4 to 5 times a week”). When shewas seen by the medical resident, he asked her quite curtly if she was trying to “kill your baby,” telling her that it was prob-ably too late for her to get the care she needed. “Why should we waste our time on you when other women here reallywant to be helped?” Although Darlene was acting “tough,” Icould tell from her expression that she was both angry andhurt. While I was upset by the…arrow_forwardNurse Zasha is monitoring Mrs. Zexy Lucero, G1P0, who is at 6 cm cervical dilatation. 80% effaced, (+)BOW, Station 0 who is experiencing labor dysfunction. Nurse Zasha concludes that which risk factors in Mrs. Zexy's history categorized her at risk for this complication? (Select all that apply). Age 54 years Previous difficulty with infertility Administration of oxytocin for labor induction Body mass index of 28 Potassium level of 3.5 mEq/Larrow_forward
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