Case Studies in Health Information Management
3rd Edition
ISBN: 9781305955332
Author: Patricia Schnering, Nanette B. Sayles, Charlotte McCuen
Publisher: Cengage Learning
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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_forwardDONT 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_forward
- If the lmp of pregnant woman is 28/10/20 what is the eddarrow_forwardA 39-yr-old woman, gravida 2; para, 1 with a history of Cesarean section delivery 10 years ago presented at 35 weeks gestational age with complete placenta previa. She presented painless, vaginal bleeding in moderate amount. Physical examination revealed an arterial blood pressure of 110/70 mmHg, a heart rate of 107 beats/min, and a respiratory rate of 22 breaths/min. There were heart murmurs and the patient's lungs were clear to auscultation bilaterally, and she had mild peripheral edema. Answer the following questions based from the data given. What are the possible complications of placenta previa? And how are you going to prevent/manage the complications?arrow_forwardNurse Zasha is reviewing the Obstetrician-Gynecologists orders for Mrs. Zexy Lucero. 25 years old, G1P0, 37 weeks AOG admitted for watery vaginal discharge before the onset of regular uterine contractions. Internal examination revealed: cervix 3-4 cms dilated, 50% effaced, cephalic, station -1, with pooling of fluid in the vaginal canal on speculum examination. Which of the following activities are expected to be written in the doctor's orders and to be performed by Nurse Zasha? (Select all that apply) Administer an antibiotic per order and hospital protocol Monitor maternal vital signs frequently Monitor fetal heart rate continuously Perform vaginal examination every shift Perform cesarean section immediatelyarrow_forward
- DONT ANSWER THE SAME ANSWER ANYMORE. PLEASE INCLUDE REFERENCES I NEED IT. 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_forwardDiscuss the implications of damage to the seminiferous tubules in the testes of a patient. Include at least 3 implications of damage to the patient’s seminiferous tubules and explain at least 1 reason for each implication discussed.arrow_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 IN ONE PARAGRAPH ONLY. I DONT NEED A DESCRIPTION OF MASLOWS ITSELF OR NCP. I WANT JUSTIFICATION/EXPLANATION OF NURSING DX BELOW THAT IS CONNECTED TO MASLOWS. DX: Risk for uterine infection related to abnormal uterine bleeding as evidenced by endometrial polyparrow_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_forwardP09. Answer -------Marielle, 18 year-old, Gravida 1 Para 039-40 weeks AOG, was brought to the Delivery Suite due to labor pains. On admission, BP = 110/80 ; FH = 34cm; FHT = 145 bpm. Internal examination showsCervix 3 cm, 60% effaced; intact BOW, station -2; cephalic presentation. Uterine contractions were occurring at every 5-6 minutes interval, 30 seconds durationmild to moderate contractions. Marielle in this case is already in what phase of labor?a. Latent phaseb. Acceleration phasec. Phase of maximum sloped. Deceleration test.arrow_forward
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