The Assignment (1- to 2-page case study analysis)- 500 words

In your Case Study Analysis related to the scenario provided, explain the following:

• The factors that affect fertility (STDs).

• Why inflammatory markers rise in STD/PID.

• Why prostatitis and infection happens. Also explain the causes of systemic reaction.

• Why a patient would need a splenectomy after a diagnosis of ITP.

• Anemia and the different kinds of anemia (i.e., micro and macrocytic).

Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned (omit section that does not pertain to your case, faculty will give full points for that section):

• There are no sections to omit for this paper ALL sections must be answered

Explain the factors that affect fertility (STDs)

Explain why inflammatory markers rise in STD/PID

• Self-explanatory

Explain why prostatitis and infection happen. Also explain the causes of systemic reaction.

• This needs to be answered as it is not relating specifically to the case study but in general. Make sure to explain the systemic reaction to prostatitis as well as what is prostatitis and why it happens.

Explain why a patient would need a splenectomy after a diagnosis of ITP.

• Self-explanatory

Explain anemia and the different kinds of anemia (i.e., micro and macrocytic).

• First explain what is anemia and then the two types micro and macro. Which one did this patient have and why?

Written Expression and Formatting – Paragraph Development and Organization:

• You must follow APA and MSN formatting (see link below)

Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance.

• As above

CASE STUDY

Scenario 3: 67-year-old female presents with chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet. She states she feels unsteady when she walks. PMH includes hypothyroidism well controlled on Synthroid 100 mcg/day. No hx of HTN or CHF.

Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air.

Physical exam revealed pale, anxious female appearing older than stated years.

HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly swollen with loss of normal rugae. Turbinates pale but no swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated.

Cardiac-regular rate and rhythm with soft II/VI systolic murmur. Respiratory- lungs clear with no adventitious breath sounds. Abdomen-soft, non-tender with positive bowel sounds. Liver edge palpated two finger breadths below right costal margin. Lab data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume, plasma iron, and ferritin levels high, folate, TIBC are normal.

Okay, now let’s all think here:

I am going to try and walk you through this case study as if we are in clinicals, specifically an infectious disease clinic. 

Most of the patients in this clinic are with the above symptoms, some worse than others. B12 deficiency, thrombocytopenia, muscle wasting, which causes neuropathy correct?  

You think STD. What STDs are there that can cause these symptoms?

LOTS of questions on the above patient. I am unsure why.

You have to think outside the box. So symptoms are noted (I did not “red” font all of them, but the more notable ones. How could the individual have contracted STD?  Are STDS isolated to one population? Did you look at the question and misguided by the thyroid, age, cardiac? What about HIV or AIDS?

-If you have any further questions on this please feel free to reach out to me  

Stay well everyone and do not forget every minute of every day how very special each and every one of you are to all of those you serve, and the strength that you provide for our profession.

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