NURS 6551 Diagnosing and Managing Gynecologic Conditions DQ

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NURS 6551 Diagnosing and Managing Gynecologic Conditions DQ

NURS 6551 Diagnosing and Managing Gynecologic Conditions DQ


Gynecologic conditions can be difficult to diagnose for a
variety of reasons, including overlapping symptoms, lack of patient knowledge,
or even patient fear or embarrassment about sharing information. Your role
provides you the opportunity to develop a relationship of trust and
understanding with these patients so that you can gather the appropriate
details related to medical history and current symptoms. When caring for this
patient population, it is important to make these women an integral part of the
process and work collaboratively with them to diagnose and develop treatment
and management plans that will meet their individual needs. For this
Discussion, consider diagnosis, treatment, and management strategies for the
patients in the following four case studies:

Case Study 1:

A 32-year-old African American female is concerned about
increasing dysmenorrhea over the past three years. In the past year, this was associated
with painful intercourse. She has been in a monogamous relationship with one
male partner for the past five years. They tried to have children without
success. Menarche was at age 10; menstrual cycles are 21 days apart and last
for 6–7 days. The first day of her last

menstrual period was 10 days ago and
was normal. She denies vaginal itching or discharge. On gynecologic exam there
was no swelling, external lesions, or erythema, urethral swelling, or vaginal
discharge. Cervix is pink without lesions or discharge. Uterus was small,
retroverted, and non-tender. Adnexa were small and non-tender. Nodules are
noted along the cul de sac.

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Case Study 2:

A 42-year-old African American female is in the clinic for a
routine gynecologic exam. When asked, she admits to noticing bleeding in
between her menstrual periods for the past several months. She has been
pregnant three times and has three children. She is sexually active with one
male sex partner in a monogamous relationship. During her bimanual exam, you note
an irregular intrauterine non-tender mass about 4 cm in diameter. The mass is
palpable abdominally. The remainder of her gynecologic exam was normal.

Case Study 3:

A 48-year-old Caucasian female is in the clinic concerned
about prolonged menstrual bleeding for three weeks now. Her prior menstrual
periods have been irregular for the past eight months, lasting no more than
three days each. There have been one to two months when she had no menstrual
cycles at all. She reports occasional hot flushes and mood swings.

Case Study 4:

A 16-year-old Caucasian female comes to the clinic concerned
because she has not had a menstrual period for three months. She’s a junior in
high school and active in sports. She has lost about 10 lbs. in the past two
months. She is currently 5 ft. 4 in. and weighs 100 lbs.

To prepare:

Review Chapter 26 of the Schuiling and Likis text and
Chapter 7 of the Tharpe et al. text.

Review and select one of the four provided case studies.
Analyze the patient information.

Consider a differential diagnosis for the patient in the
case study you selected. Think about the most likely diagnosis for the patient.

Think about a treatment and management plan for the patient.
Be sure to consider appropriate dosages for any recommended pharmacologic and/or
nonpharmacologic treatments.

Consider strategies for educating patients on the treatment
and management of the sexually transmitted infection you identified as your
primary diagnosis.

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