Case Study On STD

Subjective:

Martha is a 26-year-old female who reports vaginal burning for 3 days.

She says that she can barely focus on other things because of the burning. She also reports a copious foul smelling vaginal discharge. Her last pap smear was at age 21 and was negative. She has not received the HPV vaccine series.

Martha denies previous episodes and states that she is otherwise healthy.

denies fever, chills, nausea, vomiting or diarrhea.

She is sexually active and has been sexually active with males since age 15. She states that she has had 2 relationships in the past year.

Last intercourse was last week. She admits to dyspareunia and burning with urination. She denies use of vaginal sprays, douches, or powders or the use of new soaps detergent or clothing.

She wears a thong regularly.

Past Medical History:

Tonsillectomy at the age of 7.

Currently on no medications or herbal/vitamin supplements

Family History:

Mom with diabetes; Dad COPD; Brother healthy

Social History:

Martha is a college graduate and lives alone in an apartment. She feels safe and has a good relationship with her boyfriend. Martha works as a teacher and feels financially secure. She does not smoke and denies drug abuse. She drinks socially on the weekends with 1-2 glasses of wine.

NKDA

Allergies:

ORDER A PLAGIARISM-FREE PAPER BY CLICKING THIS LINK

Objective

Vital signs: Martha is afebrile. Her B/P is 110/70. Pulse is 64 and regular. Respirations are 18. She is 5 feet 3 inches tall and weighs 120 lbs.

General: Martha is pleasant and cooperative but anxious about the visit

Cardiac: Regular rate and rhythm without murmurs

Respiratory: Lungs are clear

Abdomen: Soft, nontender, nondistended, and without organomegaly

Pelvic Exam:  Inguinal lymph nodes are without swelling or tenderness; vaginal mucosa is moist, pink, and mildly swollen. There is a fishy odor; copious discharge in the introitus. The cervix is pink and friable. There is a negative chandelier sign. PH is mildly alkaline and wet prep indicates trichomads.

List top 3 differentials using chart below (put primary diagnosis as #1). Fill in short epidemiology synopsis, pertinent positives and negatives and short patho summary.  Must use current (within 5 years)reference and cite in APA format.

 

	Differential 1	Differential 2	Differential 3
Epidemiology (short synopsis) for each   Who, Where, When
Pertinent positives for each
Pertinent negatives for each which require more analytical and creative thinking, are gleaned from the differential diagnosis and function to “rule out” other diagnostic possibilities
Patho short summary for each

 

ORDER A FULLY-CUSTOMIZED PAPER HERE

ASSESSMENT: (Assessment and Plan do not need to be in APA format. Just list or use bullets, however citations need to be in APA).

List all diagnoses DO NOT LIST DIFFERENTIAL 2 AND 3 AS A DIAGNOSIS

1. Primary [ first differential]
2. Secondary diagnoses if applicable (i.e. elevated b/p without dx of HTN, asthma, allergic rhinitis)f There may not be a secondary diagnosis. If not just state so.

PLAN

What diagnostics are needed (if any) for both primary and secondary diagnoses? Provide rationale and reference.

 

What is the pharmacologic treatment plan for diagnosis? Secondary diagnosis if applicable? Include all medications. Provide rationale and reference. You need to include cost of any medications. Any side effects or drug interactions and patient education on how to take etc.

Write a prescription with the blank prescriptions provided for any prescribed medication. You do not need to write RX for existing meds or OTC meds. For existing meds just write continue ……. As prescribed for………..

Sign the prescription with your name and credentials APRN, FNP

THE NAME ON THE RX IS NOT YOUR SIGNATURE. THIS IS REQUIRED BY LAW TO BE ON THE SCRIPT. YOU STILL MUST SIGN. I WILL ACCEPT A TYPED SIGNATURE. JUST TYPE ON THE RX.

What is the non-pharmacologic treatment for the patient? Secondary diagnosis if applicable? Include all medications.

When should patient follow up? Include all diagnoses. Provide rationale and reference.

Are any referrals needed? Are any interprofessional referrals needed? Provide rationale and reference?

Does this patient need referral? To interprofessional (example pharmacist,social worker, PT, OT, etc)? Provide rationale and reference.

Format and organization with correct APA : Sources must be evidence based and current within last 5 years. Title page,reference page,  and citations must be in APA format.

Here is recommended formatting

Diagnositics

Medications

They need to put rationale and cite

Non Pharm

Follow up

Written rx: see rubrice

Advanced Pharmacy Clinic 123 Pill Ave., Anywhere, TX 70001 (123) 456-7890       Name:                                                                                     Date:   Address:                                                                                    DOB:     ℟           SIG:         Refill    times

A.B. Smart MD phone (123)456-7890                     Student Name, RN, APRN 123 Pill Ave, Anywhere, TX 70001                           NPI ID# DEA# AB12345  DPS# 112321                                   DEA#

Advanced Pharmacy Clinic 123 Pill Ave., Anywhere, TX 70001 (123) 456-7890           Name:                                                                                    Date:   Address:                                                                                 DOB:   ℟     SIG:           Refill  Times

A.B. Smart MD phone (123)456-7890                     Student name RN, APRN 123 Pill Ave, Anywhere, TX 70001                           NPI ID# DEA# AB12345  DPS# 112321                                   DEA#

Advanced Pharmacy Clinic 123 Pill Ave., Anywhere, TX 70001 (123) 456-7890         Name:                                                                                        Date:   Address:                                                                                     DOB:     ℟       SIG:     Refill   Times

A.B. Smart MD phone (123)456-7890                     Lynda Jarrell, DNP, RN, FNP-BC 123 Pill Ave, Anywhere, TX 70001                           NPI ID# DEA# AB12345  DPS# 112321                                   DEA#

Complete case study on the form provided with the subjective and objective data. You will be adding assessment and plan.

All case studies and assignments need to be in APA format and must include title page, citations and reference page. References must be from the last five years. If you want to type the answers on the word document provided this is fine. Rationale with citations must be provided.

On the diagnostic reasoning table your rationale are the epidemiology, pathology, pertinent positives and negatives. So only references need to be provided for these. The primary diagnosis should be listed as the first differential.  Answer all questions and see rubric for grading.

This needs to be written like a SOAP. I do not want long paragraphs. Body of the paper does not need to be APA (only citations, title page and reference page). You can bullet or number.

For secondary diagnosis for a pre-existing condition, under plan example write:  continue lisinopril 10 mg daily for HTN. No rationale or citation or cost needed for secondary diagnoses.  You do not need rx for pre-existing medications or OTC medications.

I want no more than 3 pages (minus subjective and objective data, table, title page and reference page and RX). I want it succinct and to the point.
Example:
Assessment:
AOM

Plan:
Amoxicillin 500 mg 1 tablet twice daily for 10 days. rationale: 40% AOM is caused from S. Pneumoniae: amoxicillin is first line treatment in AOM (Hollier, 2019). Cost$ (go to good rx.com or lexicomp or epocrates)
Tylenol ……rationale: tylenol is recommended for fever (Hollier, 2019). Cost $
non pharm
Increase fluids: rationale: to prevent dehydration and help with fever (Hollier 2019)
Follow up
48 hours if no improvement- If no improvement antibiotic may need to be changed (Hollier, 2019)
Or at completion of antibiotic- to check tympanic membrane for resolution of infection (Hollier 2019)
I do not want paragraphs. Do not make this harder than it is. It is a simple case study.

IT IS YOUR RESPONSIBILITY TO GET THE ASSIGNMENT UPLOADED IN THE CORRECT FORMAT AND TO MAKE SURE WHAT YOU HAVE SUBMITTED IT IN THE CORRECT DOCUMENT. THIS MUST BE UPLOADED AS AN ASSIGNMENT IN A WORD DOCUMENT OR PDF. AND IT MUST GO THROUGH UNICHECK. YOU JUST CHECK ALLOW. IF THIS IS UPLOADED IN A FORMAT THAT CANNOT BE OPENED. YOU WILL RECEIVE A ZERO.

LET US HANDLE THIS PAPER INSTANTLY FOR YOU!!