Case study 2

Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, and diagnostic approaches, as well as to the development of treatment plans. For this Case Study Assignment, you will once again choose 1 of 4 case study scenarios and review the case study scenario to obtain information related to a gynecologic exam and determine differential diagnoses, diagnostics, and develop treatment and management plans. Assignment Instructions: Use the Case Study Template from the Learning Resources to complete the assignment. Your submission must include a brief case write-up, followed by the fully completed template, which must be integrated into the document rather than submitted separately. Include a title page, a case summary in your own words, the completed template, and a reference page formatted in APA style. Ensure your submission meets all criteria outlined in the template and rubric for completeness and accuracy. Case #1. Debbie. History of Present Illness (HPI): Debbie is a 19-year-old female G1P0010. She presents to your office as a new patient for GYN visit. Her chief complaint is mild lower abdominal pain and a copious amount of vaginal discharge that started a little over 1 week ago. She is sexually active and reports having four male partners in the last six months. Prior medical history: Depression, HSV-2. Prior surgical history: Surgical termination of pregnancy 1 year ago Current medications: Lo loestrin Fe. Allergies: None OB- GYN History: Surgical TOP x 1. Menarche age 9, cycle length- 7 days- frequency every 28 days- 3 -4 tampons per day. Hx of HSV-2. Never had pap smear. LMP: 2 weeks ago – normal. Contraception history: OCP since TOP 1 year ago. Social history: Lives parents. Denies ETOH or recreational drug use, never smoker. Graduated high school. Not in college. Works FT as a waitress. Family history: Mother - depression. Father – unknown Review of Systems (ROS): Negative except as noted in HPI. Physical Exam (PE) VS: BP: 112/80, P: 72, RR: 16, T: 98.4, Weight: 110 lbs., Height 54 in, BMI 18.9 kg/m2 • General: WDWN female in NAD • Abd: Soft, NT/ND, no masses/HSM • GU: No external lesions, no erythema. Mucopurulent endocervical exudate visible in the endocervical canal, sample obtained - cervix is friable. Mild CMT, no uterine tenderness, no adnexal tenderness, no masses.