I have pain during intercourse and urination
I have pain during intercourse and urination”
A 19-year-old female reports to you that she has “sores” on and in her vagina for the last three months.
She tries to practice safe sex but has a steady boyfriend and figures she doesn’t need to be so careful since she is on the birth control pillstates “
I have sores and bumps on the inner creases of my thighs and pelvic area”. “There is yellowish discharge from the sores that comes and goes
”temperature: 100.2°F; pulse 92; respirations 18; BP 122/78; weight 156 lbs, 25 lbs overweight; height 5?3?
patient appears to have good hygiene; minimal makeup, pierced ears, no tattoos; well nourished (slightly overweight); no obvious distress noted
Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.
within normal limits, appropriate lung sounds auscultated, clear and equal bilaterally
S1S2 without rub or gallop
- INSPECTION: no dimpling or abnormalities noted upon inspection
• PALPATION: Left breast no abnormalities noted. Right breast: denies tenderness, pain, no abnormalities noted.Inguinal Lymph nodes: tenderness bilaterally, numerous, 1 cm in size - tender during palpation; the left lower quadrant was very tender during palpation; patient denies nausea or vomiting
- labia major and minor: numerous ulcerations, too many to count; some ulcerations enter the vaginal introitus; no ulcerations in the vagina mucosa; cervix is clear, some greenish discharge; bimanual exam reveals tenderness in left lower quadrant; able to palpate the left ovary; unable to palpate the right ovary; no tenderness; uterus is normal in size, slight tenderness with cervical mobility
- Muscles are smooth, firm, symmetrical. Full ROM. No pain or tenderness on palpation.No obvious deficits and CN grossly intact II-XII
- Once you received your case number, answer the following questions:
- What other subjective data would you obtain?
- What other objective findings would you look for?
- What diagnostic exams do you want to order?
- Name 3 differential diagnoses based on this patient presenting symptoms?
- Give rationales for your each differential diagnosis.
- What teachings will you provide?
- Your instructor will assign you your case number and you will post on the case number you have been assigned.
- You will reply to the other two case studies (One of each).
- Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
- You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
- All replies must be constructive and use literature where possible.
- Attention: Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Friday.
- You can expect feedback from the instructor within 48 to 72 hours from the Friday due date.
Requirements: more than 500 words
Answer preview to I have pain during intercourse and urination
APA
600 WORDS
