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Week 10 Mod 7 CASE STUDY 2

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In your Case Study below, Analysis related to the scenario provided, explain the following:
Factors that affect fertility (STDs) and
Why Inflammatory markers rise in STD/PID
Scenario: A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and
vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has
begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency.
States she is married and has sexual intercourse with her husband. PMH negative.
Labs: CBC-WBC 18,(H) Hgb 16,(H) Hct 44,(OK) Plat 325(OK), Neuts & Lymphs, sed rate 46 mm/hr, C-reactive
protein 67 mg/L CMP wnl
Vital signs T 103.2 F Pulse 120 Resp 22 and PaO
2
99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or
gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates
copious foul-smelling green drainage with reddened cervix and + bilateral adenexal tenderness. + chandelier sign.
Wet prep in ER + clue cells and gram stain in ER + gram negative diplococci.
DUE WEEK 10 day 7
Resources:
Nathalie J. Broutet: (2017). Sexually transmitted infectionsResearch priorities for new challenges
Nicola Low1
McCance, K. L. & Huether, S. E. (2019

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In your Case Study below, Analysis related to the scenario provided, explain the following: Factors that affect fertility (STDs) and Why Inflammatory markers rise in STD/PID Scenario: A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal dis ...
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