primary care physicians include those certified in multiple select question gynecology physical

Name: primary care physicians include those certified in multiple select question gynecology physical therapy pediatrics family practice 51713
Uploaded: 2023-05-22T18:11:46-08:00
Duration: 4 min 20 s
Channel: Madhur L
Description: primary care physicians include those certified in multiple select question gynecology physical therapy pediatrics family practice 51713

Primary care physicians include those certified in multiple...

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The patient is a 25-year old female who lives in Hialeah, Florida. She was admitted to the open-clinic with a low-grade fever, headache, and fatigue which has persisted for four days. Questioning shows the patient works as a dental assistant. She has been in a monogamous relationship for the past 2 months; however prior to that she had multiple sex partners (estimated 4 partners in addition to current) within the last year. She has taken oral contraceptives for the past month; before which she used condoms. She recalls having unprotected sex twice within the last year. Her last menstrual period was ~43 days ago. She has a family history of type-2 diabetes (mother), as well as Parkinson’s disease (grandfather). She does not partake in drugs of abuse. She owns a cat. She has no recent (last 2 years) history of foreign travel. She is allergic to penicillin. Given your current information, which of the following diseases do you think could be responsible for your patient's symptoms? Select no more than six answers. Gonorrhea NGU PID Syphilis LGV Chancroid Bacterial vaginosis Genital herpes Genital warts AIDS Candidiasis Trichomoniasis There is not enough information to select six or fewer diseases at this time.

Madhur L.

1. Which of Cathy's signs and symptoms are common to both pelvic inflammatory disease and appendicitis? Why is it important to rule out appendicitis? 2. What signs and symptoms support the diagnosis of PID? 3. Suppose Cathy says that in spite of her "wildness" in college, she just wants to "get it all out of my system, and then settle down and have kids after I graduate." As her physician, what would you tell her about the relevance of her present behavior to her family plans? 4. Why are a Pap smear and an HIV test conducted? 5. Why do Cathy's signs and symptoms rule out cervical, endometrial, and ovarian cancer? 6. Erica, a 17-year-old female, is a member of her high school swim team. She visits her physician because she has missed her last two menstrual periods. Laboratory tests are negative for HCG. Based on this limited information, speculate about the cause of Erica's amenorrhea. What treatment, if any, would you recommend? 7. Twenty-eight-year-old Brenda visits her gynecologist complaining of irregular menstruation, back pain, and pain during intercourse. Which of the following signs would suggest that Brenda is suffering from polycystic ovary disease? a. elevated serum LH concentrations b. elevated serum HCG concentration c. mucopurulent discharge d. rebound tenderness e. dyschezia 8. Andrea, a 32-year-old female, visits her nurse practitioner complaining of constipation, pelvic pain, and dysmenorrhea. Within the last 6 months, Andrea's sister has been diagnosed with endometriosis. Laparoscopy reveals two regions of ectopic endometrial tissue on Andrea's ovaries. Since Andrea does not intend to have any children, she decides to take a GnRH agonist in an attempt to treat the disorder without resorting to surgery. Explain how this medication would help alleviate the signs and symptoms of this disorder. 9. Why is maintaining an acidic pH in the hymen important in treating vaginitis? 10. A 15-year-old girl misses 3 days of school due to severe menstrual cramps before her mother takes her to a gynecologist. If you were the gynecologist, what issues would you discuss with the girl while taking her history? Suppose the gynecologist tells the girl simply to use a heating pad and analgesics, wait it out for another day or two, and return to school when she feels better. What do you think the diagnosis is?

Supreeta N.

6. Erica, a 17-year-old female, is a member of her high school swim team. She visits her physician because she has missed her last two menstrual periods. Laboratory tests are negative for hCG. Based on this limited information, speculate about the cause of Erica's amenorrhea. What treatment, if any, would you recommend? 7. Twenty-eight-year-old Brenda visits her gynecologist complaining of irregular menstruation, back pain, and pain during intercourse. Which of the following signs would suggest that Brenda is suffering from polycystic ovary disease? a. elevated serum LH concentrations b. elevated serum hCG concentration c. mucopurulent discharge d. rebound tenderness e. dyschezia 8. Andrea, a 32-year-old female, visits her nurse practitioner complaining of constipation, pelvic pain, and dysmenorrhea. Within the last 6 months, Andrea's sister has been diagnosed with endometriosis. Laparoscopy reveals two regions of ectopic endometrial tissue on Andrea's ovaries. Since Andrea does not intend to have any children, she decides to take a GnRH agonist in an attempt to treat the disorder without resorting to surgery. Explain how this medication would help alleviate the signs and symptoms of this disorder. 9. Why is maintaining an acidic pH in the vaginal important in treating vaginitis? 10. A 15-year-old girl misses 3 days of school due to severe menstrual cramps before her mother takes her to a gynecologist. If you were the gynecologist, what issues would you discuss with the girl while taking her history? Suppose the gynecologist tells the girl simply to use a heating pad and analgesics, wait it out for another day or two, and return to school when she feels better. What do you think the diagnosis is?

Sri K.

Transcript

00:01 Hello everyone, for this question we need to select six possible diseases which can be responsible for the given symptoms in the 25 year old female.

00:11 So first of all gonorrhea.

00:18 So the symptoms which show the presence of gonorrhea, first of all the female is 25 years old, then secondly she has multiple sex partners, furthermore also there is unprotected sex for one month.

00:50 Now the unprotected sex could also be an indication of ngu which is non -gonococcal urethritis.

01:05 Now there is one more infection which is pid that is pelvic inflammatory disease and the symptoms which indicate the presence of this disease include, first of all in this case women's reproductive organs are affected so we can see as this is the case of a woman.

01:59 Secondly it is caused due to sexually transmitted infections like gonorrhea and nngu...

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Primary care physicians include those certified in: Multiple select question. gynecology physical therapy pediatrics family practice

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