Running head: NSG6430_WEEK_5 1
NSG6430_WEEK 5
South University
NSG6430_WEEK_
5
2
NSG430_WEEK_5
Discuss the questions that would be important to include when interviewing a patient with this issue.
Describe the cl
...
Running head: NSG6430_WEEK_5 1
NSG6430_WEEK 5
South University
NSG6430_WEEK_
5
2
NSG430_WEEK_5
Discuss the questions that would be important to include when interviewing a patient with this issue.
Describe the clinical findings that may be present in a patient with this issue.
Are there any diagnostic studies that should be ordered on this patient? Why?
List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.
Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.
Solution in Essay Form:
The iHuman patient presents with a report of abnormal uterine bleeding that has been occurring for the last 24 hours. She also reports a history of irregular menses that is uncommon for her. The questions that should be asked of this patient during the initial examination include the following: When the bleeding and left abdominal pain begin? Are there any other symptoms related to the pain? Is the bleeding continuous like a menses or is it spotting? How much bleeding has occurred? When did the menses begin? How many sanitary pads have been saturated? How much blood is on the sanitary pad? What type of contraception is being use? Are you sexually active? When was the last OBGYN examination? Is there a history of recent pelvic surgery, tubal ligation or has she used an intrauterine contraceptive device (IUD)? Has the patient taken a pregnancy test? What was the pregnancy results? Does she have a history of ectopic pregnancy or pelvic inflammatory disease (PID)? When did the abdominal pain start and the location? Is the pain continuous or intermittent? Is the pain in the abdomen crampy? Was the pain of the abdomen sudden? What is the severity of the pain on a scale of 0 to 10? What makes the pain better or worse? Is she experiencing shoulder pain? Recent trauma to the pelvic area or
NSG6430_WEEK_
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other areas of the body? Any fever, dizziness, or syncope (Cash & Glass, 2017; Hawkins, Roberto-Nichols, & Stanley-Haney, 2016)?
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