Numi Islamabad University Health & Medical Case Study

Numi Islamabad University Health & Medical Case Study

Assignment: Case Study Analysis

An understanding of the factors surrounding women’s and men’s health, infections, and
hematologic disorders can be critically important to disease diagnosis and treatment in
these areas. This importance is magnified by the fact that some diseases and disorders
manifest differently based on the sex of the patient.
Effective disease analysis often requires an understanding that goes beyond the human
systems involved. The impact of patient characteristics, as well as racial and ethnic
variables, can also have an important impact.
An understanding of the symptoms of alterations in systems based on these characteristics is a
critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can
also help educate patients and guide them through their treatment plans.
In this Assignment, you examine a case study and analyze the symptoms presented. You
identify the elements that may be factors in the diagnosis, and you explain the implications
to patient health.
To prepare:
By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study
Assignment. Please see the “Course Announcements” section of the classroom for your
assignment from your Instructor.
CASE STUDY:
Scenario 3: 67-year-old female presents with chief complaint of shortness of breath,
fatigue, weakness, unintentional weight loss, and mild numbness in her feet. She states
she feels unsteady when she walks. PMH includes hypothyroidism well controlled
on Synthroid 100 mcg/day. No hx of HTN or CHF.
Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air.
Physical exam revealed pale, anxious female appearing older than stated years.
HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly
swollen with loss of normal rugae. Turbinates pale but no swelling. Thyroid palpable but
no nodules felt. No lymph nodes palpated.
Cardiac-regular rate and rhythm with soft II/VI systolic murmur. Respiratory- lungs clear
with no adventitious breath sounds. Abdomen-soft, non-tender with positive bowel
sounds. Liver edge palpated two finger breadths below right costal margin. Lab
data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume, plasma
iron, and ferritin levels high, folate, TIBC are normal.
Assignment (2-page case study analysis)
In your Case Study Analysis related to the scenario provided, explain the following as it applies
to the scenario you were provided (not all may apply to each scenario):
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The factors that affect fertility (STDs).
Why inflammatory markers rise in STD/PID.
Why prostatitis and infection happens. Also explain the causes of systemic reaction.
Why a patient would need a splenectomy after a diagnosis of ITP.
Anemia and the different kinds of anemia (i.e., micro and macrocytic).
Reminder: The College of Nursing requires that all papers submitted include a title page,
introduction, summary, and references. The sample paper provided at the Walden Writing Center
provides an example of those required elements (available at
https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this
formatting.
Learning Resources
McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in
adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
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Chapter 24: Structure and Function of the Reproductive Systems (stop at Tests of
reproductive function); Summary Review
Chapter 25: Alterations of the Female Reproductive System (stop at Organ
prolapse); pp. 787–788 (start at Impaired fertility) (stop at Disorders of the female
breast); Summary Review
Chapter 26: Alterations of the Male Reproductive System (stop at Hormone
levels); Summary Review
Chapter 27: Sexually Transmitted Infections, including Summary Review
Chapter 28: Structure and Function of the Hematological System (stop at
Clinical evaluation of the hematological system); Summary Review
Chapter 29: Alterations of Erythrocytes, Platelets, and Hemostatic Function,
including Summary Review
Chapter 30: Alterations of Leukocyte and Lymphoid Function, including
Summary Review
Low, N. & Broutet N. J. (2017). Sexually transmitted infections – Research priorities for new
challenges. PLoS Medicine, (12), e1002481
Kessler, C. M. (2019). Immune thrombocytopenic purpura [LK1] (ITP). Retrieved from
https://emedicine.medscape.com/article/202158-overview
Nagalia, S. (2019). Pernicious anemia[LK1] . Retrieved from
https://emedicine.medscape.com/article/204930-overview#a3
Stauder, R., Valent, P., & Theurl, I. [LK1] (2019). Anemia at older age: Etiologies, clinical
implications and management. Blood Journal, 131(5). Retrieved from
http://www.bloodjournal.org/content/131/5/505?sso-checked=true
Credit Line: Anemia at older age: Etiologies, clinical implications and management by Stauder,
R., Valent, P., & Theurl, I., in Blood Journal, Vol. 131/Issue 5. Copyright 2019 by American
Society of Hematology. Reprinted by permission of American Society of Hematology via the
Copyright Clearance Center.