PLEASE FOLLOW THE INSTRUCTIONS BELOW AS INDICATED:

1). ZERO (0) PLAGIARISM

2). 5 REFERENCES LESS THAN 5 YEARS, OR NO MORE THAN 5 YEARS

3) PLEASE SEE ATTACHED RUBRIC DERAILS AND FOLLOW THE APA  WRITING STYLE/FORMAT

4) PLEASE READ THE INSTRUCTION WELL AS DIRECTED BY THE INSTRUCTOR BELOW.

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. 

Assignment (1- to 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):

• 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).

To prepare:

Scenario 1: 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, Hgb 16, Hct 44, Plat 325, ­ 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 PaO2

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.

 The week 10 case study contains several questions, and not all questions will apply to your assigned case study. I have copied the questions below that do apply that you are to address in your paper.  I changed the last question here to  STD/PID to better help you provide important information in this case.

• The factors that affect fertility (STDs).
• Why inflammatory markers rise in STD/PID.
• Why STDs/PID infection happens. Also  explain the patho that produces the case study patient’s symptoms.

Additionally, I have provided a link to an emedicine article in the contact the instructor section yesterday that should be helpful. 

Also be sure to clean up your APA format. I provided you a sample APA paper a few weeks ago. Please review it. I will be taking maximum points off for APA and poorly organized papers. I have provided ample guidance in this area and some of you have not followed my comments in your paper and the additional help from my posts. Professional writing is part of obtaining an advanced degree and I want to be sure you improve in this area.

Assume you are a Maryland resident and Medicaid recipient looking to enroll in a managed care plan, review the Maryland Managed Care Website(s) at:https://mmcp.health.maryland.gov/healthchoice/Pages/HealthChoice-Enrollment.aspx

https://mmcp.health.maryland.gov/healthchoice/pages/home.aspx

Assess and evaluate HealthChoice, Maryland’s statewide mandatory managed care program based on the following evaluation criteria. Please choose one (1) of the MCO’s under HealthChoice to evaluate (e.g., Maryland Physician’s Care).

Using the table format below, answer the questions (using a narrative format) in each section that appear in bold type. Please be sure to include a reference page.