Case Study 1
A 19-year-old Asian American female comes into the urgent care clinic- She is complaining of severe abdominal pain, that radiates to her back- She is having
a moderate amount of vaginal bleeding- She has a past medical history of PID and has used an IUD in the past- Her vitals are T 37-7, P 116, RR 18, BP
88150.
Case Study 2
A 31-year-old African American female is brought into the ER with vaginal hemorrhage- She is unsure of her last menstrual period- States she is sexually
active and does not use protection- On exam there are large clots noted in the vaginal vault, with possible tissue- Vital signs are T 37, P 134, RR 26, BP
180/110-
Case Study 3
A 21-year-old nulligravida comes to the ER, concerned about vague lower abdominal pain for two days associated with a yellowish, nonodorous, vaginal
discharge- Past history reveals regular menstrual periods and no previous surgeries or significant medical problems- Her last menstrual period was normal
and ended two days ago- She had a similar episode about eight months ago for which she did not seek care because of lack of health insurance- She is
currently sexually active with one partner and has had two partners in the past year. She is not using any type of contraception- On physical exam you note a
temperature of 38° C, a regular pulse of 100, and a BP of 110/65- Her abdomen is diffusely tender in both lower quadrants- Pelvic exam reveals a yellowish
cervical discharge with cervical motion tenderness and a tender fullness in both adnexa-
To prepare
Review and select one of the three provided case studies- Reflect on the patient information-
Consider a differential diagnosis for the patient in the case study you selected- Think about the most likely diagnosis for the patient-
Think about a treatment and management plan for the patient- Be sure to consider appropriate dosages for any recommended pharmacologic and/or
nonpharmacologic treatments-
Consider strategies for educating patients on the treatment and management of the gynecological condition you identified as your primary diagnosis-
By Day 3
Post an explanation of the differential diagnosis for the patient in the case study you selected- Provide a minimum of three possible diagnoses, and list them
from highest priority to lowest priority. Explain which is the most likely diagnosis for the patient and why- Then, explain a treatment and management plan for
the patient, including appropriate dosages for any recommended treatments- Finally, explain strategies for educating patient-
