Genitounary,Gynecologic,and Renal systems and acid

Case Study 1 A 19-year-old Asian American female comes in" rel="nofollow">into the urgent care clin" rel="nofollow">inic- She is complain" rel="nofollow">inin" rel="nofollow">ing of severe abdomin" rel="nofollow">inal pain" rel="nofollow">in, that radiates to her back- She is havin" rel="nofollow">ing a moderate amount of vagin" rel="nofollow">inal bleedin" rel="nofollow">ing- She has a past medical history of PID and has used an IUD in" rel="nofollow">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 in" rel="nofollow">into the ER with vagin" rel="nofollow">inal 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" rel="nofollow">in the vagin" rel="nofollow">inal 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 abdomin" rel="nofollow">inal pain" rel="nofollow">in for two days associated with a yellowish, nonodorous, vagin" rel="nofollow">inal 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 in" rel="nofollow">insurance- She is currently sexually active with one partner and has had two partners in" rel="nofollow">in the past year. She is not usin" rel="nofollow">ing 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" rel="nofollow">in both lower quadrants- Pelvic exam reveals a yellowish cervical discharge with cervical motion tenderness and a tender fullness in" rel="nofollow">in both adnexa- To prepare Review and select one of the three provided case studies- Reflect on the patient in" rel="nofollow">information- Consider a differential diagnosis for the patient in" rel="nofollow">in the case study you selected- Thin" rel="nofollow">ink about the most likely diagnosis for the patient- Thin" rel="nofollow">ink 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 educatin" rel="nofollow">ing 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" rel="nofollow">in the case study you selected- Provide a min" rel="nofollow">inimum of three possible diagnoses, and list them from highest priority to lowest priority. Explain" rel="nofollow">in which is the most likely diagnosis for the patient and why- Then, explain" rel="nofollow">in a treatment and management plan for the patient, in" rel="nofollow">includin" rel="nofollow">ing appropriate dosages for any recommended treatments- Fin" rel="nofollow">inally, explain" rel="nofollow">in strategies for educatin" rel="nofollow">ing patient-