Case study and reflection

Case Study #1 Contraception

HPI: 23-year-old female comes to the clinic requesting contraception. She reports no health concerns. Is currently sexually active and using condoms. She is not sure what type of contraception she would like.

No current medications. Objective:

  • ● BP – 110/64, Pulse –68, Respirations – 16, Temp: 98.2
  • ● Height: 5 ft. 1 in., Weight 105 lbs.
  • ● Neck – No swelling, Thyroid is non-tender and non-enlarged.
  • ● Cardiovascular – S1S2, RRR
  • ● Lungs – Clear to auscultation, no use of accessory muscles.
  • ● Skin – No rashes, skin warm and dry, no erythematous areas
  • ● Extremities – No edema, cyanosis or clubbingLab and x-ray results

● Negative HCG

Assessment:
● Encounter for contraception

Address the following questions:

  • ● Select Drug and Dosage (as written on prescription e.g. bid) MSN.E1. P1.L
  • ● Analyzes Biochemical Process MSN.E8.P1.H
  • ● Evaluates Cost MSN.E1. P3.L
  • ● Evaluates Ethical /Cultural Implications MSN.E1. P4.L
  • ● Identifies Adverse drug reactions MSN.E1.P4.L
  • ● Identifies (check if there is not an adverse reaction) interactions with other medications MSN.E1.P4.L

Case study #2 Sexually Transmitted Infection

HPI: 19 -year-old male presents to the clinic with a 3-week history of increasing penile discharge. The patient states that he has had multiple sexual partners over the last four months. He notices this increasing discharge and some pain with intercourse. He does not consistently use condoms.

Current medications ● none

Objective:

  • ● BP – 120/79, Pulse –72, Respirations – 14, Temp: 98.2
  • ● Height: 5 ft. 11 inWeight 185 lbs.
  • ● Penis:: mucoid yellow discharge. Swab obtained
  • ● Skin – No rashes, skin warm and dry, no erythematous areasLab and x-ray results

● Swab POC

Assessment:
● Chlamydia infection

Address the following questions:

  • ● Select Drug and Dosage (as written on prescription e.g., bid) MSN.E1. P1.L
  • ● Analyzes Biochemical Process MSN.E8.P1.H
  • ● Evaluates Cost MSN.E1. P3.L
  • ● Evaluates Ethical /Cultural Implications MSN.E1. P4.L
  • ● Identifies Adverse drug reactions MSN.E1.P4.L
  • ● Identifies (check if there is not an adverse reaction) interactions with othermedications MSN.E1.P4.L

Case Study #3 Bacterial Vaginosis

a 32-year-old female presents to the clinic with abnormal vaginal discharge. She reports a “fishy” smell. She is currently not sexually active.

Exam:

  • ● Vaginal exam: increased vaginal discharge
  • ● Abnormal odorLaboratory Results:
    POC test: positive for bacterial vaginosis
    Based on current guidelines, what medications would be prescribed?
  • ● Select Drug and Dosage (as written on the prescription, e.g., bid) MSN.E1. P1.L
  • ● Analyzes Biochemical Process MSN.E8.P1.H
  • ● Evaluates Cost MSN.E1. P3.L
  • ● Evaluates Ethical /Cultural Implications MSN.E1. P4.L
  • ● Identifies Adverse drug reactions MSN.E1.P4.L
  • ● Identifies (check if there is not an adverse reaction) interactions with othermedications MSN.E1.P4.L

Case Study #4 Pelvic Inflammatory Disease

A 24-year-old female presents to the clinic with complaints of pelvic pain. The patient states she is sexually active and has been treated in the past for both gonorrhea and chlamydia. She reports a low-grade fever over the last few days. She is having pain with intercourse and intermittent vaginal bleeding.Exam:The patient has a moderate cervical discharge and significant cervical motion tenderness. A swab was obtained to test for gonorrhea and chlamydia.Assessment: Pelvic Inflammatory Disease

● Select Drug and Dosage (as written on prescription e.g., bid) MSN.E1. P1.L

  • ● Analyzes Biochemical Process MSN.E8.P1.H
  • ● Evaluates Cost MSN.E1. P3.L
  • ● Evaluates Ethical /Cultural Implications MSN.E1. P4.L
  • ● Identifies Adverse drug reactions MSN.E1.P4.L
  • ● Identifies (check if there is not an adverse reaction) interactions with other medications MSN.E1.P4.