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1 page/β‰ˆ275 words
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Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
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English (U.S.)
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Topic:

Diagnosing and Managing Gynecologic Conditions Research

Case Study Instructions:

For this Discussion, consider diagnosis, treatment, and management strategies for the patients in the following four case studies:
Case Study 2:
A 42-year-old African American female is in the clinic for a routine gynecologic exam. When asked, she admits to noticing bleeding in between her menstrual periods for the past several months. She has been pregnant three times and has three children. She is sexually active with one male sex partner in a monogamous relationship. During her bimanual exam, you note an irregular intrauterine non-tender mass about 4 cm in diameter. The mass is palpable abdominally. The remainder of her gynecologic exam was normal.
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 patients on the disorder.
Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecologic health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.
Centers for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www(dot)cdc(dot)gov/women/

Case Study Sample Content Preview:

Diagnosis
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Diagnosis
Given that the mass was on the wall of the uterus and that the patient was 42 years of age, there are a number of diagnosis that are possible. Another aspect to consider in this case is that, the mass was palpable and that it was also non-tender (Hill, 2016). From the exam, there are a number of elements to consider.
One of the diagnosis in this case relates to the fact that the patient is sexually active and has had children. The fact that, she is fertile, also means that, this could be a pregnancy. Ideally, pregnancies can form on the walls of the uterus (Hill, 2016). Given that she active sexually, this could be one of the diagnosis. Intrauterine pregnancies form in this manner and they appear as masses that are non-tender. However, this does not explain the bleeding that the patient has been experiencing between the menses.
The other possible diagnosis is that it could have been benign tumor. This relates to the fact that, the mass is 4 cm large, palpable and nontender (Stöppler, 2016). The fact that, it is also formed on the walls of the uterus is also a good sign. However, the bleeding does not explain much (Stö...
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