Week 4
Case Study STI investigation
3 References
Susan Lang is a 24 year old Caucasian female presenting to the clinic for regular care she works full time as Administrative assistant, related she her job. She was no medical or surgical history, take no medication and has no allergies. Family history is non contributory . Social history is remarkable for cigarettes smoking at a rate of 1/2 packs per day (PPD) since age 14 EOH only on weekends 6-8 hard liquor daily and marijuana smoking. Gyn history is onset of menses age 13 menses every 28-32 days lasting 4-6 day and using 3 tampons daily She has some cramping during her menses for which she takes otc Pamprin. She jogs 3-4 times a week and wear seatbelts when in the car and occasionally use sunscreen Susan related she has been having some postcoital bleeding for the past 6 weeks and has had a sore throat for past 3 weeks. She did have a fever for day or two
But Tylenol took cars of it and she thought it was allergies.
Susan vital Signs are taken and were temp. 97.8 pulse 68 blood pressure 112/64 weight 118
BMI 19.04
Question
What other information do you need?
What testing would you perform/order
What are your initial thoughts for diagnosis
Post a primary question You would asked
Explain your reason for asking the additional questions. Explains the types of symptoms you would ask. Be specific and provide examples
When asked questions considering sociocultural factors that might influence your questions decisions.
What treatment options and diagnostic test might recommend.
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