question archive Case Study 1 A 37-year-old male patient came to your primary care clinic c/o of a lesion in his genital area (see pic below)
Case Study 1 A 37-year-old male patient came to your primary care clinic c/o of a lesion in his genital area (see pic below)
Subject:NursingPrice:4.87 Bought7
Case Study 1
A 37-year-old male patient came to your primary care clinic c/o of a lesion in his genital area (see pic below). Pt states that the lesion appeared 7 (seven) days ago. Pt denies pain in the area. Pt states using some cream with no improvement. 1) What other information you would need from this patient (Please include at least 5 five) 2) What would it be the epidemiological information you may take into consideration in this case? 3) What would it be your first impression diagnosis for this case and what testing/screening labs you would order (please provide rationale) 4) Would you apply any empiric treatment based on your diagnosis? 5) What type of education you would provide to this patient?
Case Study 2
66-year-old female patient comes to your clinic with a PMH of Hypertension and arthritis in her right knee. Pt states that 72 hours ago she underwent an infiltration in his right knee at this rheumatologist doctor's office because she complained of pain no resolved with NSAID. Today she presented to your primary office with pain in her right knee, with signs and symptoms of fever (102ºF) and reduced mobility. 1) What do you suspect? 2) What would you order for this patient, and what do you think you would find? 3) What would it be your recommendation in this case? 4) Would you recommend any empirical treatment? For how long?
Purchase A New Answer
Custom new solution created by our subject matter experts
GET A QUOTE
Answer Preview
Answer:
Case 1.
1)
a. Presence of penial discharges
b. If patient is sexually active
c. Number of sexual partners
d. Does patient have comorbidities
e. Other symptoms related to the lesion like fever and etc.
2) I would consider the epidemiological information of sexually transmitted diseases in the area.
3) First impression is Primary Syphilis Infection . I will screen the patient by doing Rapid plasma reagin test to rule in syphilis and Herpes simplex virus 2 test that presents with genital ulceration. If the Rapid plasma reagin test is positive you may do a confirmatory test by doing fluorescent treponemal antibody absorption test.
4) No I will not give an empiric treatment because there is a specific treatment for syphilis.
5) I will educate the patient about safe sex. I will inform the patient that syphilis is treatable but if treated late it may lead to complications such us neurosyphilis.
Case 2
1) Infection and inflammation of the right knee
2) Arthrocentesis and would find increase inflammatory cells. I will send the specimen for culture and expect growth of certain bacteria.
3) I would recommend to stop knee infiltration because it can cause instability of the joint due to osteonecrosis of the juxta-articular bone and weakened ligaments of the knees.
4) Yes, I would recommend empirical treatment until the culture and sensitivity test result is in. Then we can shift or add antibiotic in which the bacteria causing the infection and inflammation is susceptible.
