NURS664B Week 1 | Nursing in Health Care - Westcoast university

  1. A 20-year-old nulliparous female presents to student health with complaints of chronic pelvic pain. She shares that she has always had painful periods. She has taken OCs in the past to help with the pain but stopped secondary to side effects of weight gain. She adds that she only has sex with females and does not need birth control. Her LNMP was 2 weeks ago. Her pelvic exam reveals uterosacral nodularity. Abdominal exam is negative. Height 5'7", weight 120, and BP 132/78.

What additional history do you need from this patient? What is your differential diagnosis? What laboratory tests do you need and why? What is your plan of care? NURS664B Primary Care Women's Health Theory Week 3 Discussion Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, #2 a post-menopausal 57-year old woman. Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals, and other team members needed to complete patient care. Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas. Please refer to evidence-based guidelines to support your decision-making. In your peer replies, please reply to at least one peer who chose a different case study.

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