NURS664B Week 7 | Nursing in Health Care - Westcoast university
- What educational issues do you want to discuss with this patient.
Case Study #2: Gynecologic Abnormalities Gladys, a 75-year-old woman, G5P5, presents for an annual exam and reports a “fullness” in her vagina. She notices her symptoms more when she is standing for a long time. This feeling is bothersome and is affecting her daily activities. She does not complain of urinary or fecal incontinence. She has not experienced any vaginal bleeding. Her past medical history is significant for well-controlled hypertension and chronic bronchitis. She has never had surgery. Pelvic exam reveals normal appearing external genitalia except for generalized atrophic changes. The vagina and cervix are without lesions. Relaxation of the anterior and posterior vaginal wall is noted to approximately one centimeter beyond the vaginal opening when she is asked to Valsalva. The cervix also descends to that level with Valsalva. The uterus is normal size. The ovaries are not palpable. No rectal masses are noted. Rectal sphincter tone is slightly decreased.