Disease Case Study

Harms related to cervical cancer screening with a Pap Smear are related to abnormal results. Abnormal results of a Pap Smear can cause short-term psychological harms that include anxiety and distress (USPSTF, 2016a). Abnormal results can also lead to further or more frequent testing (USPSTF, 2016a). Diagnostic procedure harms include vaginal bleeding, pain, and infection (USPSTF, 2016a). Harms of cervical treatment primarily include risks related to “adverse pregnancy outcomes” which include preterm delivery, low birthweight, and perinatal death (USPSTF, 2016a). Harms related to cervical treatment are also associated with false-positives (USPSTF, 2016a). Thus, overtreatment can be detrimental to the patient (USPSTF, 2016a).

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

On 7/27/2015, HOH and client attended to ILP meeting with their daughter Emily. Child was observed well dressed for the weather. Client explaining to cm that her floating hospital was cancel and she doesn’t know the reason.

Chief Complaint: 15 year old, Hispanic male who report sore throat and for 2 days.

The definitive diagnosis of endometriosis is made by histologic examination of a biopsied lesion collected during laparoscopy. However, the first line study for the diagnosis of endometriosis is pelvic ultrasound (US). The ultrasound can provide the FNP information that corroborates the suspicion of endometriosis, such as adnexal nodular mass, rectovaginal or bladder nodules (Solnik, 2015). Nonetheless, early stages of endometriosis may not be detected by transvaginal US. Rectal US may also be an appropriate test to visualize deep pelvic endometriosis or involvement of the colon or rectum (Solnik,

In addition to hot flashes and insomnia, the provider would inquire if EP is still having menstrual periods or the last menstrual periods she had and if they are regular/irregular, if she is experiencing vaginal dryness and discomfort during sex, low libido, urinary urgency, emotional changes, dry skin, eyes or mouth, weight gain, and if anything improves her symptoms or make them worse as well as history of surgical procedures such as hysterectomy.

Pt states that he was seen in the clinic yesterday and was treated for sore throat and postnasal drip. Pt states later that he went to the ER becase he started feeling fatigue, increased postal drip, nausea/ vomitting unable to eat and drink.Pt states the he was treated with Zofran and IV fluids. Pt states that he was informed to pick up his quarter slip her at the clinic. At this, time pt states he is feeling somewhat better but he feels fatigue and he has not attempted anything. Pt pt with 48 hours quarters. Brat diet instruction provided. Informed the pt take Zofran as directed. Pt instructed to return to the ER if has fever greater than 101, abdomen pain/cramping, unable to take liquids or bland diet. Pt agrees and verbalized understanding.

Then plaintiff realized that on January 03 2017, she suffered a minor stroke due to exposure to CO poisoning and as of result lack of oxygen to her brain, stroke is a disease when the brain is robbed of oxygen. It was approximately 700 over-flights from January 01, 2017 through the early morning of January 03, 2017 and at that time plaintiff’s heart and breathing condition were in a very bad shape.

DOI: 11/15/2010. The patient is a 56-year-old male sales representative who sustained a work-related injury when he tripped on a pallet. As per OMNI, the patient is diagnosed with strain to right knee, right leg and right shoulder and is status post right shoulder diagnostic and operative arthroscopy on 8/10/12.

Routine visits to outpatient primary care provider are encouraged for everyone to maintain a healthy lifestyle. Health disparities in the US, such as patient’s access to healthcare, physical problems, and psychosocial factors act as barriers to this healthy lifestyle. Additionally, African Americans are at significantly greater prevalence of preventable diseases such as type II diabetes mellitus (DM), hypertension (HTN), hyperlipidemia, obesity, and heart failure (HF) compared to other ethnic backgrounds Taneja, Stewart, Evans, & Jason (2015). Although there is not one single factor responsible for all health disparities, a number of factors such as social determinants, access to resources, and risky behaviors coalesce

Michelle brought a sheet from home, and said she got it off a hand out EV Staff provided for fun things to do inside with your children. Michelle fed her children first at the table then they built a fort in the living room. Michelle told EV Staff that her doctor took her off some of her medications. Michelle said she hoped that her doctor would figure out what is best for her to calm down her high strung personality. Michelle was very loud at the visit today, and referred to herself as obnoxious multiple times.

After review of system, physical examination, and pelvic examination, which was noticed a swelling on one of her ovaries; therefore, a pregnancy test, a CA-125 blood test, and an ultrasound test were ordered to confirm suspicions of an ovarian cyst or ovarian cancer. Furthermore, the ultrasound test will help to determine the size, correct location, shape, and composition of the cyst such as solid or fluid filled. If it is an ovarian cyst most likely the composition of the cyst will be fluid filled, which most of the ovarian cysts are benign and do not require surgical intervention. It can be treated with birth control pills, treatment to shrink

Menorrhagia, or heavy menstrual flow, is one of the greatest common complaints met by primary care doctors and gynecologists. It is defined as menstrual loss of more than 80 mL. This translates to menses that continues for more than seven days or the use of more than 10 pads or tampons per day. It is most commonly associated with perimenopause. (1) Although menorrhagia is not fatal, it can cause chronic anemia, pelvic pain and cramping. The condition also severely influences quality of life by disrupting work, social functioning and family life.(2) The old-style primary management for menorrhagia caused by submucosal myomas or endometrial polyps involved major surgical procedure, with menorrhagia responsible for almost 20 percent

Endometrial cancer, sometimes called uterine cancer, is cancer of the lining of the uterus. Other types of cancer can form in the uterus, but they are less common. Endometrial cancer is the most common malignancy of the female genital tract, and the most common type of uterine cancer. Endometrial cancer usually affects postmenopausal women, but cases may occur at any age. Endometrial cancers are usually adenocarcinomas (tumors that begin in cells that make mucus and other fluids). The carcinoma is slow growing, but it can metastasize to the cervix, myometrium, vagina, pelvis and lungs.