Posted: November 4th, 2023

A 32-year-old female presents to the ED with a chief complaint of fever

Your Case Study Analysis is related to the scenario provided. You need at least 3 primary references, points supported by citation and associated current, primary reference provided after each essay. Textbook readings are very helpful and will reinforce knowledge culled from readings, reflected in final exam questions.

You will earn full credit by developing the 4 points asked for as follows: 

1. The factors that affect fertility (STDs).
2. Why inflammatory markers rise in STD/PID.
3. Why infection happens.
4. Explain the causes of a systemic reaction from infection (Lab values, Vital Signs, physical presentation, and exam).

Module 7: Case Study Analysis Assignment:

Scenario 1: A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.

Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, ­ Neuts & Lymphs, sed rate 46 mm/hr., C-reactive protein 67 mg/L CMP wnl

Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2

99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with the reddened cervix and + bilateral adnexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram-negative diplococci.

The case reflects PID. One would suspect the patient is not forthcoming or husband is not monogamous

1. The factors that affect fertility (STDs).
2. Why inflammatory markers rise in STD/PID.
3. Why infection happens.
4. Explain the causes of a systemic reaction from infection (Lab values, Vital Signs, physical presentation, and exam).