The Assignment (1- to 2-page case study analysis)
• A 14-year-old female is brought to the urgent care by her mother, who states that the girl has had an abnormal number of bruises and “funny looking red splotches” on her legs. These bruises were first noticed about 2 weeks ago and are not related to trauma. PMH not remarkable and she takes no medications. The mother does state the girl is recovering from a “bad case of mono” and was on bedrest at home for the past 3 weeks. The girl noticed that her gums were slightly bleeding when she brushed her teeth that morning.
• Labs at urgent care demonstrated normal hgb and hct with normal WBC differential. Platelet count of 100,000/mm3 was the only abnormal finding. The staff also noticed that the venipuncture site oozed for a few minutes after pressure was released. The doctor at urgent care referred the patient and her mother to the ED for a complete work-up of the low platelet count, including a peripheral blood smear for suspected immune thrombocytopenia purpura.
In your Case Study Analysis related to the scenario provided, explain the following:
• The factors that affect fertility (STDs).
• Why inflammatory markers rise in STD/PID.
• Why prostatitis and infection happens. Also explain the causes of systemic reaction.
• Why a patient would need a splenectomy after a diagnosis of ITP.
• Anemia and the different kinds of anemia (i.e., micro and macrocytic).
Resources
• McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
o Chapter 24: Structure and Function of the Reproductive Systems (stop at Tests of reproductive function); Summary Review
o Chapter 25: Alterations of the Female Reproductive System (stop at Organ prolapse); pp. 787–788 (start at Impaired fertility) (stop at Disorders of the female breast); Summary Review
o Chapter 26: Alterations of the Male Reproductive System (stop at Hormone levels); Summary Review
o Chapter 27: Sexually Transmitted Infections, including Summary Review
o Chapter 28: Structure and Function of the Hematological System (stop at Clinical evaluation of the hematological system); Summary Review
o Chapter 29: Alterations of Erythrocytes, Platelets, and Hemostatic Function, including Summary Review
o Chapter 30: Alterations of Leukocyte and Lymphoid Function, including Summary Review
• Low, N. & Broutet N. J. (2017). Sexually transmitted infections – Research priorities for new challengesLinks to an external site.. PLoS Medicine, (12), e1002481
• Kessler, C. M. (2019). Immune thrombocytopenic purpuraLinks to an external site.. Retrieved from https://emedicine.medscape.com/article/202158-overview
• Nagalia, S. (2019). Pernicious anemiaLinks to an external site.. Retrieved from https://emedicine.medscape.com/article/204930-overview#a3
• Stauder, R., Valent, P., & Theurl, I. (2019). Anemia at older age: Etiologies, clinical implications and managementLinks to an external site.. Blood Journal, 131(5). Retrieved from http://www.bloodjournal.org/content/131/5/505?sso-checked=true
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