Scenario 1: A 32-year-old female presents to the ED with a chief complaint of fever

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 reddened cervix and + bilateral adenexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram negative diplococci.

PLEASE INCLUDE:
The factors that affect fertility (STDs).
Why inflammatory markers rise in STD/PID.
Why STDs/PID infection happens. Also explain the patho that produces the case study patient\’s symptoms.
Additionally, I have provided a link to an emedicine article in the contact the instructor section yesterday that should be helpful.
RUBRIC:Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned (omit section that does not pertain to your case, faculty will give full points for that section):

Explain the factors that affect fertility (STDs)
23 (23%) – 25 (25%)
The response accurately and thoroughly describes the patient symptoms.

The response includes accurate, clear, and detailed explanations of the processes related to women\’s and men\’s health, infections, and hematologic disorders and is supported by evidence and/or research, as appropriate, to support the explanation.
Explain why inflammatory markers rise in STD/PID
18 (18%) – 20 (20%)
The response includes an accurate, complete, detailed, and specific analysis of the concepts and principles of pathophysiology across the life span and is supported by evidence and/or research, as appropriate, to support the explanation.
Explain why prostatitis and infection happen. Also explain the causes of systemic reaction.
18 (18%) – 20 (20%)
The response includes an accurate, complete, detailed, and specific explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation.

Explain why a patient would need a splenectomy after a diagnosis of ITP.
5 (5%) – 10 (10%)
The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation.