NRP 563 University of Toledo Week 7 Issues of Pelvic Pain PPT Review the gynecological versus nongynecological scenarios in the Pelvic Pain Scenarios docum

NRP 563 University of Toledo Week 7 Issues of Pelvic Pain PPT Review the gynecological versus nongynecological scenarios in the Pelvic Pain Scenarios document.

Determine if the cause is nongynecological or gynecological.

Identify elements of the current and past medical history that guide the evaluation process.

Propose differential diagnoses and work-up based on the clinical symptoms.

Develop a treatment plan, including alternative medical therapies for pelvic pain.

Create an 8- to 12-slide Microsoft® PowerPoint® presentation, with detailed speaker notes, that summarize your findings for one of the scenarios. You do not need to include voice-over.

Include 3 to 5 academic resources to support your findings. Your textbook may be used as one of your resources.

Format your presentation according to APA guidelines.

You only need to select one of the two scenarios.

Additional instructions:

Present the case scenario that you choose:

Copy and paste the given history. (This is your subjective)
Copy and paste the exam (PE) information which includes the given exam, labs, and any procedures, such as ultrasounds, etc. If you choose to do additional exam, it’s okay to add in. (This is your objective)
Then, list your differential diagnoses ( you should have more than a couple)
Next, put the Assessment. (What you really think is wrong with this patient–your diagnosis) Then, next to your diagnosis (or on a slide somewhere), write whether it gynecological or non-gynecological.
Lastly, put your plan of care based on patient’s clinical symptoms and your assessment –not the differential diagnoses . (This is your plan) Review the gynecological versus nongynecological scenarios located in the Pelvic Pain Scenarios document.
Determine if the cause is nongynecological or gynecological.
Identify elements of the current and past medical history that guide the evaluation process.
Propose differential diagnoses and work-up based on the clinical symptoms.
Develop a treatment plan including alternative medical therapies for pelvic pain.
Create an 8- to 12-slide Microsoft® PowerPoint® presentation with detailed speaker notes that summarize your findings for one of
the scenarios.
Include 3 to 5 academic resources to support your findings. Your textbook may be used as one of your resources.
Format your presentation according to APA guidelines.
Submit your assignment.
Content: points possible
Points possible
Determines if the cause is nongynecological or gynecologic
and explains how the decision was make.
20
Identifies the elements of the current and past medical history
that guided your decision process
20
Proposes differential diagnosis and work-up based on the
clinical symptoms.
20
Develops a treatment plan based on the diagnosis which
includes proposed therapy. Must be evidence-based
20
Includes alternative medical therapies for pelvic pain
15
Creates an 8-12-slide Microsoft® PowerPoint® presentation
(not including reference slide) with detailed speaker notes that
summarize your findings for one of the scenarios.
5
Includes 3 to 5 academic resources to support your findings.
5
Format: points possible
Written communication. Follows rules of grammar usage and
punctuation.
Points possible
5
Points earned
Comments
Points earned
Comments
Content: points possible
Points possible
Includes a structure that is clear, logical, and easy to follow.
5
Consistent with APA guidelines for formatting and citation
supportive references.
5
Points earned/possible
/120
Points earned
Comments
NRP/563 v1
Pelvic Pain Scenarios
Gynecological versus nongynecological pelvic pain
scenarios
Scenario 1
A 16-year-old female presents to the office with complaint of pelvic pain. It started yesterday, as a dull
ache on the left side. It got so severe last night that she almost went to the ER. She took ibuprofen and
finally fell asleep. Today it still hurts, but is less severe. She denies fever and chills. Her LMP was 3
weeks ago. She is not sexually active and never has been.
Exam
Appears in mild discomfort, but no acute distress
Pelvic exam: Tenderness and fullness L adnexa
Abdominal exam: No rebound or guarding, painful LLQ, normal bowel sounds
CBC: Normal
CMP: Normal
Serum HCG: Negative
STI screening: Negative
Pelvic ultrasound: 3 cm. L ovarian cyst with fluid in the cul-de-sac
Scenario 2
A 44-year-old female presents to the office with a chief complaint of pelvic pain. It started about 3 days
ago as a dull ache, but is becoming more severe. She has had diarrhea with blood today and is very
nervous. This has never happened to her before. She feels like she has a fever but has not taken her
temperature. She has an IUD for contraception that was inserted 3 years ago. She has not had any
problems since the IUD was placed. She has very light periods once a month. Her LMP was 1 week ago.
Exam
Temperature: 99.8; rest of vital signs normal
Abdominal exam: Hyperactive bowel sounds, diffuse tenderness over lower abdomen/pelvic area, with
guarding midline, below umbilicus. No rebound.
Pelvic exam: Pain with speculum insertion, pain with bimanual exam. IUD strings visible. No vag bleeding
or discharge.
Copyright© 2018 by University of Phoenix. All rights reserved.
Pelvic Pain Scenarios
NRP/563 v1
Page 2 of 2
Pt refuses rectal exam due to pain.
CBC normal except mild WBC elevation, mild anemia
Serum HCG negative
UA negative, culture negative
STI screening negative
CT scan shows inflammation in the colon with outpouching near the proximal rectal area.
Copyright© 2018 by University of Phoenix. All rights reserved.

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