. In this sensitive situation, how would you proceed with the evaluation? Basing from the situation of the case, proceeding with the matter is indeed sensitive yet significant to the health condition of the subject. Proceeding from the current stage, it is important to again reexamine the subject for STD’s diseases through going in with medical examination particularly the ones that the subject ignored. The current and relatively previous partners of the subject must also be included in this aspect whether through undertaking also the similar examination or just interview them for facts.
Critical observation of physical and chemical symptoms is also necessary thus, must also be incorporated in the medical process. 2. From Mr. Samuels’ history, identify factors that increase his risk for sexually transmitted diseases (STD’s) Considering the medical informations and the admitted facts given by Mr. Samuel and his health history, it is likely that the factor significant to his risk for contracting STD problem is his openness towards sexual relationship in relation to his behavior of occasionally using protection.
Basing from the facts that he admitted, Mr. Samuel has been sexually active in terms of his affairs yet he only use protection occasionally. Indeed, this behavior increases the
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Thus, unknowingly, the subject might already be suffering or already in premature stages of a STD condition. 3. There are no obvious signs and symptoms to suggest HIV infection. Based on the inspection findings, what other problem would you suspect? As the case denotes that the previous girlfriend is the one who is HIV positive, the chance that the subject is also positive is slight yet significant. However, if established by timeline that the girlfriend have the problem after their relationship, it could be that she contracted it from another partner and not the subject.
This can clear out the subject from the infection spread yet, it is also relevant to have him be examined to ensure the said possibility. In addition, the previous Chlamydia problem of the subject was not cleared out as he has ignored his examination thus, it is relevant to proceed again with this matter to clarify the certainties of the situation. 4. Considering Mr. Samuels’ assessment findings, what areas should you address for patient education? Basing from the findings admitted by the subject, it is relevant to give much importance on the value of using protection for sexual relationship.
Including this in the patient’s education is indeed important to reduce his risk for contracting or even aggravating (if ever he has any as the issue of Chlamydia infection is still not cleared) STD problems. Precautions also regarding his sexually activeness must also be included in his education as this is likewise relevant to the cause. 5. A woman has come for an examination because of a missed menstrual period and a positive home pregnancy test. Examination reveals a cervix that appears cyanotic.
This is referred to as: 1. Goodell’s sign 2. Hegar’s sign 3. Tanner’s sign 4. Chadwicks sign Considering the factor of the positive pregnancy test, missed menstrual period, and the cyanotic or bluish coloration of the cervix, this situation is most likely Chadwick’s sign, which is an early indication of pregnancy. 6. During the exam of the genitalia of a 70yr old woman a normal finding would be; 1. hypertrophy of the mons pubis 2. increase in vaginal secretions 3 thin and sparse pubic hair 4 bladder prolapse
Gynecological examination of the female genitalia of 70 year old patients often result in noticing of bladder prolapse which is commonly normal for women at old age. In this condition, the bladder organ slips out of its place and towards the vaginal area, which is noticeable with its protrusion and other factors. 7. A woman has come for health care complaining of thick, white discharge with intense itching. These symptoms are suggestive of 1. Atrophic vaginitis 2. trichomoniasis 3. chlamydia 4. Candidiasis
Considering the symptoms given in the case, it is likely that the patient is suffering from candidiasis characterized by thick, white and itchy discharge. Similarly, this case is also considered as yeast infection due to the unhealthy growth of fungi species of Candida in vaginal area. 8. Describe rebound tenderness? Rebound tenderness is basically a clinical sign that is noticeable during physical examination of the abdominal region wherein the patient experience pain upon removal of the pressure inflicted in the area (commonly through pressing) rather than its application.
In this aspect, pain is occurs as the abdominal region rebound from the applied pressure returning back to its normal relaxed state. 9. Contrast rigidity with voluntary guarding on examination of the abdomen? During abdominal examination, the healthcare professional notes the different significant reactions of the human body in the said region particularly the voluntary guarding and rigidity of the muscles in the area.
Voluntary guarding is a reaction, which is willfully controlled by the human body, which can be suppressed or initiated upon muscular control. Several physical and physiological factors can cause this guarding type such as tickling reaction, nervousness, and others. On the other hand, rigidity is involuntary which is reaction based on the physiological condition of the body. This is mainly sign of underlying peritoneal inflammation causing the reflex contraction to guard the said damaged area. 10. Describe common sites of referred abdominal pain?
Abdominal pain often occur in common regions such as the epigastric region which is in the upper abdomen, periumbilical region which is in the center of abdomen particularly in the umbilical connection, the lateral side in the abdomen, and the pelvic region which is in the lower portion of the abdomen. Pain is also commonly diagnosed through analyzing the area based on its divisionary region such upper right or left or lower right or left area. Often, the abdominal pain occurs in the area direct to the organ, tissue area or muscular region that is causing the problem.