Women’s Health Case Study Assignment 4
You will complete the Aquifer case, Internal Medicine 14: 18-year-old female for pre-college physical, focusing on the “Revisit three months later” for this assignment.
After completing the Aquifer case, you will present the case and supporting evidence in a PowerPoint presentation with the following components:
Slide 1: Title, Student Name, Course, Date
Slide 2: Summary or synopsis of Judy Pham’s case
Slide 3: HPI
Slide 4: Medical History
Slide 5: Family History
Slide 6: Social History
Slide 7: ROS
Slide 8: Examination
Slide 9: Labs (In-house)
Slide 10: Primary Diagnosis and 3 Differential Diagnoses – ranked in priority
Primary Diagnosis should be supported by data in the patient’s history, exam, and lab results.
Slide 11: Management Plan: medication (dose, route, frequency), non-medication treatment, tests ordered, education, follow-up/referral.
Slide 12-16: An evaluation of 5 evidence-based articles applicable to Ms. Pham’s case: evaluate 1 article per slide.
Include title, author, and year of article
Brief summary/purpose of the study
How did the study support Ms. Pham’s case?
Course texts will not count as a scholarly source. If using data from websites you must go back to the literature source for the information; no secondary sources are allowed, e.g. Medscape, UptoDate, etc.
Slide 17: Reference List
Differentiate /distinguish signs and symptoms of lower versus upper urinary tract infection.
Recognize /recommend when to order diagnostic and laboratory tests in evaluation of dysuria, including urinalysis, wet prep, and KOH stain.
Describe current recommendations for cervical cancer screening.
Discuss safe sexual practices and efficacy of common methods of contraception.
Adolescent Interview – Safety
The leading causes of death in older adolescents are violent: suicide, injuries, and homicide. Bullying, family violence, sexual abuse, date rape and
school violence are all common. In many urban communities, up to one in four students report carrying a weapon to school. Family violence and
dating violence cross all economic and social boundaries.
For some teens, school violence and guns are the major risks, and in others, sports injuries and injuries from wheeled vehicles are more likely. It is
important to address use of a seat belt and bike helmets with every adolescent.
Even though you address the safety issues most prevalent in the patient’s community first, do not skip any part of the history based on assumptions
about the patient’s ethnic background or economic status.
Recommended Vaccinations for Adolescents and Teenagers Women’s Health Case Study Assignment 4
MMR is recommended in adults who have not been previously vaccinated as children. An exception to this recommendation is the
case of pregnant women. Pregnant women should not be vaccinated with MMR because of a risk of fetal transmission since it is a
live virus vaccine.
Hepatitis B Hepatitis B vaccination is effective in preventing hepatitis B virus infection and its sequelae of cirrhosis and hepatic carcinoma. The
series of three injections is recommended for adolescents if they did not receive them when younger.
The meningococcal vaccine is given to prevent meningococcal meningitis. It is commonly given once at age 11-12 years during the
routine preadolescent immunization visit with a booster dose at age 16 and is recommended for all previously unvaccinated
adolescents aged 11-18 years.
There are two different human papillomavirus vaccines available. They vary by the number of strains of HPV they protects against,
ranging from four to nine, and can prevent most cases of cervical cancer and genital warts. It is recommended for girls and women
9-26 years old.
The Advisory Committee on Immunization Practices (ACIP) recommends the use of the HPV vaccine in males 11 or 12 years of age.
ACIP also recommends vaccination in males ages 13 through 21 who have not been vaccinated previously or who have not
completed the three-dose series. ACIP states that males aged 22 through 26 years may be vaccinated, but does not recommend
routine vaccination in this age group.
The tetanus, diphtheria, acellular pertussis (Tdap) vaccine protects against tetanus, diphtheria and pertussis. It contains acellular
pertussis vaccine (ap), which is less reactogenic than the older whole-cell pertussis vaccine that caused high fever and neurologic
symptoms when given to older children and adults. Tdap, which was licensed in 2005, is the first vaccine for adolescents and adults
that protects against all three diseases.
Adolescents should receive a single dose of Tdap as a booster between the ages of 11 and 18, with the preferred timing between 11
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