Case study 3 and 4

 

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

 Case Study 3 & 4 change every semester. Topics will be delivered at due time.

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. “No Straight forward / Simple answer will be accepted”. 

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must have the references cited “in the text” for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study. Minimum of 500 words.

Late Assignment Policy

Assignments turned in late will have 1 point taken off for everyday assignment is late, after 7 days assignment will get a grade of 0 (zero). No exceptions 

CasesStudies 3 & 4 – Primary Care

A 47-year-old male patient (A) presents to your office c/o painful and bleeding defecation that started a

couple of days ago. Pt also states that he noticed some intermittent pruritus on his back. Pt comes

accompanied by his male husband of 45 years old (B), who states that he had noticed a painless “blister”

on his genital area, but he is not quite sure when it appeared.

Patient A: with no past or family relevant history and NKA

Patient B: PMH of seasonal allergic rhinitis and NKS. No other family or relevant history.

On complete physical examination:

On Patient A: a visible anal fissure in the inferior region of the sphincter was noted. It is also noticed

disseminated papules in the trunk and macules on palms and soles.

Patient B: A visible ulceration in the genital area noted and patient denies pain on palpation. No

adenopathy noted or reported by patient (B).

Since patients are a marital couple, you proceed with serological testing for each patient (A &B) because

you suspect a sexually transmitted disease. Both patients deny having or being treating in the past for

STD’s

Lab Results:

Patient A: Leukocytosis – Treponema (Positive) – Non-Treponema (Positive) – HIV (Negative) – Hepatitis

(Negative)

Patient B: Treponema (Positive) – Non-treponema (Negative) – HIV (negative) – Hepatitis (Negative)

——————— Do not include the above section in your paper. ONLY THE QUESTIONS BELOW——-

Please answer the following questions in APA format and include in-text references.

1) What serological lab works would you order to obtain the above results? (Be specific with the lab

names)

2) What is the diagnosis for Patient A?

3) What is the diagnosis for Patient B?

4) What would it be the differential diagnosis for patient A and patient B?

5) How are you going to treat Patient A? (Be specific and include the time of treatment)

6) How are you going to treat Patient B? (Be specific and include the time of treatment)

7) What would be the possible cause of this infection if both patients did not have any sexual encounter

outside their relationship in the last year?