Adult/Gerontological Health Care I

STD Cases

Cut and Paste (or Print off) the following to a word document.  For each of those cases complete the following (create your own additional details as needed for the patient).  Complete the following cases, select two to submit to the instructor for credit.  

1. As appropriate, write up three likely/possible differentials for the chief complaint or main presenting problem.
   

2. Identify five relevant history questions to elicit further information. 
   

3. Identify five “don’t miss” components of the focused exam.
   

4. Identify any plans for lab or x-ray.
   

5. Identify any recommended prescriptions.
   

6. Identify any recommendations including patient teaching points.
   

7. What will be the follow-up plan?

Patient Schedule for the AM

1. An 18 year old female presents with irregular menses. She notes she would like to start birth control pills.
   

2. A 34 year old woman presents with a five day history of dysuria and malaise, today with some back pain.
   

3. A 35 year old female presents with a 4 day history of intense vulvovaginal pruritus and a thick white vaginal discharge.
   

4. A 19 year old male presents with “burning on urination.” 
   

5. A 33 year old female presents with complaints of sharp lower abdominal pain of 1 day’s duration. The pain is accompanied by fever, and a thick green-brown vaginal discharge. 

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