Case

Case study Week 3, NUR 502

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Course
NUR 502 (NUR502)

Institution
St. Thomas University ( )

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Uploaded on June 3, 2024
Number of pages 9
Written in 2022/2023
Type Case
Professor(s) Cheryl morgan
Grade A

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Urinary Function:
Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical
manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints
are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a
bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been
well until two days ago, when he began to experience severe nausea several hours after
eating two burritos for supper. The burritos had been ordered from a local fast-food
restaurant. The nausea persisted and he vomited twice with some relief. As the evening
progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle
his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the
time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He
has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6
watery bowel movements. He has not noticed any blood in the stools. His wife brought
him to the ER because he was becoming weak and dizzy when he tried to stand up. His
wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that
her husband has an eating disorder.

Case Study Questions

1. The attending physician is thinking that Mr. J.R. has developed an Acute
Kidney Injury (AKI). Analyzing the case presented name the possible types of
Acute Kidney Injury. Link the clinical manifestations described to the different
types of Acute Kidney injury.
2. Create a list of risk factors the patient might have and explain why.
3. Unfortunately, the damage on J.R. kidney became irreversible and he is now
diagnosed with Chronic kidney disease. Please describe the complications that
the patient might have on his Hematologic system (Coagulopathy and Anemia)
and the pathophysiologic mechanisms involved.

Reproductive Function:
Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal
pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is
single, heterosexual, and that she has been sexually active with only one partner for the
past eight months. She has no previous history of genitourinary infections or sexually
transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last
intercourse (vaginal) was eight days ago and she states that they did not use a condom.
She admits to unprotected sex “every once in a while.” She noted an abnormal vaginal
discharge yesterday and she describes it as “thick, greenish-yellow in color, and very
smelly.” She denies both oral and rectal intercourse. She does not know if her partner
has had a recent genitourinary tract infection, “because he has been away on business
for five days.
Microscopic Examination of Vaginal Discharge
(-) yeast or hyphae

, (-) flagellated microbes
(+) white blood cells
(+) gram-negative intracellular diplococci

Case Study Questions

1. According to the case presented, including the clinical manifestations and
microscopic examination of the vaginal discharge, what is the most probably
diagnosis for Ms. P.C.? Support your answer and explain why you get to that
diagnosis.
2. Based on the vaginal discharged described and the microscopic examination of
the sample could you suggest which would be the microorganism involved?
3. Name the criteria you would use to recommend hospitalization for this patient

Submission Instructions:

 You must complete both case studies.
 Your initial post should be around 500 words per case study, formatted and
cited in current APA style with support from at least 2 academic sources. Your
initial post is worth 8 points.
 You should respond to at least two of your peers by extending,
refuting/correcting, or adding additional nuance to their posts. Your reply
posts are worth 2 points (1 point per response.)
 All replies must be constructive and use literature where possible.
 Please post your initial response by 11:59 PM ET Thursday, and comment on
the posts of two classmates by 11:59 PM ET Sunday.
 You can expect feedback from the instructor within 48 to 72 hours from the
Sunday due date.
Grading Rubric
Your assignment will be graded according to the grading rubric.

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