Case Study # 3
M. Richards is a 33-year-old woman who comes to the urgent care
center. The nurse collects the following data.
Interview Data: Ms. Richards tells the nurse, “I have a really
bad pain in front of my butt. It hurts so much that I can't even
wipe with a tissue after I go to the bathroom. There is no way I
could have a bowel movement right now.” Ms. Richards states that
the pain started 2 days ago and is “much worse now.” When asked
about her sexual activity, she says, “I'm with a guy, but it's not
exclusive or anything. We see other people and try not to be real
serious.”
Examination Data VS: BP 110/80 CR 80 RR 16 Temperature
98.8degrees Fahrenheit
HEENT: Within normal limits
CV: Within normal limits
Respiratory: Within normal limits ABD: Within normal limits
External examination: Typical hair distribution, urethral meatus
intact, no redness or discharge. Perineum intact. Extreme pain
response to palpation of vaginal opening; edema, redness, and mass
detected on right side. Spontaneous, foul-smelling, dark yellow
discharge noted with palpation over Bartholin's glands. Internal
examination: Deferred because of extreme pain associated with the
exam. Musculo-Skeletal: Within normal limits
Please follow the rubric so you will get the maximum points for
this case study. Always highlight the pathophysiology of the
disease condition that is chosen as the primary diagnosis.
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