WH D6

Case 1

Case 2

Case 3

 Cases

O.P. is a 43-year-old female patient who is seeing at the office because she is complaining of vaginal bleeding after sexual intercourse for about two months now.

She stated she has been married for 4 years now but has multiple sexual partners in the past. As positive history in her last cervical cancer screen (two years ago) she was positive for HPV type 16. 

L.T. is a 62-year-old female patient who consulted to the clinic for abdominal discomfort, vague abdominal pain in lower abdomen, constipation and low to moderated pain with sexual intercourse. She is post-menopausal and her last visit to her OB/GYN doctor was two years ago.

She was at the local Urgent care clinic last month and was discharge with OTC medications for constipation and follow up with PCP. During your physical exam you notice discomfort at deep abdominal palpation in left lower quadrant. On bi-manual pelvic examination you notice a mass of about 4 cm x 3 cm, nodular and with limited mobility on the left lower abdomen. 

You work in a women’s health clinic. Many come lower abdominal discomfort. with Chronic Pelvic Pain (CPP).

Questions for the case

· Discuss the appropriate diagnostic testing for the patient

.

· Develop the management plan (pharmacological and nonpharmacological).

· Why is HPV the most important of the cervical cancer screening in patients that have tested HPV positive.

·  According to the United States Preventive Service Taskforce (USPSTF) guidelines, what would be the cervical cancer screening recommendation for average risk women in the age range for O.P. and until what age women should be screened.

· Discuss differential diagnoses with ICD 10 numbers for each.

· Base on the International Federation of Gynecology and Obstetrics (FIGO) give treatment examples for a patient with a Stage IIB Ovarian Cancer.

· Discuss and described the pathophysiology and symptomology/clinical manifestations.

· Give three examples with definition of Chronic Pelvic Pain (CPP) of:
I. Gynecologic origin with ICD 10 numbers. 
II. Non-gynecologic origin with ICD 10 numbers.

· Discuss patient education.

· Develop the management plan (pharmacological and nonpharmacological). 

Discussion Rubric

Criteria

Ratings

Points

Identification of Main Issues, Problems, and Concepts

Distinguished – 

5 points

Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.

Excellent – 4 points
Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.

Fair – 2 points
Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.

Poor – 1 point
Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.

Use of Citations, Writing Mechanics and APA Formatting Guidelines

Distinguished – 

3 points

Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.

Excellent – 2 points
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.

Fair – 1 point
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.

Poor – 0 points
Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.