Gastrointestinal & Endocrine

Extract

[...] Gastrointestinal & Endocrine I. Subjective Data To the provided subjective data, I will investigate more and look for when the onset and progression of the abdominal pain were, including those factors that made the situation worse and the ones that made the pain better. I would want to know if the bowel habits have recently changed to display whether there is diarrhea, constipation, associated bloating, or flatulence. I will explore the patient's menstrual history precisely by asking more questions related to when her menstrual cycle is regular, how often she experiences dysmenorrhea, and whether or not she has noticed any recent changes in her menstrual pattern. [...]

[...] Gastrointestinal disorders and STIs are factors concerning the etiology in diagnosis to obtain an accurate result from part of the diagnosis process. Within the scope of a prompt and effective individualized approach by the issued diagnosis, it is necessary to reduce symptom occurrence, avoid complications, and achieve the desired patient's state. - References Hillier, S. L., Bernstein, K. T., & Aral, S. (2021). A review of the challenges and complexities in the diagnosis, etiology, epidemiology, and pathogenesis of pelvic inflammatory disease. [...]

[...] Rationales PID is an alarming issue in this case, as the patient had unprotected sexual intercourse recently and demonstrates the classic signs of cervical motion tenderness commonly seen with PI. Another Gastrointestinal pathology is possible thinking about the patient's complaint of abdominal pain and gastrointestinal symptoms, even though the physical exam shows no significant results that will decide this diagnosis. STIs should be thought of alongside the patient's sexual history. The occurrence of any abnormal vaginal discharge, and this should be done to seek diagnosis and treatment of the related complications. [...]

[...] First, I suggest having our CBC (complete blood counting) with a differential and comprehensive metabolic panel (CMP). This will allow the doctor to differentiate between infection, inflammation, and electrolyte abnormalities. I will arrange for a urinalysis to check for the presence of a urinary tract infection and hematuria. I would primarily perform nucleic acid amplification testing (NAAT) on the patient's vaginal discharge and cervical motion tenderness for common sexually transmitted infections such as chlamydia, gonorrhea, and trichomoniasis. I recommend obtaining some imaging procedures like an ultrasound of the pelvis or a CT scan of the abdomen and pelvis to evaluate for the presence of any structural abnormality or intra-abdominal pathology. [...]

[...] H., Gargano, J. W., Lewis, F. M., Lewis, R. M., Markowitz, L. E & Weinstock, H. S. (2021). Sexually transmitted infections among US women and men: prevalence and incidence estimates Sexually transmitted diseases, 208-214. [...]