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Female Patient Cases 4
For this Discussion, your instructor will assign you a case number.

Case 1Case 2Case 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.
Develop the management plan (pharmacological and nonpharmacological).
Discuss the appropriate diagnostic testing for the patient
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). 

Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:

An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
Name the different family developmental stages and give examples of each one.
Describe family structure and function and the relationship with health care.

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