The document provides details on assessing a case study involving a female patient presenting with increased urinary frequency and pain. It includes the patient's history, exam findings, diagnostics ordered, and current assessment of UTI and STI. Additional information should be included in the subjective and objective sections. Other potential diagnoses like acute pyelonephritis or pelvic inflammatory disease should be considered. Diagnostics could help confirm or rule out diagnoses.

1. Assessing the Genitalia and Rectum Essay Paper
Assessing the Genitalia and Rectum Essay PaperSubjective Portion AnalysisWithin the
context of the case, the client mentioned that she engages in sexual activity and has been
seeing a new lover for the last three months. Because of this, her healthcare professional
should inquire further about her sexual behaviors, including her history and current use of
contraception and her use of protection. This will also investigate the possibilities of
diseases that are sexually transmitted. The objective is to ensure one raises the relevant
questions so they can gather the details they require to establish an accurate diagnosis and
put up a therapeutic approach that will address the patient's specific needs. It is imperative
that medical professionals constantly inquire about any known allergies or other
sensitivities that their patients may have. The following are examples of more details that
must be incorporated into the subjective information: Assessing the Genitalia and Rectum
Essay PaperORDER A PLAGIARISM-FREE PAPER HEREFactors that may be aggravating or
alleviating the pain as well as when it started, where it was, its nature, how it progressed
over time, and if it was radiatingUrinary symptoms include pain, blood in the urine, or
incontinence.Color and smell of urineWhether symptoms are recurrent, intermittent, or
constantVaginal discharge or bleedingMenstrual and obstetric historySexual
practicesPotential contact with potentially harmful substancesMedication historyThe
medical history of the family Assessing the Genitalia and Rectum Essay PaperObjective
Portion AnalysisIn order to correctly evaluate the client and exclude any possibilities of a
diagnosis, the objective information should include specifics on the assessment of all of the
client's bodily systems. It is essential to have a broad understanding of the client's state of
health in order to examine the throat and mouth for any additional lesions or ulcers and
determine whether or not the lymph nodes are swollen. The healthcare professional has to
do a thorough examination of the client from head to toe and find out additional
information about the client's sexual history and current behaviors in order to exclude any
other possible diagnosis. The patient's vitals are essentially normal, with the exception of
the pulse reading of 102, which suggests that the patient may be dehydrated. Infection,
inflammation, or other disorders like hernias or kidney stones might be the cause of mild
soreness in the suprapubic region when palpation is performed. The following are examples
of more items that should be included in the objective information:Assessment of the
patient's general physical condition, from head to toeSkin test to check for swelling and
dehydrationInspection of the breastsAn examination of the abdomen to check for
abdominal masses, pregnancy, a palpable bladder, and tendernessA thorough examination

2. of the patient's external genitaliaA thorough inspection of the cervix as well as the vaginal
wallDiagnostic TestsThe following categories of diagnostic procedures might be relevant for
this specific case: HPV testing using a swab and blood samples. It is only possible to identify
someone with HPV if they have tumors that are evident in their genital area or if the results
of their cervical screening are abnormal (Thomsen et al., 2020)Urinalysis in order to check
for pathogens as well as blood cellsUrine culture to identify the types of bacteria that are
present in the urineKidney function tests to assess kidney function and check for acute
renal failure.A swab of the vaginal canal as part of a test for sexually transmitted
infectionsPregnancy test to determine whether or not a pregnancy is presentAn ultrasound
of the pelvis to examine the genitourinary system and look for any abnormalitiesAn x-ray of
the kidney, ureter, and bladder to look for any illness, abnormalities, or dysfunction in
either the bladder or kidney.Differential diagnosisSince the evaluation is substantiated by
both subjective and objective evidence, the current diagnosis of STIs and UTIs may be
considered reliable. In addition, the assessment is supported by a urinalysis and testing for
STIs. The following are some other medical issues that should also be taken into
consideration while attempting to establish a differential diagnosis for this client:Acute
Pyelonephritis: This is one of the most frequent illnesses that affect the kidneys, and it is
caused by a pathogenic bacteria that leads to irritation in the kidneys. It develops as an
effect of an ascending UTI that invades the kidneys after starting in the bladder (Belyayeva
& Jeong, 2019).Pelvic inflammatory disease (PID): This illness is typically brought on by the
transmission of germs brought on by sexually transmitted diseases from the vagina to the
uterus, ovaries, or fallopian tubes (Mayo Clinic, 2018). Fever and pelvic discomfort are two
of the most prevalent symptoms. Vaginal discharge might occur.Kidney stones: These are
solid formations of minerals and acid salts that have attached to one another in urine with a
high concentration (National Kidney Foundation, 2017). The most typical indication is acute
pain, which manifests itself more often on one side of the abdomen and is frequently
accompanied by feelings of nausea. Assessing the Genitalia and Rectum Essay
PaperReferencesBelyayeva, M., & Jeong, J. M. (2019). Acute pyelonephritis. Stat Pearls
Publishing. https://www.ncbi.nlm.nih.gov/books/NBK519537/Mayo Clinic. (2018). Pelvic
inflammatory disease (PID) - Symptoms and causes. Mayo
Clinic. https://www.mayoclinic.org/diseases-conditions/pelvicinflammatory-
disease/symptoms-causes/syc-20352594National Kidney Foundation. (2017, February 13).
Kidney Stones. National Kidney
Foundation. https://www.kidney.org/atoz/content/kidneystonesThomsen, L. T., Kjær, S. K.,
Munk, C., Frederiksen, K., Ørnskov, D., & Waldstrøm, M. (2020). Clinical performance of
human papillomavirus (HPV) testing versus cytology for cervical cancer screening: Results
of a large Danish implementation Study. Clinical Epidemiology, 12, 203- 213.
https://doi.org/10.2147/clep.s243546 Patients are frequently uncomfortable discussing
with healthcare professional’s issues that involve the genitalia and rectum; however,
gathering an adequate history and properly conducting a physical exam are vital. Examining
case studies of genital and rectal abnormalities can help prepare advanced practice nurses
to accurately assess patients with problems in these areas.In this Lab Assignment, you will
analyze an Episodic note case study that describes abnormal findings in patients seen in a

3. clinical setting. You will consider what history should be collected from the patients, as well
as which physical exams and diagnostic tests should be conducted. You will also formulate a
differential diagnosis with several possible conditions.To PrepareReview the Episodic note
case study your instructor provides you for this week’s Assignment. Please see the “Course
Announcements” section of the classroom for your Episodic note case study.Based on the
Episodic note case study:Review this week’s Learning Resources, and consider the insights
they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you
as you complete your Lab Assignment.Search the Walden library or the Internet for
evidence-based resources to support your answers to the questions provided.Consider
what history would be necessary to collect from the patient in the case study.Consider what
physical exams and diagnostic tests would be appropriate to gather more information about
the patient’s condition. How would the results be used to make a diagnosis? Assessing the
Genitalia and Rectum Essay PaperIdentify at least five possible conditions that may be
considered in a differential diagnosis for the patient.**The Lab AssignmentUsing evidence-
based resources from your search, answer the following questions and support your
answers using current evidence from the literature.Analyze the subjective portion of the
note. List additional information that should be included in the documentation.Analyze the
objective portion of the note. List additional information that should be included in the
documentation.Is the assessment supported by the subjective and objective information?
Why or why not?ORDER HEREWould diagnostics be appropriate for this case, and how
would the results be used to make a diagnosis?Would you reject/accept the current
diagnosis? Why or why not? Identify three possible conditions that may be considered as a
differential diagnosis for this patient. Explain your reasoning using at least three different
references from current evidence-based literature.***The assignment for this week is an
analysis of a SOAP note for the genitalia/rectum. As in the previous SOAP note analysis, this
should be completed in a narrative format and answer all the questions listed in the
assignment within the module.Genitourinary AssessmentCC: Increased frequency and pain
with urinationHPI:T.S. is a 32-year-old woman who reports that for the past two days, she
has dysuria, frequency, and urgency. Has not tried anything to help with the discomfort. Has
had this symptom years ago. She is sexually active and has a new partner for the past 3
months.Medical History: Assessing the Genitalia and Rectum Essay PaperNoneSurgical
History:Tonsillectomy in 2001Appendectomy in 2020Review of Systems:General: Denies
weight change, positive for sleeping difficulty because e the flank pain. Feels
warm.Abdominal: Denies nausea and vomiting. No appetiteObjectiveVSS T = 37.3°C, P =
102/min, RR = 16/min, and BP = 116/74 mm Hg.Pelvic Exam:mild tenderness to palpation
in the suprapubic areabimanual pelvic examination reveals a normal-sized uterus and
adnexaeno adnexal tenderness.No vaginal discharge is noted.The cervix appears
normal.Diagnostics: Urinalysis, STI testing, PapsmearAssessment:UTISTI Assessing the
Genitalia and Rectum Essay Paper