Assignment (2- to 3-page case study analysis) Scenario:  67-year-old female presents with chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet. She states she feels unsteady when she walks. PMH includes hypothyroidism well controlled on Synthroid 100 mcg/day. No hx of HTN or CHF. Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air. Physical exam revealed pale, anxious female appearing older than stated years. HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly swollen with loss of normal rugae. Turbinates pale but no swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated. Cardiac-regular rate and rhythm with soft II/VI systolic murmur. Respiratory- lungs clear with no adventitious breath sounds. Abdomen-soft, non-tender with positive bowel sounds. Liver edge palpated two finger breadths below right costal margin. Lab data- hemoglobin (hgb), hematocrit (hct), reticulocyte count, serum B12 levels low, mean corpuscle volume (MCV), plasma iron, and ferritin levels high, folate, Total Iron Binding Capacity (TIBC) are normal. In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided ( not all bullet points below may apply to each scenario- only include those that apply. ): The factors that affect fertility (STDs). Why inflammatory markers rise in STD/PID. Why prostatitis and infection happens. Also explain the causes of systemic reaction. Why a patient would need a splenectomy after a diagnosis of ITP. Anemia and the different kinds of anemia (i.e., micro and macrocytic). Rubric: Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned (omit section that does not pertain to your case, faculty will give full points for that section): Explain the factors that affect fertility (STDs) Points Range:23 (23.00%) - 25 (25.00%) The response accurately and thoroughly describes the patient symptoms. The response includes accurate, clear, and detailed explanations of the processes related to women's and men's health, infections, and hematologic disorders and is supported by evidence and/or research, as appropriate, to support the explanation. Points Range:20 (20.00%) - 22 (22.00%) The response describes the patient symptoms. The response includes accurate, explanations of the processes related to women's and men's health, infections, and hematologic disorders and is supported by evidence and/or research, as appropriate, to support the explanation. Points Range:18 (18.00%) - 19 (19.00%) The response describes the patient symptoms in a manner that is vague or inaccurate. The response includes explanations of the processes related to women's and men's health, infections, and hematologic disorders,.

1. Assignment (2- to 3-page case study analysis)
Scenario:
67-year-old female presents with chief complaint of shortness
of breath, fatigue, weakness, unintentional weight loss, and
mild numbness in her feet. She states she feels unsteady when
she walks. PMH includes hypothyroidism well controlled on
Synthroid 100 mcg/day. No hx of HTN or CHF.
Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP
108/64, PaO2 95% on room air.
Physical exam revealed pale, anxious female appearing older
than stated years.
HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy
red and slightly swollen with loss of normal rugae. Turbinates
pale but no swelling. Thyroid palpable but no nodules felt. No
lymph nodes palpated.
Cardiac-regular rate and rhythm with soft II/VI systolic
murmur. Respiratory- lungs clear with no adventitious breath
sounds. Abdomen-soft, non-tender with positive bowel sounds.
Liver edge palpated two finger breadths below right costal
margin. Lab data- hemoglobin (hgb), hematocrit (hct),
reticulocyte count, serum B12 levels low, mean corpuscle
volume (MCV), plasma iron, and ferritin levels high, folate,
Total Iron Binding Capacity (TIBC) are normal.
In your Case Study Analysis related to the scenario provided,
explain the following as it applies to the scenario you were
provided

2. (
not all bullet points below may apply to each scenario- only
include those that apply.
):
The factors that affect fertility (STDs).
Why inflammatory markers rise in STD/PID.
Why prostatitis and infection happens. Also explain the causes
of systemic reaction.
Why a patient would need a splenectomy after a diagnosis of
ITP.
Anemia and the different kinds of anemia (i.e., micro and
macrocytic).
Rubric:
Develop a 1- to 2-page case study analysis, examining the
patient symptoms presented in the case study. Be sure to
address the following as it relates to the case you were assigned
(omit section that does not pertain to your case, faculty will
give full points for that section):
Explain the factors that affect fertility (STDs)
Points Range:23 (23.00%) - 25 (25.00%)

3. The response accurately and thoroughly describes the patient
symptoms.
The response includes accurate, clear, and detailed explanations
of the processes related to women's and men's health,
infections, and hematologic disorders and is supported by
evidence and/or research, as appropriate, to support the
explanation.
Points Range:20 (20.00%) - 22 (22.00%)
The response describes the patient symptoms.
The response includes accurate, explanations of the processes
related to women's and men's health, infections, and
hematologic disorders and is supported by evidence and/or
research, as appropriate, to support the explanation.
Points Range:18 (18.00%) - 19 (19.00%)
The response describes the patient symptoms in a manner that is
vague or inaccurate.
The response includes explanations of the processes related to
women's and men's health, infections, and hematologic
disorders, with explanations that are vague or based on
inappropriate evidence/research.
Points Range:0 (0.00%) - 17 (17.00%)
The response describes the patient symptoms in a manner that is
vague and inaccurate, or the description is missing.

4. The response does not include explanations of the processes
related to women's and men's health, infections, and
hematologic disorders, or the explanations are vague or based
on inappropriate evidence/research.
Explain why inflammatory markers rise in STD/PID
Points Range:18 (18.00%) - 20 (20.00%)
The response includes an accurate, complete, detailed, and
specific analysis of the concepts and principles of
pathophysiology across the life span and is supported by
evidence and/or research, as appropriate, to support the
explanation.
Points Range:16 (16.00%) - 17 (17.00%)
The response includes an accurate explanation of how the
highlighted processes interact to affect the patient and is
supported by evidence and/or research, as appropriate, to
support the explanation.
Points Range:14 (14.00%) - 15 (15.00%)
The response includes a vague or inaccurate explanation of how
the highlighted processes interact to affect the patient, with
explanations that are based on inappropriate evidence/research.
Points Range:0 (0.00%) - 13 (13.00%)
The response includes a vague or inaccurate explanation of how
the highlighted processes interact to affect the patient, with
explanations that are based on inappropriate or missing
evidence/research.

5. Explain why prostatitis and infection happen. Also explain the
causes of systemic reaction.
Points Range:18 (18.00%) - 20 (20.00%)
The response includes an accurate, complete, detailed, and
specific explanation of how the highlighted processes interact to
affect the patient and is supported by evidence and/or research,
as appropriate, to support the explanation.
Points Range:16 (16.00%) - 17 (17.00%)
The response includes an accurate explanation of how the
highlighted processes interact to affect the patient and is
supported by evidence and/or research, as appropriate, to
support the explanation.
Points Range:14 (14.00%) - 15 (15.00%)
The response includes a vague or inaccurate explanation of how
the highlighted processes interact to affect the patient, with
explanations that are based on inappropriate evidence/research.
Points Range:0 (0.00%) - 13 (13.00%)
The response includes a vague or inaccurate explanation of how
the highlighted processes interact to affect the patient, with
explanations that are based on inappropriate or missing
evidence/research.
Explain why a patient would need a splenectomy after a
diagnosis of ITP.
Points Range:5 (5.00%) - 10 (10.00%)
The response includes an accurate, complete, detailed, and

6. specific explanation of racial/ethnic variables that may impact
physiological functioning and is supported by evidence and/or
research, as appropriate, to support the explanation.
Points Range:4 (4.00%) - 4 (4.00%)
The response includes an accurate explanation of racial/ethnic
variables that may impact physiological functioning and is
supported by evidence and/or research, as appropriate, to
support the explanation.
Points Range:3 (3.00%) - 3 (3.00%)
The response includes a vague or inaccurate explanation of
racial/ethnic variables that may impact physiological
functioning, and/or explanations are based on inappropriate
evidence/research.
Points Range:0 (0.00%) - 2 (2.00%)
The response includes a vague or inaccurate explanation of
racial/ethnic variables that may impact physiological
functioning, or the explanations are based on inappropriate or
no evidence/research.
Explain anemia and the different kinds of anemia (i.e., micro
and macrocytic).
Points Range:5 (5.00%) - 10 (10.00%)
The response includes an accurate, complete, detailed, and
specific explanation of racial/ethnic variables that may impact
physiological functioning and is supported by evidence and/or
research, as appropriate, to support the explanation.
Points Range:4 (4.00%) - 4 (4.00%)

7. The response includes an accurate explanation of racial/ethnic
variables that may impact physiological functioning and is
supported by evidence and/or research, as appropriate, to
support the explanation.
Points Range:3 (3.00%) - 3 (3.00%)
The response includes a vague or inaccurate explanation of
racial/ethnic variables that may impact physiological
functioning, and/or explanations are based on inappropriate
evidence/research.
Points Range:0 (0.00%) - 2 (2.00%)
The response includes a vague or inaccurate explanation of
racial/ethnic variables that may impact physiological
functioning, or the explanations are based on inappropriate or
no evidence/research.
Written Expression and Formatting - Paragraph Development
and Organization:
Paragraphs make clear points that support well-developed ideas,
flow logically, and demonstrate continuity of ideas. Sentences
are carefully focused—neither long and rambling nor short and
lacking substance.
A clear and comprehensive purpose statement and introduction
are provided that delineate all required criteria.
Points Range:5 (5.00%) - 5 (5.00%)
Paragraphs and sentences follow writing standards for flow,

8. continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and
conclusion are provided that delineate all required criteria.
Points Range:4 (4.00%) - 4 (4.00%)
Paragraphs and sentences follow writing standards for flow,
continuity, and clarity 80% of the time.
The purpose, introduction, and conclusion of the assignment are
stated, yet are brief and not descriptive.
Points Range:3 (3.00%) - 3 (3.00%)
Paragraphs and sentences follow writing standards for flow,
continuity, and clarity 60%-79% of the time.
The purpose, introduction, and conclusion of the assignment are
vague or off topic.
Points Range:0 (0.00%) - 2 (2.00%)
Paragraphs and sentences follow writing standards for flow,
continuity, and clarity < 60% of the time.
No purpose statement, introduction, or conclusion were
provided.
Written Expression and Formatting - English Writing Standards:

9. Correct grammar, mechanics, and proper punctuation
Points Range:5 (5.00%) - 5 (5.00%)
Uses correct grammar, spelling, and punctuation with no errors.
Points Range:4 (4.00%) - 4 (4.00%)
Contains a few (1 or 2) grammar, spelling, and punctuation
errors.
Points Range:3 (3.00%) - 3 (3.00%)
Contains several (3 or 4) grammar, spelling, and punctuation
errors.
Points Range:0 (0.00%) - 2 (2.00%)
Contains many (≥ 5) grammar, spelling, and punctuation errors
that interfere with the reader's understanding.
Written Expression and Formatting - The paper follows correct
APA format for title page, headings, font, spacing, margins,
indentations, page numbers, running heads, parenthetical/in-text
citations, and reference list.
Points Range:5 (5.00%) - 5 (5.00%)
Uses correct APA format with no errors.
Points Range:4 (4.00%) - 4 (4.00%)
Contains a few (1 or 2) APA format errors.
Points Range:3 (3.00%) - 3 (3.00%)

10. Contains several (3 or 4) APA format errors.
Points Range:0 (0.00%) - 2 (2.00%)
Contains many (≥ 5) APA format errors.