SU_NSG6001_W4A2_PANDEY _R.doc.docx by Ram Pandey Submission dat e : 17 - Apr- 2019 12:57 PM (UT C- 04 00) Submission ID: 1114 37 9016 File name : SU_NSG6001_W4 A2_PANDEY_R.do c.do cx Word count : 7 54 Charact e r count : 4 609 70% SIMILARIT Y INDEX 39% INT ERNET SOURCES 2% PUBLICAT IONS 70% ST UDENT PAPERS 1 35% 2 17% 3 11% 4 4% 5 2% 6 2% Exclude quo tes Of f Exclude biblio graphy Of f Exclude matches Of f SU_NSG6001_W4A2_PANDEY_R.doc.docx ORIGINALITY REPORT PRIMARY SOURCES Submitted to South University St udent Paper Submitted to EDMC St udent Paper Submitted to Florida National College St udent Paper Submitted to Florida International University St udent Paper Submitted to University of Texas at Tyler St udent Paper Submitted to Florida Virtual School St udent Paper SU_NSG6001_W4A2_PANDEY_R.doc.docxby Ram PandeySU_NSG6001_W4A2_PANDEY_R.doc.docxORIGINALITY REPORTPRIMARY SOURCES Week 4: Genitourinary Clinical Case © 2016 South University 2 Week 4: Genitourinary Clinical Case Patient Setting: 28-year-old female presents to the clinic with a 2 day history of frequency, burning and pain upon urination; increased lower abdominal pain and vaginal discharge over the past week. HPI Complains of urinary symptoms similar to those of previous urinary tract infections (UTIs) which started approximately 2 days ago; also experiencing severe lower abdominal pain and noted brown fouls smelling discharge after having unprotected intercourse with her former boyfriend. PMH Recurrent UTIs (3 this year); gonorrhea X2, chlamydia X 1; Gravida IV Para III Past Surgical History Tubal ligation 2 years ago. Family/Social History Family: Single; history of multiple male sexual partners; currently lives with new boyfriend and 3 children. Social: Denies smoking, alcohol and drug use. Medication History None Allergy: Trimethoprim (TOM)/ Sulfamethoxazole (SMX) -Rash ROS Last pap 6 months ago, Denies breast discharge. Positive for Urine looking dark. Physical exam BP 100/80, HR 80, RR 16, T 99.7 F, Wt 120, Ht 5’ 0” Gen: Female in moderate distress. HEENT: WNL. Cardio: Regular rate and rhythm normal S1 and S2. Chest: WNL. Abd: soft, tender, increased suprapubic tenderness. GU: Cervical motion tenderness, adnexal tenderness, foul smelling vaginal drainage. Rectal: WNL. Page 2 of 3 Advanced Nursing Practice I ©2016 South University 3 Week 4: Genitourinary Clinical Case EXT: WNL. NEURO: WNL. Laboratory and Diagnostic Testing Lkc differential: Neutraphils 68%, Bands 7%, Lymphs 13%, Monos 8%, EOS 2% UA: Starw colored. Sp gr 1.015, Ph 8.0, Protein neg, Glucose neg, Ketones neg, Bacteria – many, Lkcs 10- 15, RBC 0-1 Urine gram stain – Gram negative rods Vaginal discharge culture: Gram negative diplococci, Neisseria gonorrhoeae, sensitivities pending Positive monoclonal AB for Chlamydia, KOH preparation, Wet preparation and VDRL negative .

1. SU_NSG6001_W4A2_PANDEY
_R.doc.docx
by Ram Pandey
Submission dat e : 17 - Apr- 2019 12:57 PM (UT C- 04 00)
Submission ID: 1114 37 9016
File name : SU_NSG6001_W4 A2_PANDEY_R.do c.do cx
Word count : 7 54
Charact e r count : 4 609
70%
SIMILARIT Y INDEX
39%
INT ERNET SOURCES
2%

2. PUBLICAT IONS
70%
ST UDENT PAPERS
1 35%
2 17%
3 11%
4 4%
5 2%
6 2%
Exclude quo tes Of f
Exclude biblio graphy Of f
Exclude matches Of f
SU_NSG6001_W4A2_PANDEY_R.doc.docx
ORIGINALITY REPORT
PRIMARY SOURCES
Submitted to South University
St udent Paper
Submitted to EDMC
St udent Paper
Submitted to Florida National College
St udent Paper
Submitted to Florida International University
St udent Paper
Submitted to University of Texas at Tyler

3. St udent Paper
Submitted to Florida Virtual School
St udent Paper
SU_NSG6001_W4A2_PANDEY_R.doc.docxby Ram
PandeySU_NSG6001_W4A2_PANDEY_R.doc.docxORIGINALI
TY REPORTPRIMARY SOURCES
Week 4: Genitourinary Clinical Case
© 2016 South University
2 Week 4: Genitourinary Clinical Case
Patient Setting:
28-year-old female presents to the clinic with a 2 day history of
frequency, burning and pain upon
urination; increased lower abdominal pain and vaginal discharge
over the past week.
HPI
Complains of urinary symptoms similar to those of previous
urinary tract infections (UTIs) which started
approximately 2 days ago; also experiencing severe lower
abdominal pain and noted brown fouls
smelling discharge after having unprotected intercourse with her
former boyfriend.

4. PMH
Recurrent UTIs (3 this year); gonorrhea X2, chlamydia X 1;
Gravida IV Para III
Past Surgical History
Tubal ligation 2 years ago.
Family/Social History
Family: Single; history of multiple male sexual partners;
currently lives with new boyfriend and 3
children.
Social: Denies smoking, alcohol and drug use.
Medication History
None
Allergy: Trimethoprim (TOM)/ Sulfamethoxazole (SMX) -Rash
ROS
Last pap 6 months ago, Denies breast discharge. Positive for
Urine looking dark.
Physical exam
BP 100/80,
HR 80,
RR 16,
T 99.7 F,
Wt 120,
Ht 5’ 0”
Gen: Female in moderate distress.

5. HEENT: WNL.
Cardio: Regular rate and rhythm normal S1 and S2.
Chest: WNL.
Abd: soft, tender, increased suprapubic tenderness.
GU: Cervical motion tenderness, adnexal tenderness, foul
smelling vaginal drainage.
Rectal: WNL.
Page 2 of 3
Advanced Nursing Practice I
©2016 South University
3 Week 4: Genitourinary Clinical Case
EXT: WNL.
NEURO: WNL.
Laboratory and Diagnostic Testing
Lkc differential: Neutraphils 68%, Bands 7%, Lymphs 13%,
Monos 8%, EOS 2%
UA: Starw colored. Sp gr 1.015, Ph 8.0, Protein neg, Glucose
neg, Ketones neg, Bacteria – many, Lkcs 10-
15, RBC 0-1
Urine gram stain – Gram negative rods
Vaginal discharge culture: Gram negative diplococci, Neisseria
gonorrhoeae, sensitivities pending
Positive monoclonal AB for Chlamydia, KOH preparation, Wet
preparation and VDRL negative

6. Page 3 of 3
Advanced Nursing Practice I
©2016 South University
Patient Setting:HPIPMHPast Surgical HistoryFamily/Social
HistoryMedication HistoryPhysical examLaboratory and
Diagnostic Testing