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Case Study:
42-year-old man presents to ED with 2-day history of dysuria,
low back pain, inability to fully empty his bladder, severe
perineal pain along with fevers and chills. He says the pain is
worse when he stands up and is somewhat relieved when he lies
down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO2
96% on room air. Digital rectal exam (DRE) reveals the prostate
to be enlarged, extremely tender, swollen, and warm to touch.
Please respond only to the prompts or questions relating to this
case. For example, the anemia prompts do not correlate with
this case.
Reading Material
McCance, K. L. & Huether, S. E. (2019).
Pathophysiology: The biologic basis for disease in adults and
children
(8th ed.). St. Louis, MO: Mosby/Elsevier.
· Chapter 24: Structure and Function of the Reproductive
Systems (stop at Tests of reproductive function); Summary
Review
· Chapter 25: Alterations of the Female Reproductive System
(stop at Organ prolapse); pp. 787–788 (start at Impaired
fertility) (stop at Disorders of the female breast); Summary
Review
· Chapter 26: Alterations of the Male Reproductive System
(stop at Hormone levels); Summary Review
· Chapter 27: Sexually Transmitted Infections, including
Summary Review
· Chapter 28: Structure and Function of the Hematological
System (stop at Clinical evaluation of the hematological
system); Summary Review
· Chapter 29: Alterations of Erythrocytes, Platelets, and
Hemostatic Function, including Summary Review
· Chapter 30: Alterations of Leukocyte and Lymphoid Function,
including Summary Review
Low, N. & Broutet N. J. (2017). Sexually transmitted infections
– Research priorities for new challenges.
PLoS Medicine
, (12), e1002481
An understanding of the factors surrounding women’s and
men’s health, infections, and hematologic disorders can be
critically important to disease diagnosis and treatment in these
areas. This importance is magnified by the fact that some
diseases and disorders manifest differently based on the sex of
the patient.
Effective disease analysis often requires an understanding that
goes beyond the human systems involved. The impact of patient
characteristics, as well as racial and ethnic variables, can also
have an important impact..
An understanding of the symptoms of alterations in systems
based on these characteristics is a critical step in diagnosis and
treatment of many diseases. For APRNs, this understanding can
also help educate patients and guide them through their
treatment plans.
In this Assignment, you examine a case study and analyze the
symptoms presented. You identify the elements that may be
factors in the diagnosis, and you explain the implications to
patient health.
Assignment ( 2-pages case study analysis)
In your Case Study Analysis related to the scenario provided,
explain the following:
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).

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  • 1. Case Study: 42-year-old man presents to ED with 2-day history of dysuria, low back pain, inability to fully empty his bladder, severe perineal pain along with fevers and chills. He says the pain is worse when he stands up and is somewhat relieved when he lies down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO2 96% on room air. Digital rectal exam (DRE) reveals the prostate to be enlarged, extremely tender, swollen, and warm to touch. Please respond only to the prompts or questions relating to this case. For example, the anemia prompts do not correlate with this case. Reading Material McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier. · Chapter 24: Structure and Function of the Reproductive Systems (stop at Tests of reproductive function); Summary Review · Chapter 25: Alterations of the Female Reproductive System (stop at Organ prolapse); pp. 787–788 (start at Impaired fertility) (stop at Disorders of the female breast); Summary Review · Chapter 26: Alterations of the Male Reproductive System (stop at Hormone levels); Summary Review
  • 2. · Chapter 27: Sexually Transmitted Infections, including Summary Review · Chapter 28: Structure and Function of the Hematological System (stop at Clinical evaluation of the hematological system); Summary Review · Chapter 29: Alterations of Erythrocytes, Platelets, and Hemostatic Function, including Summary Review · Chapter 30: Alterations of Leukocyte and Lymphoid Function, including Summary Review Low, N. & Broutet N. J. (2017). Sexually transmitted infections – Research priorities for new challenges. PLoS Medicine , (12), e1002481 An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient. Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.. An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.
  • 3. In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. Assignment ( 2-pages case study analysis) In your Case Study Analysis related to the scenario provided, explain the following: 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).