Based on the following case study, respond to the following questions: 1) Identi
ID: 3478583 • Letter: B
Question
Based on the following case study, respond to the following questions:
1) Identify and differentiate the symptoms from the signs in this patient.
2) Did you find any remarkable detail in the personal and social history of our patient that can help to make the diagnosis?
3) What results do you expect to find in the tests ordered?
4) What are some future complications the patient is at risk of developing?
Case Study:
Personal Information
Name: Mrs. Maggie Meriwether
Age: 56 years old
Gender: Female
Description
Mrs. Meriwether is a 56-year-old woman, who was apparently in good health until six months ago, at which point she started noticing an uncontrollable urge to urinate when she was exercising, lifting weights, sneezing, or coughing. The embarrassing part for her is that, although she has tried to suppress the urge, she has voided in her underwear very often. The problem has become more frequent, and she has to wear a sanitary pad constantly. The patient also shares that she has something protruding through her vagina. She is anxious because she thinks she has a tumor. After conducting a thorough medical interview and physical examination, the doctor diagnoses stress urinary incontinence and cystocele.
Our patient is a mother of four children with vaginal deliveries complicated by shoulder dystocia. During her last pregnancy, she had a whitish and cottage cheese-like vaginal discharge. A year ago, Mrs. Meriwether had an episode of gastroenteritis accompanied by profuse vomiting and diarrhea, which produced moderate dehydration and electrolyte and acid-base imbalances. Our patient also indicates she has had two episodes of right renal colic produced a renal lithiasis. Patient has no history of smoking or alcohol intake.
On physical examination we found:
Remarkable Signs on Physical by Systems
Urinary system: Leakage of urine through the urethra during Valsalva maneuver
Reproductive system: Soft mass protruding through the vagina, mostly when the patient is pushing
Lab Tests
Complete blood count (CBC)
Urinalysis
Pelvic ultrasound
Cystourethrogram
Supporting Material
Mrs. Meriwether exhibits several conditions related to her urinary and reproductive systems. While the conditions may or may not be related, it is important as a medical professional to have a good understanding of these systems and potential disorders that affect them. In this module, you will explore the disorders that Mrs. Meriwether has, as well as other disorders that you will run across in your career.
Explanation / Answer
First question-
She has problem in her urinary tract. It may in bladder. the symptoms of this condition is given below.
Stress urinary incontinence
Cystocele- it causes the bulges of bladder into vagina.
an episode of gastroenteritis- it is also normal condition may occur due to viral infection.
Whitish and cottage cheese-like vaginal discharge- Sign of the thrush occurred. It is a normal condition.
Right renal colic had renal lithiasis- it suggests that the patient has ureteral obstruction.
Shoulder dystocia- it is a sign of gestational diabetes.
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