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L.T. is a 62-year-old female patient who consulted to the clinic for abdominal discomfort

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L.T. is a 62-year-old female patient who consulted to the clinic for abdominal discomfort

L.T. is a 62-year-old female patient who consulted to the clinic for abdominal discomfort, vague abdominal pain in lower abdomen, constipation and low to moderated pain with sexual intercourse. She is post-menopausal and her last visit to her OB/GYN doctor was two years ago.

She was at the local Urgent care clinic last month and was discharge with OTC medications for constipation and follow up with PCP. During your physical exam you notice discomfort at deep abdominal palpation in left lower quadrant. On bi-manual pelvic examination you notice a mass of about 4 cm x 3 cm, nodular and with limited mobility on the left lower abdomen.
Develop the management plan (pharmacological and nonpharmacological).
Discuss the appropriate diagnostic testing for the patient
Discuss differential diagnoses with ICD 10 numbers for each.
Base on the International Federation of Gynecology and Obstetrics (FIGO) give treatment examples for a patient with a Stage IIB Ovarian Cancer.
An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
Name the different family developmental stages and give examples of each one.
Describe family structure and function and the relationship with health care.

L.T. is a 62-year-old female patient who consulted to the clinic for abdominal discomfort

**Management Plan:**

 

**Pharmacological:**

  1. Prescribe stool softeners or laxatives for constipation relief.
  2. Prescribe pain relievers for abdominal discomfort as needed.
  3. Referral to an oncologist for further evaluation and treatment if ovarian cancer is suspected.

 

**Nonpharmacological:**

  1. Dietary modifications: Increase fiber intake and encourage adequate hydration to alleviate constipation.
  2. Counseling: Provide emotional support and counseling for coping with potential diagnosis and treatment.
  3. Referral to a gynecologist for further evaluation of the pelvic mass and consideration of surgical intervention if necessary.

 

**Diagnostic Testing:**

  1. Transvaginal ultrasound to assess the pelvic mass and its characteristics.
  2. CA-125 blood test, although not specific, it can aid in the diagnosis and monitoring of ovarian cancer.
  3. CT scan or MRI of the abdomen and pelvis for further evaluation of the extent of the mass and potential metastasis.

 

**Differential Diagnoses with ICD-10 Codes:**

  1. Ovarian Cancer (C56.9)
  2. Ovarian cyst (N83.29)
  3. Diverticulitis of the sigmoid colon (K57.21)
  4. Pelvic inflammatory disease (N70.91)

 

**Treatment Examples for Stage IIB Ovarian Cancer (FIGO):**

  1. Surgical debulking of the tumor followed by adjuvant chemotherapy (e.g., combination of paclitaxel and carboplatin).
  2. Radiation therapy may be considered in addition to surgery and chemotherapy, depending on the extent of disease and patient’s overall health.

 

**Other Parameters for Health Assessment:**

  1. Psychosocial well-being: Assessing stress levels, coping mechanisms, and social support systems.
  2. Lifestyle factors: Evaluating diet, exercise habits, substance use, and sexual health.
  3. Environmental factors: Identifying potential exposures to toxins or pollutants.
  4. Socioeconomic status: Assessing access to healthcare, financial resources, and education level.

 

**Family Developmental Stages:**

  1. Formation: Newly married couple adjusting to living together.
  2. Childbearing: Couple raising young children and adjusting to parenthood.
  3. Adolescence: Parents navigating challenges of teenagers gaining independence.
  4. Launching: Children leaving home for college or work.
  5. Empty nest: Couple adjusting to life without children at home.
  6. Retirement: Couple entering retirement and adjusting to changes in lifestyle and roles.

 

**Family Structure and Function:**

Family structure refers to the composition of the family, including members’ roles and relationships, while family function pertains to how the family operates and meets its needs. Strong family structure and function can positively influence health outcomes by providing support, communication, and a sense of belonging. Conversely, dysfunctional family dynamics can contribute to stress, conflict, and poor health outcomes. Healthcare providers should assess family dynamics and support systems to provide holistic care.

L.T. is a 62-year-old female patient who consulted to the clinic for abdominal discomfort

The post L.T. is a 62-year-old female patient who consulted to the clinic for abdominal discomfort appeared first on Destiny Papers.

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