ane Wheels is a 24-year-old married female who presents to her…

Question Answered step-by-step ane Wheels is a 24-year-old married female who presents to her… ane Wheels is a 24-year-old married female who presents to her nurse practitioner reporting lower abdominal pain, cramping, slight fever, and dysuria of 4 days duration.History24-year-old P 1001, LMP 2 weeks ago (regular without dysmenorrhea)She uses oral contraceptives (for 2 years).She reports a gradual onset of symptoms of lower bilateral abdominal discomfort, dysuria (no gross hematuria), abdominal cramping, and a slight low-grade fever in the evenings for 4 days. Discomfort has gradually worsened.Denies GI disturbances or constipation. Denies vaginal discharge. Took Tylenol for fever x 3.Jane states that she is happily married in a mutually monogamous relationship and plans another pregnancy in about 6 months. Husband does not use condoms. Reports that they engage in sexual intercourse approximately 2 times per week┬Śno oral or rectal sex.Cooperative and good historian. Non-smoker, exercises regularly, no appetite changes, no travel outside the U.S., and no history of STDs. Reports occasional yeast infections.What should be included in the differential diagnosis?Which laboratory tests should be performed or ordered?LaboratoryResults of office diagnostics:Urine pregnancy test: negativeUrine dipstick for nitrates: negativeVaginal saline wet mount: vaginal pH was 4.5. Microscopy showed WBCs >10 per HPF, no clue cells, no trichomonads and the KOH wet mount was negative for budding yeast and hyphae.What is an appropriate CDC-recommended therapeutic regimen for Ms. Wheels? Health Science Science Nursing NURSING MS 554 Share QuestionEmailCopy link Comments (0)