CASE STUDY 1 Part (1) Review the various conjunctivitis cases and determine the most likely cause, including pathogen and mode of transmission. Discuss data that supports your decision and treatment strategies. A 40-year-old woma

CASE STUDY 1 Part (1) Review the various conjunctivitis cases and determine the most likely cause, including pathogen and mode of transmission. Discuss data that supports your decision and treatment strategies. A 40-year-old woman is complaining of itching, redness, and watery discharge in both her eyes. She feels like she has sand in her eyes. She also started sneezing and has a clear nasal discharge. She thinks the symptoms started after petting a cat 2 days before at a friend’s house. She stated this reaction never happened before around animals, but she does get hay fever a few times a year. She has a past medical history of eczema. The physical examination reveals alert woman in no acute distress. Her ears, nose, throat, and lungs are WNL. There is evidence of bilateral stringy “ropelike” discharge and conjunctival erythema. Provide responses to the items below. Most likely cause including pathogen – Mode of transmission – Discuss data that supports your decision – Treatment strategies – Part (2) Review the various hearing disorder cases and determine whether the disorder causes a conductive, sensorineural, or combination of both types of hearing loss. Once you identify the type of hearing loss, explain the part of the ear that is affected and describe the disorder. A 45-year-old woman noticed that she feels like her left ear is full and she cannot hear as well from her left ear as from her right. She states these symptoms started after she was cleaning the inside of her ears with a cotton-tip applicator. Physical exam reveals a right ear that is WNL. Her left ear canal has dark cerumen occluding her ear canal. Provide responses to the items below. Determine whether the disorder causes a conductive, sensorineural, or combination of both types of hearing loss. Explain the part of the ear that is affected and describe the disorder. CASE STUDY 2 Part (1) Abnormal uterine bleeding is a common gynecologic complaint. Review the following scenarios and determine a likely cause and describe the mechanism that leads to the abnormal bleeding pattern. Scenario 1: A 13-year-old girl is having episodes of amenorrhea and infrequent menses. Her menarche was at the age of 12, she denies being sexually active, and a urine pregnancy test is negative. Part (2) Part 3 Most women at some point in their life will get a vaginal infection. Vaginal infection can be characterized by complaints of vaginal discharge. Three common causes of vaginal discharge are bacterial vaginosis, trichomoniasis, and vulvovaginal candidiasis. Review the following case and answer the questions. Case A 40-year-old woman comes in complaining of an increased thin whitish vaginal discharge that started about 5 days ago. She said it is so much that she needs to wear a small sanitary pad. She also noted that she had a funny odor after having sexual intercourse, and she says the odor continues despite her attempts to control it with douching. Physical examination reveals a thin white discharge around the vaginal wall with no erythema. Examination of the discharge includes a positive KOH whiff test and a vaginal pH > 4.5. Vaginal microscopy reveals clue cells. Answer the following questions or provide responses based on this case. 1. What is a likely cause of the vaginal discharge? Trichomoniasis Bacterial vaginosis Vulvovaginal candidiasis 2. Which of the clinical manifestations confirms the diagnosis? The thin white discharge Malodorous discharge Presence of clue cells on a saline wet mount slide 3. The cause of this vaginal discharge disorder is due to: An alteration in the vaginal flora Overgrowth of yeast due to antibiotic use A sexually transmitted organism, T. pallidum 4. This item is optional. Which is the primary treatment of this vaginal discharge disorder? Fluconazole Metronidazole Clindamycin 5. Describe the mode of transmission, common organism, clinical manifestations, and treatment of the other two diagnoses not chosen in question 1.