Case Study: STI Investigation

Susan Lang is a 24-year-old Caucasian female presenting to the clinic for regular care. She

works full-time as an administrative assistant, and relates she loves her job. She has no medical

or surgical history, takes no medication, and has no allergies. Family history is non-

contributary. Social history is remarkable for cigarette smoking at a rate of ½ packs per day

(PPD) since age 14, / EtOH only on weekends, 6-8 hard liquor/ daily, and marijuana

smoking. Gyn history is onset of menses age 13, menses every 28-32 days, lasting 4-6 day and

using 3 tampons daily. She has some cramping during her menses for which she

takes otc Pamprin. She jogs 3-4 times a week, wears seatbelts when in the car, and

“occasionally” uses sunscreen. Susan relates she has been having some postcoital bleeding for

the past 6 weeks and has had a sore throat for past 3 weeks. She did have a fever for a day

or two, but Tylenol took care of it and she thought it was allergies.

Susan’s vital signs are taken and were temperature 97.8, pulse 68, BP 112/64, height 5’6” and

weight 118 lbs. (which was the same as last year). BMI 19.04

· HEENT: WNL except some anterior cervical adenopathy bilaterally, and throat

appears reddened.

· Lung: clear to auscultation

· CV: regular sinus rhythms without murmur or gallop

· Abd: soft, non-tender, liver normal,

· Breasts: fibrocystic changes bilaterally, no masses, dimpling, redness or discharge,

no adenopathy, and bilateral nipple piercings.

· VVBSU: wnl, slight frothy yellow discharge by cervix, clitoral piercing noted

· Cervix: friable, some petechia no cervical motion tenderness.

· Uterus: mid mobile, non-tender

· Adnexa: without masses or tenderness

· Perineum: wnl

· Rectum: wnl

· Extremities: full rom, skin clear, no edema, reflexes 1+.

· Neurological: CN II-12 grossly intact.

review a case study scenario to obtain information related to a comprehensive well-woman eval and determine differential diagnoses, diagnostics, and develop treatment and management plans.

Sample Solution

Impression of Susan Lang’s physical exam findings is consistent with postcoital bleeding, mild cervical inflammation/infection, fibrocystic changes in breasts bilaterally, bilateral nipple piercings and clitoral piercing. Further testing may be needed to evaluate for underlying cause of postcoital bleeding such as Pap smear, endocervical culture and gonorrhea/chlamydia tests. Patient should also be counseled on cessation of smoking and substance use as well as safer sexual behaviors to reduce risk for Sexually Transmitted Infections (STIs).

Sample Solution

Python is its own language and has its own syntax for programs to execute correctly; likewise in the English language there are correct ways to construct sentences. These are the rules we all follow. Python makes use of grammar students use in every subject, for example brackets and speech marks and often students fall short because they forget that these come in pairs, therefore syntax errors would appear in their work and their programs would not work. Grammar and spellings are just as important in a programming language as well as any other language.

Understanding the importance for numeracy and literacy integration can help to become more inclusive in the classroom. Students must be able to access the lesson content. Florian (2005) describes inclusion as ‘not a denial of individual difference, but an accommodation of it within the structures and processes that are available to all learners’ along with Tomlinson (1997) who says that it is ‘matching the resources we have to the learning styles and educational needs of the students.’ Inclusion is not just about those students with Special Educational Needs, but allowing every student with the fair chance to succeed. This could be as little as getting the student who struggles with literacy to react verbally to deepen their understanding of a topic first, before constructing their evaluation.

One of my students in Year 10 class has poor social skills, by incorporating room for discussions this is aiding his communications skills by talking but also scaffolding his learning. With using pair work, I am driving him to be verbal. Literacy is not just about reading and writing. I also ensure that he both verbally explains his work to me, as well as a written evaluation. If students cannot access learning due to lack of literacy and numeracy skills they can become excluded from the learning environment. Cologne (2015) said that no children should be segregated. Boosting students’ knowledge of literacy and numeracy, I am giving the students the best chance for accessing the curriculum not just in Computer Science but also with skills they will need outside the classroom.

Evaluation:

To demonstrate my ability to plan, teach, assess and evaluate I used the University of Brighton lesson plans before delivering the series of lessons (APPENDIX). After each lesson I reflected on my own development but also the progress of students which is laid out in Part F of the lesson plan (Appendix). One of these lessons also fell inside literacy week in our school and as part of this I was tasked to produce a literacy activity around Computer Science. I based this on the key words that students w

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