In your Case Study Analysis related to the scenario provided, explain the following: (2 page minimum required) Explanations need to reflect the given scenario.The factors that affect fertility (STDs).Why inflammatory markers rise in STD/PID.Why prostatitis and infection happens. Also explain the causes of systemic reaction.Why a patient would need a splenectomy after a diagnosis of ITP.Anemia and the different kinds of anemia (i.e., micro and macrocytic).Scenario:ÿA 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She deniesÿdysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.Labs: CBC-WBC 18,ÿHgbÿ16,ÿHctÿ44, Plat 325, ?ÿNeutsÿ& Lymphs,ÿsedÿrate 46 mm/hr, C-reactive protein 67 mg/L CMPÿwnlVital signs T 103.2 F Pulse 120 Resp 22 andÿPaO299% on room air.Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops.Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity.Pelvic exam demonstrates copious foul-smelling green drainage with reddened cervix and + bilateralÿadenexalÿtenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram negativeÿdiplococci.

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