suspected immune thrombocytopenia purpura.       Week 10  An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.  In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.   To prepare:  By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.  Assignment (1- to 2-page case study analysis)  In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided (not all may apply to each 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).      Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.   make sure that you have a clear purpose statement within your introduction; make sure all paragraphs are well developed, 5-6 sentences each and you end with a well developed conclusion.                                       Submission and Grading Information  Develop a 2- to 3-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned (omit section that does not pertain to your case, faculty will give full points for that section):      Explain the factors that affect fertility (STDs)–  Excellent 23 (23%) – 25 (25%)  Good 20 (20%) – 22 (22%)  Fair 18 (18%) – 19 (19%)  Poor 0 (0%) – 17 (17%)  Explain why inflammatory markers rise in STD/PID–  Excellent 18 (18%) – 20 (20%)  Good 16 (16%) – 17 (17%)  Fair 14 (14%) – 15 (15%)  Poor 0 (0%) – 13 (13%)  Explain why prostatitis and infection happen. Also explain the causes of systemic reaction.–  Excellent 18 (18%) – 20 (20%)  Good 16 (16%) – 17 (17%)  Fair 14 (14%) – 15 (15%)  Poor 0 (0%) – 13 (13%)  Explain why a patient would need a splenectomy after a diagnosis of ITP.–  Excellent 5 (5%) – 10 (10%)  Good 4 (4%) – 4 (4%)  Fair 3 (3%) – 3 (3%)  Poor 0 (0%) – 2 (2%)  Explain anemia and the different kinds of anemia (i.e., micro and macrocytic).–  Excellent 5 (5%) – 10 (10%)  Good 4 (4%) – 4 (4%)  Fair 3 (3%) – 3 (3%)  Poor 0 (0%) – 2 (2%)  Written Expression and Formatting – Paragraph Development and Organization:    Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance.    A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.–  Excellent 5 (5%) – 5 (5%)  Good 4 (4%) – 4 (4%)  Fair 3 (3%) – 3 (3%)  Poor 0 (0%) – 2 (2%)  Written Expression and Formatting – English Writing Standards:    Correct grammar, mechanics, and proper punctuation–  Excellent 5 (5%) – 5 (5%)  Good 4 (4%) – 4 (4%)  Fair 3 (3%) – 3 (3%)  Poor 0 (0%) – 2 (2%)  Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.–  Excellent 5 (5%) – 5 (5%)  Good 4 (4%) – 4 (4%)  Fair 3 (3%) – 3 (3%)  Poor 0 (0%) – 2 (2%)      CASE STUDY  A 14-year-old female is brought to the urgent care by her mother, who states that the girl has had an abnormal number of bruises and “funny looking red splotches” on her legs. These bruises were first noticed about 2 weeks ago and are not related to trauma. PMH not remarkable and she takes no medications. The mother does state the girl is recovering from a “bad case of mono” and was on bedrest at home for the past 3 weeks. The girl noticed that her gums were slightly bleeding when she brushed her teeth that morning.    Labs at urgent care demonstrated normal hgb and hct with normal WBC differential. Platelet count of 100,000/mm3 was the only abnormal finding. The staff also noticed that the venipuncture site oozed for a few minutes after pressure was released. The doctor at urgent care referred the patient and her mother to the ED for a complete work-up of the low platelet count, including a peripheral blood smear for suspected immune thrombocytopenia purpura.    

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